HomeMy WebLinkAboutX2021-1816 - Permitsicy[/�r City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
`:,zev�,x+'•* Combination Type - SFP
"X2021--1816'
COMB Permit: X2021-1816
Project No : 1335-2021
Issued Date : 07/1212021
Inspection Area : 1
PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0711212024 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: 389 23RD ST NB
Description: DELTA 1- *ADDITIONAL SCOPE' ADD 86 SF TO SECOND FLOOR, BEAM REPLACEMENT AND R/R SLAB ON GRADE 238 SF
Legal Desc.: P BK 273 PG 45 PAR 1
Owner:
DOBSON JAMES
Address:
389 23RD ST
NEWPORT BEACH, CA 92660
Phone:
Applicant:
SANTANELLO JAMES
Address:
3419 VIA LIDO
NEWPORT BEACH, CA 92663
Phone:
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 86
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height. 0
Bldg Sprinklers:
Construction Valuation: $50,000.00
Building Permit Fee: $1,395.00
Plan Check Fee: $1,128.33
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 :
$2.00
TOTAL FEE: $2,733.33
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: SANTANIELLO JAMES
Address: 3419 VIA LIDO #115
�� 5 � A 92663 PhonK. applicable OState ;fund i
Con State L �3 8 Engin �{{ nn6� RC�S D L1:Q0 /0 . _
b Lic Expire: 22 Addretsi $WB�O E 16TH ST #B
Date* BT30035015 SANTA ANA CA 92701
Lic Exp Date:f3131IftPhone, WZ1�- -280 a ic:C-030-, f lers mpensatra ' �+� - gnar:
Car ,-0 NS Address:
Poli 926
r Expire. 0110112022 t13�• Phone:
,an Se ` -�: r y48 �� � � Special Conditions:Va
t n s"^fi 'i 3 t1
fight: / y i n y�'g
e: Parkinc Soaces: 0 Fire JHazard Zone, NL. cn
® � � , � t\\
-e T 0 l aRa ing D k F rl( Stagkeb4artmant
I ee . 0 0 af,'_-� ev plan check Fee : {'}�1W� Fire Inspection:
ds 0.00 ,,f Fair Share : $0.00 Fire Plan Rev
onsul ant' ��pp�®1;ed) SJH Trans : $0.00 Deem-"owFee�
no Permit Fe : A �50.00 In -lieu Housing Fee : �4—� Building Dept
ing PC Fee: $0.00 Public Works - �{jtbIS ia�
Insp. Fee: $0.00 edication : $0.00 _li1S Refund Depossi
kp; ---� PAN Plan Check : 9
by $0.00 _$amDis . _-
W
Plan Check Fee :
:v
` '
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $2,733.33
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: L--
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 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
.he 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 Busines'k 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
rot 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 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).
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 cf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State Li aw).
I am exempt ,rcr.i licensure under the Contractors' State License Law for the following reason:
E,y Iny aignatur€ belrw I acknowledge that, except for my personal residence in which I must have resided poor to completion of the improvements overed by this permit, I cannot lega111
sell a structure mai I have built as an owner -builder if it has not been constructed i se contractors. I understand that a pp�opy of the applicable law, S coon 7044 of the Business and
-roressions Code, is available upon request when this a I' or at the following Web site:http://www.leg;®fQ pa0/elitinl.
digneture of Property Owner or Aut 1 ��''NN PP �r'' ate
I-;CEISED CC^D'?PACTOR'S ECLARATION —��— O/ ❑ OO D re -_
heroSy affirm under pznalty of pe ry that lyre eased under apter 9 (commencing with Section 70 ) f O 69fh�nuslness an r sions ,hand my lice a is in full force
39H affect. LiCOise Ciass lJ erg License No :x� �"'"`I Date Contractor Sign
f.ORXEl COMPENSATION ECLARATION �._ }^ ��/
A1..IIIP: FAILURE TO SECURE WORKERS OMP@NSATION COVERAG UNLAWFUL AND SHALL SUBJF3C EM TO C_RIMINA JAW�aE 1�N FINES UP TO ONE HUNDRED SAND OL4AR5 ($100,000), IN ADDITION TO THE
OST OF COMPENSWIWI, DAMAGES As P VIDEd'."FOR IN SECTION 370 F THE LABOR CODE INTERESF�'y. E
herebv affirm�uvier penalty of perju one of the following d ti'� ng >;
have and WIII mdintain a certifi ate of. consent. to self -insure for workers' compensation, Issued by the Director. of Industrial Relations as providedforby Sectic
erformance of the w&rk for which thi ermit is Issued Policy No.��
have and will maintain workers' mpe on nsurance aS required by Section 3700 of the Labor Code, [ it 'r� errormance of the work for which This permit is
x^..
isu ace carrier and policy number ar
farrier licy NExpiration Date
lame of Agent Phone #
s
I certify that, in the perfor of th work for which this permit is issued, I shall not employ any perso a ne t cpmesu,ject t1il workers compe
rat, if I should becom ject to hew rkers' pensation provisions of Section 70 o(j,tip Labor Code I sha fort wi r�o�IjaaRtTrtt%�a provisions.
signature of Applicant 4® , rted) Date
:reby affirm under penalt f perjw�'th
rder's Name
my signature below, I certify to each oil
I am the property owner or authorized
I have read this application and the infl
I agree to comply with all applicable oil
I authorize representatives of this city I
inature of Prooertv Owner or Authorized
ACTION i DATE
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
performance of the work for which this permit is issued (Section
er's Address _
6 following:
act on the property owner's behalf.
and state laws relating to
OF COMPLIANCE WITH CODE OF FEDEI
PART 61 OF TITLE 40 AND AQM D RULE
1403
I SUBMITTED ASBESTOS NOTIFICATION TO
EPA —1
IS NOTy9PUCABLE TO
3700 of the Labor Code, for
wed. My workers' compensa
rtion laws f California, and al
till
/_
ient's Name Dat
FOR OFFICE USE ONLY