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HomeMy WebLinkAboutX2021-2844 - Permitsw y City of Newport Beach - Building Division *X2021-2844* COMB Permit: X2021-2844 4� �,� 100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 1418-2021 y Permit Counter Phone (949)644-3288 F Q � d"` °®A'ep Inspection Requests Phone (949)644-3255 IN U �'� , r „+* Combination Type �SFP MECH ELEC PLUM Issued Date : 11/04/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110412024 OR PERMIT WILL BE INVALID 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: 3 CASTAWAYS NORTH NB Description: SFR *ADDITIONAL SCOPE* ADD 90 SF, REMODEL 210 SF (BATHROOMS, FAMILY ROOM), NEW INTERIORIEXTERIOR GUARDRAILS Legal Desc.: N TR 15012 LOT 96 Owner: KEILLOR ERIC LEE Address: 3 CASTAWAYS NORTH NEWPORT BEACH, CA Phone: Applicant: SANTANIELLO JAMES Address: 3419 VIA LIDO NEWPORT BEACH, CA Phone: 714-815-5097 Code Edit: 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 90 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Valuation: $5: Building Permit Fee: $1,467.00 Plan Check Fee: $1,190.97 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $30.00 Energy Compliance: $61.00 CA Seismic Safety: $6.76 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE: $3,310.88 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: • ess:////°° %3��41 VIAO Address: (/r PpRVE�E�C�A 92663 If applicable: Date: Phone' 1 815 aw Phone: State Lic: Date: Con State Lic: 361862 En in so% or l] 1 oO% refund U ' e: O8/ 0 Address: Li. T Exp Dat _ I hoto 1(t/hOM: c: orker's pe ation urance Tax: Additional F g��!{S// Grading Bontnffie ' Grading PC Consultant Nng Permit Fee: NOW," WQ Insp. Fee: Mechanical %: Plumbing %: Designer: KONAK SIBEL Address: 2627 SEAVIEW AVE NEWPORT BEACH, CA 92625 one:: 415-306-4332 Opecial Conditions: $$ of Planning Department (no work starteWe Department Q9) Plan check Fee : $208.00 Fire Inspection: $0.00 - Fair Share : $0.00 Fire Plan Rev $0.00 SJH Trans: $0.00 $0.00 $0.00 Build $0.00 Public Works Department- Insp.fi71t053 $0.00 Park Dedic-tion c - Refund Deoosi n is : $0.00 $58.68 NMUSD Fee: $0.00 $132.03 Plan Check Fee : $1,449.72 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: -mil® 0 ommaam 0 ° aoo°oa o°aam m m m m m ° m °mm m aomm �aam e e m mm mmmm ��amam mmmm 0000m m as m ooa�o� o m mm oaooem ° a m a,amaam mmem $0.00 $0.00 $0.00 $1,861.16 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (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 the 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 Professions 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 P.IIbjects the applicant to a Civil penalty of not more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Co ' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts or the I a e Icense Law). ' I am exempt from licensure under the Contr Icense aw for 0110 g easo By my signature%elpyQl acknowledge that, exce for my personal resident i which tpa re i ed f at least one year prior to �o 1 ITrovlar s covered by thi permit, I cannot legal) sell a structure that I have built as an owner -bull r if it�een constru d irfit Iret lic rstand thT4 a cy of the applicable law, Section 7044 of he Business and fpfv4r:ons Code, is available upon request whe this fi mI a at the f Ilowing Web site:http:LLwww.leginfo.ca.gov/calaw.html nO/ 0 ❑ 100 /O and ignatute of PrLp6�Qwner or Authorized Agen Or LIICENySED COIJTRACTOR'S DECLARATI N - f the Business and Pr f sions ode, and my tense is in full force 1 hereby affirm underpenalty of perjury that I am ens under visio of C rapfe mIn SectionW_+"hi �' apd effect. License Class Lice No �� tognafure WSRR�RS' CON?ENSATION DECLARAT N G14NING: FAILURE TO SECURE WORKERS' COMPENSATIO COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND DOLLARS ($10 000) 1N ADDITION TO THE COST OFCOMPENSA'R&? CAMAGES AS PROVIDED FOR IN CTION 3706 OF THE LABOR CODE, INTEREST AI RN S 10 �e� eby affirm unrRr penalty of perjury one of the Ilow Ons: ; T haile and will maintain a certificate of cons nt t e su for col sa ssu t it or o I I Relations as provided for by Section 3700 of t e Labor Code, for th geilfptrp3nce of tt e'work forwhich this permit is is ad. is ATsve and wll;Mlinrain workers' compensatio ins e, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My orliers' compensatio . s ante carrier and policy number are: y" Carrier Policy ber ra' 'yY4 Name of Agent # •�• tT I certify that, in the performanC the work for ich it It o a y person in any manner so as t become supp11ect jjo�t�gdpiI�e rs' compensa on - S C. �,Jorrl and agre that, if I should be, ject to t workers' e a Ion provision of Se Io Labor Code, I shall forthwith comp l �co�l's 'L'r/ +t, iggaga5 �vrorF� Signature of Applicant Dat_ DECLARATION REGA DI RU ON L NDING AGENCY r I hereby affirm under pena of perjury that there is 4gflstratstion lending agency for the performance c Ion , Civil C �. Lender's Name i`a�lC ender's Address By my signature below,&ertify to each of the folio g: I am the property owner or authorized to act on a I have read this application and the information have I agree to comply with all applicable city and county rdina ces and I laws relating to building construction. I authorize representatives of this city or county o ntert above-i ti "ad property for inspection purposes. Signature of Property Owner or Authorized Again Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY R ON O C MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RPtULATION5 PART 61 OFTITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED Al PERMITFINAL BESTOS NOTI ICATION IS N APPLICABLE TO CERTIFICATEOF PRO SE D M ION OCCUPANCY ISSUED SIGNA U /-Z�� C-(