HomeMy WebLinkAboutX2021-1866 - PermitsCity of Newport Beach - Building Division COMB Permit: X2021-1866
100 Civic Center Drive, Newport Beach, CA 92660
Project No: 0210-2021
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG PLUM Issued Date: 07/1612021
Inspection Area
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/16/2024 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: 507 MARGUERITE AVE NB
Description: DEMO SFR W/ATT GAR 1400 SF 3 BDRM W/SEWER CAP
Legal Desc.: CORONA DEL MAR BLK 538 LOT 7
O
&0
Owner: PIGAZZI ALESSIO
Contractor:
OWNER/BLDR
Architect:
DAKTERIS KARL FRANCIS
Address: 507 MARGUERITE AVE
Address:
PIGAZZI ALESSIO
Address:
1960 SAN BURNO
CORONA DEL MAR, CA 92625
P/B AUTH ATT
NEWPORT BEACH CA 92660
Phone: 9171862-9996
Phone:
Phone:
949-702-3573 State Lie,( 021769
Applicant: DAKTERIS KARL FRANCIS
Con State Lie:
O/B
Engineer:
JALALPOUR, MOHAMMAD
Address: 1960 SAN BURNO
Lie Expire:
Address:
152 DEERFIELD AVE -
NEWPORT BEACH CA 92660
Bus Lic:
IRVINE CA 92606 - . -
Phone: 949-702-3573
Lie Exp Date:
Phone:
State Lic:S-006696
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: VB
Carrier:
Address:
Occupancy Group: R3/U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
-
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: /
Special Conditions: CR & R TO HAUL DEBRIS
No of Units : 1
Front: I
_
-
Bldg Height: 0
Left: I
_
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N - - -
Construction Valuation: $15,000.00
-
Building Permit Fee: $122.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $223.00
Additional Fee :
$0.00
Plan check Fee : $104.00
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 $266.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$152.00
Park Dedication : $0.00
Refund Deposit $1,692.00
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 : $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$10.98
$0.00
TOTAL FEE : $2,596.98
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $2,596.98
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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 civil penalty of
not more than five hundred dollars ($500).
111, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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
0Impro ments 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
d for the purpose of sale).
s 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 legally
sell a structure that I have built as an owner -builder if it has not be truct ' s entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Busi ess a
Professions Code, is available upon request when this 011 t itte rat th following Web site:http://www.leginfo.ca.gov/calaw.html. //
Signature of Property Owner or Authorized Agent Date (�
LICENSED CONTRACTOR'S DECLARATI
I hereby affirm undgr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
W^PKFRS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUW ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
CCST W COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I herEty affirm under penalty of perjury one of the following declarations:
I ha,re and wlli Inaintain 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
perfo,r,Iance of the work for which this permit is issued. Policy No.
GI havn and will ma'ntain 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' compensation
insurance carrier and policy number are:
Policy Number
of Agent
Date
Certify that, in the Oerformance of the work for which this 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
if I should becomE. subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date_
IECLARATION REGARDING CONSTRUCTION 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
iy 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 ordina�ndstrelating to building construction.
I authorize representatives of this city or county to aoperty for inspection purposes. �� rp 9r7• Fj
'�ianature of Prooertv Owner or Authorized Agent �Print Property Owner's or Authorized Agent's Name Date
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EPA
PERMIT EXTENDED
QMD
PERMITFINAL
0kBESTOS NOTIFICATION IS NOT APPLIC*BLE TO
CERTIFICATE OF O
�f y,ZZ
OPOSED EMOII
OCCUPANCYISSUED
�SIGGNNATUR
7;t&