HomeMy WebLinkAboutX2018-1863 - Permitsa
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-1863
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 1 8 6 3 Pro ect No : 1457-2018
Permit Counter Phone (949)644-3288)Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM GRAD Issued Date: 10/09/2018
Inspection Area : 2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m,
to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or
Holidays
Job Address: 204 EMERALD AVE NB
Description: SFR ADD 665 SF & DEMO EXTG
GAR W/LIV ABOVE 3671519
SF & REBUILD GAR 370 GARAGE, REMODEL KITCHEN 360 SF, ADD ELEVATOR, ADD'N TO ROOF DECK 182 SF
Legal Desc.: BALBOA ISLAND RESUB SEC 1 BLK 4 LOT 20
Owner: FRINZI THOMAS
Address: 204 EMERALD AVE
Contractor:
Address:
VITARELLI CONSTRUCTION INC Architect: SMITH BRADFORD
140 S BAY FRONT Address: 425 30TH ST 022
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BALBOA ISLAND CA 92662
NEWPORT BEACH CA 92662 NEWPORT BEACH CA 9266311
Phone:
Phone:
949.677-1872
Phone: 949-631-3682 State Lic:C014146
Applicant: SMITH BRADFORD
Con State Lic: 485418
Engineer: GHOUL] RAID ASAD
Address: 425 30TH ST #22
Lic Expire:
02/2812019
Address: 26040 ACERO #100
NEWPORT BEACH CA 92663
Bus Lic:
BT00011199
MISSION VIEJO CA 92691
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Phone: 949.631.3682
Lic Exp Date:
0813112019
Phone: 949-855-2300 State Lic:C-070882 ° • ° •
° °
Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V -B
Carrier:
STATE COMP
INS FUND Address:
° •
`
Occupancy Group: R3/U
Policy No:
0783123
Added /New sq.ft. Bldg: 146
Expire:
1 010112 01 9
Phone:
Added /New sq. ft. Garage: 3
°°°°
No of Stories: 2
Building Setbacks
Rear: 5
Special Conditions: LIQUEFACTION
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......
No of Units: 1
Front: 10
Bldg Height: 0
Left: 3
Bldg Sprinklers: Y
Right: 3
Flood Zone: AE -8
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $256.000.00
Building Permit Fee: $1,228.00
Excise Tax:
$0.00
Planning Department- Fire Department
Plan Check Fee: $997.04
Additional Fee :
$0.00
Plan check Fee : $150.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$580.56
SJH Trans : $0.00 Demolition Fee
Record Management: $60.00
Grading Permit Fee:
$820.00
In -lieu Housing Fee : $0.00 Building Dept Adm
$24.00
Energy Compliance: $179.20
Grading PC Fee:
$840.84
Public Works Department - General Service
$197.00
CA Seismic Safety: $33.28
WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit
$564.00
Disabled Access: $0.00
PM Plan Check: $38.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$85.96
San Dist: $0.00
Building Green Fee:
Mechanical %:
$49.12
NMUSD Fee: $0.00
$0.00
Plumbing %:
$110.52
$0.00
TOTAL
GF
Plan Check Fee:
$2,038.59 Fee Due at Permit Issuance :
$3,929.93
PROCESSED BY:
1
PUBLIC WORKS :
ZONING APPROVAL:
i
PLAN CHECK BY:
rE:
GRADING APPROVAL:
t
APPROVAL TO IS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
Iction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
)fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
movements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
(roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
11y to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegalll
I a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Ifessions Code, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html.
nature of Property Owner or Authorized Agent Date
TENSED CCKTOCTOR'S DECLARATION
Ireby affirm under penalty p Verjury that I am licensed under provisions of Chgpter 9 (commencing with Section 70 0) �vjsi n 3 of the Business and Prof_ e�aigns ode and in full force
teffect. LiceRasQlass l(�J License No Vi KI (}i Date CC11 Contractor SignaturaZ
)RKERS' COMPENSATION DECLARATION r
fryryI,,%r�GR FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
if0� COMPENS®TJWL DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Ire6y,affirm %W penalty of perjury one of the following declarations:
I�have and wi* maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
K rr nce oitbe 14A for which this permit is issued. Policy No.
and will Maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier+and policy number are:
Policy Number Expiration Date
ertify that, in tlTe performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
if I should become subjeto workers' com an tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. // p�
rtureofAp
te G plican r Da — —� a
�reby affirm under i5enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information 1 have provided is correct.
I agree to comply with all applicable city and county ordtaQnces and stat laws relating to building construction. 1
I authorize representatives of this city or count to the bove-i n property for inspection purposes. t /L t,J to C
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name A/AA S v D
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED I I I B V I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED D
PERMITFINAL ASBESTOS NOT CA ION IS OT PPLICABLE TO
CERTIFICATE OF P OSED DE ITIO
OCCUPANCYISSUED (/ A SIGNATURE: