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Home My WebLink AboutX2021-2570 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2021-2570 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 2 5 7 0 Project No: 1139-2021 (9) Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255NO CONSTRUCTION NOISECombination Type - BLDG Issued Date : osn3/2021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0912312024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and_SSaturday from WEEKEND 8:tp m. No work on Sundays or Holidays Job Address: 205 AMETHYST AVE NB ON V PH' E tl V Description: SFR RETAINING WALL 2.4' X 31 LF (FRONT YARD) & 1.85' X 37 LF (SIDE YARD) INSIDE /L Legal Desc.: BALBOA ISLAND SEC 3 BLK 19 LOT 26 Owner: BOHLINGER PETER Address: 1140 HIGHLAND AVE MANHATTAN BEACH, CA 90266 Phone: Applicant: SANTANIELLO JAMES Address: 419 VIA LIDO #115 NEWPORT BEACH CA 92663 Phone: 714-815-5097 Code Edit: 2019 Type of Construction: VB Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $144.00 Plan Check Fee: $125.28 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $373.03 PROCESSED BY: ZONING APPROVAL: Contractor: SANTANIELLO JAMES Architect: Address: 3419 VIA LIDO #115 Address: NEWPORT BEACH CA 92663 Phone: 714-815-5097 Phone: Con State Lie: 361862 Engineer: Lie Expire: 08/31/2022 Address: Bus Lic: BT30035015 Lie Exp Date: 03/31/2022 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP INS Address: Policy No: 9266012 Expire: 01/01/2022 Phone: 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: 5' Front: 10' Left: 3' Right: 3' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee State Lie: FORBES DALE L 1800 E 16TH ST #B SANTA ANA CA 92701 714-835-2800 State Lic:C-030407 Special Conditions: LIQUEFACTION & HIGH DENSITY AREA Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $50.75 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service - Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $373.03 PUBLIC WORKS APPROVAL: IJAeV[N:IxN.yara GRADING APPROVAL: C JY-AL4 - APPROVAL TO ISSUE: 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) ;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 subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do l_) all of or (_) 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 Contractors' State License Law does not apply 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent to LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 f the Business and f SID , an y license is in full force and effect. License Class License No Datd Contractor Signatur NORKERS' COMPENSATION DECLARATION / 0 t / 1! �� NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU WECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and will 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( )erformance of the work for which this permit is issued. Policy No. J I have and will intain workers' pensation insuranc as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior n rance carrier a d licy numb a e: arr r Ic b r Expiration Date Vame of Agent / Phone # �I certify that, in the perfor "ante f the rk f rwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensatio laws o alifornia, and agref hat, if I should become s act t he work ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant D DECLARATION REGAR CO N LENDING AGENCY hereby affirm under p al 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). -ender's Name Lender's Address 3y my signature below, I rtify to each of the following: I am the property owner or authorized to act on the proper is behalf. I have read this application and the information have Povt ed' correct. �� I agree to comply with all applicable city and county rdinanc and St laws relating to building construction. Y vi�� I authorize representatives of this city or coun o nter the -id if" property for inspection purposes. Y`L Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name Dat NJ ACTION DATE BY DE RAT OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R IONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO _ I �✓ PERMITCANCELLED-- PERMIT EMENDED OVID PERMITFINAL 0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF qq PROPOSED DEMOLITION OCCUPANCYISSUED (/7 SIGNATURE: