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Home My WebLink AboutX2020-1127 - Permits4YP City of Newport Beach - Building Division OR PERMIT WILL BE INVALID 100 Civi.,Center Drive, Newport Beach, CA 92660 '.� Permit Counter Phone (949)644-3288 - Inspection Requests Phone (949)644-3255 y Svc>' Combination Type - SFP IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�u IICOMB Permit: X2020-1127 x 2 9 2 0 1 1 2 7 Project No: 0842-2020 Issued Date : 0612212020 Inspection Area : 3 Owner: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID OWNER/BLDR 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: 1807 ANTIGUA CIR NB 1807 ANTIGUA CIR Description: SFR - REPAIR ROOF RAFTER TAILS Address: Legal Desc.: N TR 3764 LOT 22 NEWPORT BEACH, CA 92660 I N S P EnT® R Owner: SANTANGELO SAMUEL & MARIE Contractor: OWNER/BLDR Architect: $0.00 Address: 1807 ANTIGUA CIR Address: PAUL SANTANGELO Address: $0.00 CA Seismic Safety: NEWPORT BEACH, CA 92660 Disabled Access: $0.00 Hazardous Mat $0.00 Phone: 949-933-7808 Phone: Phone: State Lic: Applicant: O'BRIEN MICHAEL Con State Lic: 0/B Engineer: OBRIEN MICHAEL Address: 24981 VALLEY RIM TERRACE Lic Expire: Address: pp.O 27 ORCHARD #200 m LAKE FOREST CA 92630 Bus Lic: LAKE FOREST CA 92630 .... Phone: 9491278-4328 Lic Exp Date: Phone: 949-716-9990 State Lic:S-004468 0o m Code Edit: 2019 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added/New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $ Building Permit Fee: $168.00 Plan Check Fee: $146.16 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FE'S : $363.16 Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / �arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $186.16 Fee PROCESSED BY: PUBLIC WORKS AP R ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: Issuance ISE G 0000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $177.00 m o o m o mm o mmmoo c 00000 oeooco c e o 0 0 mmm000 0 0 Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Issuance ISE G 0000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $177.00 m o o m o mm o mmmoo c 00000 oeooco c e o 0 0 mmm000 0 0 OWNER -BUILDER 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 td'fhe appli able item(s) Section 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 is 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 'rofessions 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 �t more than five hundred dollars ($500). �] I, as owner of the property, or my employees with wages as their sole compensation, will do C_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 nprovements 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 �n roved for the purpose of sale). I, as owner of theproperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply 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 fror"rilicensure under the Contractors' State License Law for the following reason: ly 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 legall, ell a structure that I have built as an owner -builder if it has not en conAruct In Its an ety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the B siness and 'rofessions Code, is available upon request when applic Is s rat th Ing Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under'penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effest. Licerfst"ass _ License No Date Contractor Signature XR11RS' C"IMPUNSATION DECLARATION ININ6: FAILURE TO SURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE ft pf COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Iretly affirm under penalty of perjury one of the following declarations: I' 141ave and Aff 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 thl Wgiance ofJlte )Vett, for which this permit is issued. Policy No. 'MBve 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' compensatior mwee carrier and policy number are: Per. . .: Policy Number Expiration Date f Agent Phone # fy that-WJI;iC performance of the work for which this per If is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation- laws of California, and agre should become _,ubjectA63he works' o np nsa' ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ M Tgnature of Applican ua "_ iECLARATION RE ARDI CONSTR CTION LENDING GENCY hereby affirm under penalty of perjury t at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 7, Civil Code). ender'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 I have provided is correct. I agree to comply with all applicable city and county ordi nces and state Wws rel ing to building construction. I authorize representatives of this city or county ant a abov -I ed p for inspection purposes. Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Na ACTION DATEBY ECLARATION COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 ANDAD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LJAQMD PERMITFINAL 20'+o14S SBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: U) C9 in co rn Uoo N M a) � m O Q � Uo U U 0 ' O c L a) a) c uJ w a R p N @ c W'00— y0 N j m C ° `Eoy moo M0Ny`0--->-0 �� Eo mm rmm ago ME ° N 0 nu 3 3 �- (D a oc 3M0 0 a).0 Eo .� c O) @> O O L 0 d E 0 m °- )°p N 'O C a) 5 0 Amo Z w @ y� @ m� °'. 3a)xL° a mE a@Q O coc-53_avi go o E� y_T—'_ `L°'� w0 Y N C n _ y C O C m_ @ @ 3 a) °•Q @ H w 0 d a) (D y pU o °- - o m>. a o c N cc @ i t. y° •` r O. 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