HomeMy WebLinkAboutX2019-1135 - Permits1«�,$ City of Newport Beach Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� COMB Permit: X2019-1135
.100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1. 9. 1 1 3 5 Project No: 0804-2019
Permit Counter Phone (949)644-3288
'v Inspection Requests Phone (949)644-3255
`ear vnu�'sb Combination Type - MFP Issued Date: Area
: 2019
Inspection Area 4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. 3o 6;30 p.m. and Saturday from 8:00 am. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 766 ALDERWOOD DR N8
$0.00
Investigation Fee:
$0.00
Record Management:
$8.00
Description: MFR - REMOVEIREPLACE 1/2" GYP BOARD IN BATHROOM &
LIVING ROOM CEILINGS R-13 INSULATION AS NEEDED?
CA Seismic Safety:
-
Legal Desc.:
$0.00
Hazardous Mat
$0.00
d
$1.00
$0.00
NMUSD Fee: -
$0.00
Owner: IRVINE COMPANY LLC.
Contractor:
NATIONAL RENOVATION INC
Architect: RANIERI RANDY.
Address: 550 NEWPORT CENTER DR
Address:
PO BOX 78810
.Address: 2061/2 ABALONE AVE
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NEWPORT BEACH, CA 92660
CORONA CA 92877
NEWPORT BEACH CA 92662
•
Phone:.
Phone:
909-923-2077
Phone: 714-296-5502 State Lic:CO24225
•.
Applicant: TRUAX JAY
Con State Lic:
956793.
Engineer.
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o" ° ° °^r,_
Address: 206 112 ABALONE AVE
Lic Expire:
01/3112021
Address:
....
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BALBOA ISLAND CA 92662
Bus Lic:
BT30062023
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.Phone: 949-285-5594
Lic Exp Date:
02/2912020
Phone: State Lic:
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Code Edith 2016
Worker's Compensation Insurance
Designer...
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Type of Construction: V-8
Carrier:
ARCH INSURANCE CO
Address:
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Occupancy Group: R21U
Policy No:.
ZAWC12536801
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Added /New sq.ft. Bldg: 0
Expire:
09/01/2019
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions:
No of Units : 8
Front: /
Bldg Height. 0
Bldg Sprinklers:.
Valuation:
Building Permit Fee: $104.00
Plan Check Feer $90.48
Overtime Plan Ck
$0.00
Investigation Fee:
$0.00
Record Management:
$8.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $243.48
PROCESSED BY:
ZONING APPROVAL:
Excise Tax:
Additional Fee.:
Grading Bonds Fee:
Grading PC. Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
e. t
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0-00
Hazard Zone : N
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PM Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee: -
$0.00
o
neo
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $130.48 Fee Due at Permit Issuance $113.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
o
neo
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $130.48 Fee Due at Permit Issuance $113.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER
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
is 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).
t, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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
pply 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).
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 Coderis available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
lignat ire of Pt opgrjyOwner or Authorized Agent Date
SC£NGED QQWTRACTOR'S DECLARATION
hereby affirm unpfr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio s Co �Pd m license is in full force
nd effect. License C•Iass License No Date —.I S — 1 Contractor Signature
VCrOKERS' CaOMPENSATION DECLARATION
DARNING: FAILURE h1 SkURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINESU ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
09MF COMPENSATIONr DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Fl@raby affirm udde4penalty of perjury one of the following declarations:
o
I•I have and dill 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
ftnatncce of the work for which this permit is issued. Policy No.
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avRnJ ivTIrm intain 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' compensatiol
nce carr] gr and policy number are:r • • Policy Number Expiration Date
of Agent
Phone #
certify 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' compensation laws of California, and agre
, if I should become subject to the workers' cgIDpeneatlen-previsicas of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of Applicant
�reby affirm u altytrperjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder' a 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 provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to ter b vP=idaTltin€r�.+'re+®rty for inspection purposes. N
nature of Prooertv Owner or AuthorizePrint Propertv Owner's or Authorized Agent's Name
ACTION DATE I 4W' I COMPLIANCE DECLARATION OF I 4TH CODE OF RUDERAL I FOR OFFICE USE ONLY
REGULATIONS PA C
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITC4NCELLED
EPA
PERMITEXTENDED
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PERMITFINAL
CERTIFICATEOF
OCCUPANCYISSUED
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SBES OS NOTIFICATION IS NOT APPLICABLE TO
OPOSE DEM kT10N"—"'
SIGNATU
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