HomeMy WebLinkAboutX2018-3296 - PermitsCity of Newport Bdat$h;13ttQ1dgng flivis;iiln Illlllllllllllllllllllll�lllllllllllllllllllllllu COMB Permit: X2018-3296
100 Civic Center Drive, Newport Be2cl , CA k&30o m X 2 0 1 8 3 2 9 6Project No :2567-2018
Permit Counter Phone (949)644-8288 ° ° ° ° ° ° °
s'S - Inspection Requests Phone (949)644-3255
Combination Type - SFP ELkC . • ° • Issued Date : 11/0212018
ec. oe e e o e ec e e
Inspection Area : 1
e
. o • RPAI# EXPINE 186 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 120 VIA TRIESTE NB
Description: SFR ADD 18 SF, RESTUCCO EXISTING WALLS AND WINDOW CIO *LIKE FOR LIKE*, RELOCATE ENTRY WALLS & GATE
Legal Desc.: TR 907 LOT 224(AND SWLY112 LOT 225
Owner:
SCHULTHEIS PAUL & LINDA
Address:
120 VIA TRIESTE
Record Management:
NEWPORT BEACH, CA 92663
Phone:
$56.00
Applicant:
BETANCOURT MIGUEL
Address:
24668N ONEIDA ST
Hazardous Mat
MORENO VALLEY, CA 92553
Phone:
951-751-7813
Code Edit : 2016
Type of Construction: V -B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 19
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $833.00
Plan Check Fee: $724.71
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$12.00
Energy Compliance:
$56.00
CA Seismic Safety:
$7.80
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$3.00
TOTAL FEE: $1,776.07
PROCESSED BY:
ZONING APPROVAL:
T _
Contractor:
ESTRELLA CONSTRUCTION
Architect:
Address:
12410 LOREZ DRIVE
Address:
EXEMPT
MORENO VALLEY CA 92557
Address: 2456 ONEIDA ST
Phone:
951.489-8800
Phone: State Lie:
Con State Lie:
869312
Engineer:
Lie Expire:
12131/2019
Address:
Bus Lie:
BT30060610
Lie Exp Date:
09/30/2019
Phone: State Lie:
Worker's Compensation Insurance
Designer: BARRIGA MARVIN
Carrier:
EXEMPT
Address: 2456 ONEIDA ST
Policy No:
NO EMPLOYEES
MORENO VALLEY, CA 92553
Expire:
Phone: 951-751-7813
Building Setbacks
Rear: I
Special Conditions: r i
�^, 4", 1
`
Front: I
�t
Left: 1
Right: /
y0d
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department - Fire Department
Additional Fee :
$0.00
Plan check Fee :
$40.00 Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share:
$0.00 Fire Plan Rev
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee
: $0.00 Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department- General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00 Refund Deposit
$0.00
PAN Plan Check:
$41.25 Grading Bond:
$0.00
Electrical %:
$58.31
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
Plan Check Fee:
$920.27
Fee Due at Permit Issuance :
$855.80
PUBLIC WORKS APPROVAL: T-V-ki
_
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 bolowby The'rh4cRm0rkjs� 1 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 fqr a pejmit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of INS work, and the so-uQure is:ot int$nded 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 emMi!5ylees' &JArsonal effoltpbiailrs 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).
❑ 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 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.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000 of, ivision 3 ithe Business and P fessions and my license is in full force
and effect. License Class License No Date fl Contractor Signet re
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 0 D DOLLARS ($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.
I hereby affirm under penalty of perjury One of the following declarations:
❑ 1 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 th,
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'
"ance carrier and policy number are:
Policy Number
Date
nhatif
f Agent Phone #
ify that, in the performance 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' compen aws of California, and agre
should become subject t e workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant to
DECLARATION REG N STRUCTION LENDING AGENCY
I hereby affirm under penalty rjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 30
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 owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and countyordi nce and state laws relating to building construction.
I authorize representatives of this city or coun t en e -identified property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date %� 1
ACTION DATE BY RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
GULATIONS PART 61 OF TITLE 40 AND AOMD RULE .4-71
PERMITEXPIRED LJISUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED _ EPA
PERMITFINAL IS W'y9 !/� GNATNOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSEDED DEMNI LITION
OCCUPANCYISSUED