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Home My WebLink AboutX2022-1324 - Permitstyc}�1•.I'pr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1324 M1 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 3 2 4 Project NO : 1223-2022 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM Issued Date : 05/09/2022 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 110 APOLENA AVE NB Description: DEMO DETACHED GARAGE W/ LIVABLE ABOVE 435 SF ... Legal Desc.: BALBOA ISLAND SEC 3 BLK 6 LOT 25 - Owner: BURNS CLINT Contractor: VITARELLI CONSTRUCTION INC Architect: HARRISON IAN J.N. Address: 110 APOLENA Address: 140 S BAY FRONT Address: 220 NEWPORT CENTER DR #11.342 NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92662 NEWPORT BEACH CA 92660 ' Phone: Phone: 949-677-1872 Phone: 949-723-1091 State Lic:C006947 Applicant: HARRISON IAN J.N. Con State Lic: 485418 Engineer:• Address: 220 NEWPORT CENTER DR #11-342 Lie Expire: 02/2812023 Address: - . • . NEWPORT BEACH CA 92660 Bus Lie: BT00011199 Phone: 949-723-1091 Lie Exp Date: 0813112022 Phone: State Lie. , Code Edit : 2019 Worker's Compensation Insurance Designer: .. ' Type of Construction: Carrier: STATE COMP INS FUND Address: Occupancy Group: U Added /New sq.ft. Bldg: 0 Policy No: Expire: 0783123 10101/2022 Phone: I N Added /New sq. ft. Garage: 0 t il :-i+S II_ �✓ No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 0 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $6,000.00 Building Permit Fee: $178.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $154.86 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $4.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $16.02 $0.00 TOTAL FEE : $353.88 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $353.88 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: 6 _ - " PLAN CHECK BY: GRADING APPROVAL: 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 far 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, that the 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 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 Di the p, operty, 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). am exempt frcm lipensure 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 legal) s3II a stricture 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, :3 available upon request when this application is submitted or at the following Web site:http://www.leginfo. ca.gov/calaw.html. Date SigraturP of PropFO;y Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION it,;IaJy affirm uuAPr penalty of perjury that am licensed under provisions of Chapter 9 (commencing with Section ) of Division 3 of the Business and Profesar d NeeRs in full force an ' D-fcct. License Class License No Date - -ZZ Contractor Signature V:ORKERS' COMPENSATION DECLARATION WARNING: WLURE r0 SCCGRE 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 iiemhy affirm uroer oeralty 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 thf performance of the work for which this permit is issued. Policy No. 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' compensatior nsurance carrier and policy number are: Carrier Policy Number Expiration Date Phone # Name of Agent I certify that, in the performance of the work for w Ich hi 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 agree that, if I should become su c the workers'' an ti n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. y _ Datj ZZ Signature of Applicant w , DECLARATION REGA D BNSTRUCTION LENDING AGENCY I 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, C' it Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county orpaaKes and state I ws relating to building construction. I authorize representatives of this city or count en the e d ntifi roperty for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ASBESTOS NOTIFICATION TO PERMIT CANCELLED I EPA PER EXTENDED AQM D PERM17FINAL�1,1__AS1ESTK0,1LFfA'9QNIS OT LI E TO CERTIFICATE OF -Z'0"Z� fb'" PROPOSEOCCUPANCYISSUED rn SIGNATUB��_