HomeMy WebLinkAboutX2021-3099 - Permits�Y'%To4h City of Newport Beach - Building Division
i _ e 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288•
' P Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-3099
X 2 0 2 1 3 9 9 9 Project No : 2687-2021
Issued Date : 02/0712022
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/07/2025 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: 1201 HIGHLAND DR NB
Description: SFR ADD 119 SF & REMODEL 2884 SF, REMODEL GARAGE 655 SF
Legal Desc.: N TR 3031 LOT 38
Owner:
BIRE IILLC
Address:
762 W IRVING PARK RD
CHICAGO IL 60613
Phone:
Applicant:
DILETTOSO DAVID
Address:
1924 MAPLE AV UNIT 3
COSTA MESA CA 92627
Phone:
602-818-5572
Code Edit :
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
119
Added /New sq. ft. Garage:
0
No of Stories:
1
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Construction
Building Permit Fee: $3,375.00
Plan Check Fee: $2,850.93
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$56.00
Energy Compliance:
$236.60
CA Seismic Safety:
$43.94
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$14.00
Contractor:
MONTESANTOS BUILDERS INC
Architect:
DILETTOSO DAVID
Address:
459 E ALLISON ST
Address:
1924 MAPLE AV UNIT 3
ELMHURST IL 60126
COSTA MESA CA 92627
Phone:
630-514.5158
Phone:
602-818-5572 State Lic:C037379
Con State Lie:
1077463
Engineer:
RICHARDS GEORGE LEWIS
Lie Expire:
06/3012023
Address:
2211 MICHELSON DRIVE SUITE 450
Bus Lie:
BT30076141 -
IRIVNE CA 92612
Lie Exp Date:
08/31/2022
Phone:
949-752-0601 State Lic:C-037096
Worker's Compensation Insurance
Designer:
Carrier:
EXEMPT
Address:
Policy No:
no employees
Expire:
Phone:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical W
Plumbing %:
Rear: IU
Front: 12m'
Left: I y
Right: I W
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$236.26
$135.00
$303.75
TOTAL FEE: $8,416.97 Plan Check Fee
PROCESSED BY: �.
ZONING APPROVAL:
Special Conditions: JD DEMO TO
HAUL DEBRIS
0 Fire H27nrd 7nne - N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
PAN Plan Check, $101.50
San Dist: $0.00
NMUSD Fee: $0.00
Fire Department
$208.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$27.00
General Service
$265.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
$3,295.53 Fee Due at Permit Issuance : $5,121.44
PUBLIC WORKS APPROVAL: 'Dv'
PLAN CHECK BY:
GRADING APPROVAL: _ - APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
1 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).
111, as owner of the property, or my employees with wages as their sale compensation, will do (_) 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).
❑ 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
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 legall)
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 Dat
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that am licensed under provisions of Chapter 9 (commencing with Section 7 i is3 of the Business and Profes ig od lice se is in full force
and effect. License Class License No Da Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I 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
performance of the work for which this permit is issued. Policy No.
131 have 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' compensatio
insurance carrier and policy number are:
Policy Number
Date
e of Agent
. ertify that, in the performance of he wor 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 agre
if I should become subject to the orker ompensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions.
nature of Applicant Dat�
CLARATION REGARDING C N TR TION LENDING AGENCY
:reby affirm under penalty 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).
Idler's Name Lender's Address
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 coin arc and state laws relating to building construction.
I authorize representatives of this city, or county to I nter entified property for inspection purposes. /�9,66 N-�S�S Date
nature of Property Owner or Authorized Agerlhl I Print Property Owner's or Authorized Agent's Name X
ACTION I DATE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
I610_7
J
DOE LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
IS NOTAPPLICABLE TO
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