HomeMy WebLinkAboutX2021-2766 - Permitsx_ City of Newport Beach - Building Division IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2766
c` r 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 7 6 6 Project NO : 1337-2021
H i_ jC Permit Counter Phone (949)644-3288
,., Inspection Requests Phone (949)644-3255
Issued Date :10I13/2021
Combination Type - BLDG PLUM Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1011312024 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: 3723 PARK GREEN OR NB
Description: DEMO SFR & GARAGE. 2748 SF. 5 BEDROOMS. SEWER CAP INCLUDED
Legal Desc.: N TR 6634 LOT 2
Owner:
HOSTETLER III H FRANKLIN
Contractor:
VITARELLI CONSTRUCTION INC
Architect:
Address:
3723 PARK GREEN DR
Address:
140 S BAY FRONT
Address:
CORONA DEL MAR, CA 92625
NEWPORT BEACH CA 92662
Phone:
Phone:
949-677-1872
Phone: State Lic:
Applicant:
VITARELLI CONSTRUCTION INC
Con State Lic:
485418
Engineer:
Address:
140 S BAY FRONT
Lic Expire:
02/28/2023
Address:
NEWPORT BEACH CA 92662
Bus Lic:
BT00011199
Phone:
949-677-1872
Lic Exp Date:
0813112022
Phone: State Lic:
Code Edit: 2019
Type of Construction:
Occupancy Group: R3/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: $122.00
Plan Check Fee: $0.00
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: $2,269.98
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE COMP INS FUND
Policy No: 0783123
Expire: 1010112022
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical W
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
arking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$152.00
$0.00
$0.00
$10.98
0
Designer:
Address:
Phone:
Special Conditions: TIGHT QUARTERS TO
HAUL DEBRIS
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$0.00
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
$1,692.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,269.98
PUBLIC WORKS AFFROVAL:
PLAN CHECK BY:
GRADING APPROVAL: AP?RO\,'AL 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
ie 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
'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
of more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved 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
poly 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).
7 1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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,
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html.
ignature of Property Owner or Authorized Agent Da
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) ys n 3 of the Business and Pr ssio is o�rl� d se is in f aree—
nd effect. License Class License No Date V 17 2 Contractor Signat
CORKERS' COMPENSATION DECLARATION
'ARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I h ve 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
rAfogance 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
of Agent
Date
I certify that, in the performance t e w r�r which thl perm s4ssued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
t, if I should become subject a compen pn rsiions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. T q
.nature of Applicant Da�
CLARATION REGAR ING CONSTRUCTION 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)
ider'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 pr d is cor
agree to comply with all applicable city and county orna state la relati to building construction.
authorize representatives of this city or county ty en r a ve-i perty for inspection purposes. .� //t _ • I ILA/�/`
ori„r DrnnaN%i rn.,nora nr n,ah, nr? Ammnvc Mom. /t't CSC 7 n�ro
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
PERMITCANCELLED
PERMIT EXTENDED
I SUBMITTED
PERMITFINAL L_IASBESTOSNOTIFI TI N IS NOTAPPLICABLE TO
CERTIFICATE OF I7 -22 plk--k. PROPOSED DEMOLITO
OCCUPANCY ISSUED I SIGNATUR C