HomeMy WebLinkAboutX2021-3040 - Permits(9)
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
Combination Type - BLDG PLUM
II iiiiiiiiiOi II
NO CONSTRUCTION NOISE
COMB Permit: X2021-3040
Project No: 2598-2019
Issued Date : 11/08/2021
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110812024 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: DEALONE AVE NB
Description: DEMOOSFR W/ATT GARAGE 3,205
SF (4 BEDROOMS)
ON THE WEEKEND
Legal Desc.: BALBOA ISLAND SEC 5 BLK 2
LOT 26
Owner: BROGAN KEVIN
Contractor:
VITARELLI CONSTRUCTION INC
Architect:
HARRISON IAN J.N.8�
Address: 1778 OAK GROVE AV
Address:
140 S BAY FRONT
Address:
220 NEWPORT CENTER DR #11-342
SAN MARINA CA 91108
Phone: 818-262-3473
Phone:
NEWPORT BEACH CA 92662
949-677-1872
Phone:
NEWPORT BEACH CA 92660
949-723-1091 State Lic:C006947
I t t
Applicant: HARRISON IAN
Con State Lic: 485418
Engineer:
Address: 220 NEWPORT CTR DR #11-342
Lic Expire:
02/28/2023
Address:
NEWPORT BEACH CA 92660
Phone: 949-723-1091
Bus Lic:
Lic Exp Date:
BT00011199
08/31/2022
Phone:
State Lic:
Code Edit : 2019
Worker's Compensation Insurance
Designer:
Type of Construction: VB
Carrier:
STATE COMP INS FUND
Address:
Occupancy Group: R3/U
Policy No:
0783123
Added /New sq.ft. Bldg: 0
Expire:
1010112022
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions: HAULER:TIGHT QUARTERS
No of Units : 1
Front: /
NO CITY TREES ON SITE
Bldg Height: 0
Left: /
HIGH DENSITY AREA
Bldg Sprinklers:
Right: /
Flood Zone: 0.2
Use Zone:
Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $5.000.00
Building Permit Fee: $0.00
Excise Tax:
$0.00 Planning Department
-
Fire Department
Plan Check Fee: $0.00
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 : $0.00
Grading Permit Fee:
$0.00 In -lieu Housing Fee:
$0.00 Building Dept Adm
$27.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00 Public Works Department
-
General Service
$265.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00 Park Dedication :
$0.00
Refund Deposit
$564.00
Disabled Access: $0.00
PAN Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00 San Dist:
$0.00
Building Green Fee : $0.00
Mechanical %:
$0.00 NMUSD Fee:
$0.00_
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $856.00
Plan Check Fee : $0.00
Fee Due at Permit Issuance :
$856.00
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WOFKS AP?ROFAL:
PLAWCHECK 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 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 cidpenalty 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 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).
❑ 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).
❑ [ 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 legally
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm].
Signature of Property Owner or Authorized Agent D e
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 i 3 of the Business and PrOff ,and is' H rice
and effect. License Class License No Da Contractor Signa4elA
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000), IN ADDITION TO THE
COST 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:
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
.a of the work for which this permit is issued. Policy No.
have a ld w mc
Irance c er a d npolicy
rier
ne of Agq
certify that, in the perfor
, if I should become su
iature of ADDlicant
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'
olic er Expiration Date
Phone #
ice of the ork for hi rmit is iss d, I of employ any person in any manner so as to become subject to the workers' compensation aws of California, and agre
to the w rkers' s ion provisi action 3700 of the Labor Code, I shall forthwith comply with those provisions.
I
D
)ECLARATION REGAVDING CONST LENDING AGENCY
)
hereby affirm under p alty of perjury that there is a construction lending agency for the mance of the work for which this permit is issued (Section 3097, Civil Cod .
-enders Name ender's Mrdress
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property o nLehalf.I have read this application and the information I have pro iI agree to comply with all applicable city and coun ordina s elati o building construction.
I authorize representatives of this city or cou a th abovarty for inspection purposes. ( II , to IgIZ
'
Signature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's Na l
ACTION DATE BY DECLAR ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATI NS PART 61 OFTITLE 40 AND AQMD RULE
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PERMITEXPIRED I SUBMI TFDASBESTOS N?IIFIC1 ION TO --
PERMIT CANCELLED UEPA
PERMIT EMENDED 0AQM0
PERMITFINAL ASBEST SNO IFICAT N OT APPLICABLE T
CERTIFICATE OF —t S'ZL R OS LITIO
OCCUPANCYISSUED SrGIV 1REe -� -
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