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Home My WebLink AboutX2022-0149 - Permits6µrru. City of Newport Beach - Building Division Ue. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG COMB Permit: X2022-0149 Project No : 0170-2022 Issued Date : 0610812022 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: SFR BLOCK WALLS 156 LF X 6' HIGH AND RETAINING WALL 30" HIGH X 24 LF INSIDE P/L (MARKERS ON SITE) , Legal Desc.: BALBOA ISLAND SEC 3 BLK 6 LOT 25 Owner: BURNS CLINT Address: 110 APOLENA AV NEWPORT BEACH CA 92662 Phone: Applicant: HARRISON ]AN J.N. Address: 220 NEWPORT CENTER DR #11-342 NEWPORT BEACH CA 92660 Phone: 949-723-1091 Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $348.00 Plan Check Fee: $302.76 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: $651.76 PROCESSED BY: ZONING APPROVAL: Contractor: VITARELLI CONSTRUCTION INC Architect: HARRISON IAN J.N. Address: 140 S BAY FRONT Address: 220 NEWPORT CENTER DR #11-342 NEWPORT BEACH CA 92662 NEWPORT BEACH CA 92660 Phone: 949-677-1872 Phone: 949-723-1091 State Lic:0006947 Con State Lie: 486418 Engineer: GABRIEL MICHAEL R Lie Expire: 02/28/2023 Address: 483 E 20TH STREET Bus Lie: BT00011199 COSTA MESA CA 92627 Lie Exp Date: 0813112022 Phone: 949-646-6596 State Lic:S-002939 Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 0783123 Expire: 10/01/2022 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: 5 Left: 3 Right: 3 king Spac $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 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 Plan Check Fee : $413.92 Fee Due at Permit Issuance : $237.84 PUBLIC WORKS APPROVAL: 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 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 licensors 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 L) all of or L) 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 c"F.s 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 f= licensure under the Contractors' State License Law for the following reason: 3y my s,gnaturH. below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a Ltructure 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 Orofes.slons 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 Pmperty Owner or Authorized Agent Date LIGENSED COW RACTOR'S DECLARATION _ - I hereby affirm unde', penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) -f Djyisioq of the Business and Prof n ode and y is n �is-ip1 force and effect Licecse Class License No Date "(- Contractor Signature �`— Zu1 WORKERS' COMPENSATION DECLARATION V.ARAING: FAILURE"0 SEJJRE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T. DURAND DOLLARS (6100,000), IN ADDITION TO THE WST OF UOMPENSAT'ON, PAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I; he,ecy, affirm under penalty of perjury one of the following declarations: I have and wall mai,ltain 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 the performance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Expiratic of Agent Phone # Date I certify that, in the performs of the work for which this mit is issued, I shall not employ any person in any manner so as to become subject to the worker ' compensation laws of California, and agree hat, if I should become subje to t e v ers'lno p nsati n visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / signature of Applicant v-" Da� )ECLARATION REGARDING CIDWSTRUCTION LENDING AGENCY 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, Civil Code). .ender's Name Lender's Address 3y 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. agree to comply with all applicable city and co ordi c nd at to law° relay t• building construction. I authorize representatives of this city or county�''tj��/enter a abo a -ids ifie for inspection purposes. _ r Signature of Property Owner or Authorized Agent I / \ Print Property Owner's or Authorized Aoent's Nam tom%" --S, L N�"v u- e Date 4Y� L1 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED EPA PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY155UED