HomeMy WebLinkAboutX2021-3094 - PermitsCOMB Permit: X2021-3094
City of Newport Beach - Building Division *X2021-3094"
Project No : 0757-2020
p �• G 100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone(949)644-3288
Inspection Requests Phone (949)644-3255
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Issued Date : 11/16/2021
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�+,..� Inspection Area : 2
Combination Type - BLDG
VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/16/2024 OR PERMIT WILL BE INVALID
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST
Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Construction Hours: Monday- Friday 7:00 a.m.
to 6:30 p.m. and
Job Address: 112 CORAL AVE NB
WALL 38 LF X
THIGH INSIDE PIL *MARKERS ON SITE*
Description: SFR BLOCK WALL 62 LF X 2' 6" 8. RETAINING
Legal Desc.: BALBOA ISLAND SEC 2 BILK 5 LOT 24
Contractor:
VITARELLI CONSTRUCTION INC Architect: SMITH RD
425 30THST ST #2 #22
Owner: GRAF VICTORIA
Address:
Address:
140 S BAY FRONT NEWPORT BEACH CA 92663 - -
Address: PO BOX 5049
NEWPORT BEACH, CA 92662
NEWPORT BEACH CA 92fi62
phone: 949-631-3682 State Lic:C014146 '
Phone:
949-677-1872
Phone:
Con State Lic: 485418 Engineer:
Applicant: SMITH BRADFORD Address:
02/28/2023 i
Lic Expire:
Address: 425 30TH ST #22 Bus Lic:
NEWPORT BEACH CA 92663
BT00011199 State Lic: > > > > >
Phone:
Lic Exp Date:
08131 /2022
Phone: 949-631-3682
Designer.
Worker's Compensation Insurance
Code Edit: 2019 Address:
Carrier: STATE COMP INS FUND
Type of Construction:
U Policy No:
123
Phone:
occupancy Group:
Expire:
0/01/2022 ,
1010
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
Building Setbacks
Rear: 5 Special Conditions:
No of Stories: 0
Front: 10
No of Units : 0
Left: 3
Bldg Height: 0
Bldg Sprinklers:
Use Zone:
Right: 3
Parkin Space 0 Fire Hazard Zone : N
Flood Zone:
Construction Valuation: $4 350.00
Planning Department -Fire Department
0.00
Building Permit Fee: $161.00 Excise Tax:
Additional Fee :
$0.00
$0.00 plan check Fee : $$0 00I Fire Plan Revlon: g0 00
$
Plan Check Fee: $140.07
$0.00 Grading Bonds Fee:
$0.00 Fair Share :
$0.00, Demolition Fee
Overtime Plan Ck:
Investigation Fee: $2.00 Grading PC Consultant:
$0.00 SJH Trans : 0.0
In -lieu Housing Fee: $0.00� Building Dept Adm
$0.00
Record Management : $2.00 Grading Permit Fee:
Grading PC Fee:
$0.00 General Service
$0.00 Public Works Department -
Refund Deposit $1,00
Energy Compliance: $0.00
F
CA Seismic Safety : $0.00 WQ Insp. Fee:
$0.00 Park Dedication : $0.00
PAN Plan Check : $0.00 Grading Bond: $0.00
Disabled Access : $0.00 Electrical %;
Hazardous Mat $0.00
$0.00 San Dist: $0.00 $0.00
$0.00 NMUSD Fee: $0.00 $0.00
Mechanical %:
Building Green Fee : $1.00 Plumbing %:
$0.00
Plan Check Fee : $192.07 Fee Due at Permit Issuance : $164.00
TOTAL FEE: $356.07
PUBLIC WORKS APPROVAL:
PROCESSED BY:
PLAN CHECK BY:
ZONING APPROVAL:
APPROVAL TO ISSUE: �
GRADING APPROVAL:
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).
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 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).
I 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 ha-e 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 av4able upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw,html.
S:gnaturL of Property Owner or Authorized Agent
LICENSED CCfh.'tACTOR'S DECLARATION Dat
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0)p i io pf the Business and Prafes ions d n my licen 'e�lBull force
Mid affect. License Class License No Date i f
NnRKERS' C7MPFfISATION DECLARATION Contractor Signature
VARNIG'C; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000J, IN ADDITION TO THE
JOST OF COMPENSA".ILt., JAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby zffirm m.der pJnalty 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
ILfrforma, ice of the waiK For which this permit is issued. Policy No.
t v- and will maintain workers' compensation insurance, as required b Section 3700 of the Labor Code, for the.. performance of the work for which this permit is issued. My workers' compensatio
unn rae carrier and ooiicy number are:
:arrier Po umber
lame of Agent -Expiration Date
rnone a
I certify that, in the performancef the for w ch this 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
hat, if I should become subject to a rkers pe n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant
EECer's Na a REGAtWING O RUCTION LENDING AGENCY Dat� 1 1 (4
hereby 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,//Civ\il Code).
ender's Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's b alf.
I have read this application and the information I have pro d i orrect.
agree to comply with all applicable city and county ordi n and s e I relating to building construction. n
I authorize representatives of this city or county ib enter h a o -I e . d property for inspection purposes. (,( -� I/ I 1�'
ionature of Prnncrly n,.,� -, n�ai...-:__. /
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EPA
PERMIT EMENDED
AQMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
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,STOS OTI ATION IS NOT APPLICABLE TO
PROPOSED DE ITION
FOR OFFICE USE ONLY