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HomeMy WebLinkAboutX2019-1561 - Permitswry City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permits X2019-1561 `- 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 5 6 1 Project No: 1118-2019 . Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 `s'.ry Rw'� Combination Type - SFP Issued Date : 07111/2019 0 Inspection Area : 2 PERMITS EXPIRE 180 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: 11 EBB TIDE CIR NB _ Description: SFR - REMOVE/REPLACE DRYWALL, ELEC, MECH, PLUM AND REPAIR ROOFING, DECKINGS, AND BALCONIES. REMODEL KIT AND BATH Legal Desc.: ,errs Owner: GIGIYSASAGA-RENICK Contractor:. RINNOVO GROUP INC Architect: Address: 11 EBB TIDE. CIR Address: 1512 EUREKA RD, STE 201 Address: �•+y •f"'m°oo°n NEWPORT BEACH CA 92663 ROSEVILLE CA 95661 Phone: Phone: 918-826-1639 Phone: State Lie: Applicant: SOCOLEAN DENNIS Con State Lie: 948665 Engineer: eee•i. a •� Address: 1512 EUREKA Lic. Expire: 06/3012020 Address: ROSEVILLE CA 95661 Bus Lic: BT30066832 •'" Phone: 916-826-1639 Lie Exp Date: 04/3012020 Phone: State Lie: °morn Code Edit: 2016. Worker's Compensation Insurance Designer: SOCOLEAN DENNIS •°°°°• Type of Construction: V -B -SPR Carrier: STATE COMP INS FUND Address: 1512 EUREKA °• °. oo• E Occupancy Group:. R3IU Policy No: 9065843 ROSEVILLE CA 95661 Added/New sq.ft. Bldg: 0 Expire: 0810112019 Phone: © o°®. °°°®°° Added /New sq. ft. Garage: 0 °•O• No of Stories: No of Units: Bldg Height: Bldg Sprinklers: Flood Zone: 3 t 0 Y X Building Setbacks Use Zone: Rear: / Front: I Left: I Right: I Parking Spaces: 0 Special Conditions: Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee: $1,573.16 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 $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 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 IITOTAL FEE: $1,573.16 Plan Check Fee : $1,538.16 Fee Due at Permit Issuance : $35.00 PROCESSED BY: C PUBLIC WORKS APPROVAL: ZONING APPROVAL: 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 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 nc apply to an owrigr p1 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 exernotefWilin Acensure under the Contractors' State License Law for the following reason: By my signaturg be),op 1 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 Iegall Belts structure4hat 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 Plofegsions CoVe, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signptu9a of PropErty Owner or Authorized Agent Date LlCE�JSED Cj7f(jlj� CTOR'S DECLARATION V hOreby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 I 3 of the Business and Pr es o s, (a my licens SWI -force_. end effect. Lice Be Ctess License No Da U C Contractor Signat e NCSf'tKERS' COMPENSATION DECLARATION ..... NARNING: 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 (5700,0001, IN ADDITION TO THF S;d31'UF7OMPENS4TION, QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. -hereby-affirm dYIMf 04nalty of perjury one of the following declarations: 319aYe 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 ft *Plofrflance oflho%40 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 Expiration Date of Agent certify that, in the performance of rk for which this permit 1 Gy -any person in any manner so as to become subject to the workers' mpensatio laws of California, and agre I. if I should become su ct t er ' mpens visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant D (` CLARATION REGA IN ONSTRUCTION LENDING AGENCY sreby affirm under p9fialty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, 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.J"v� V /� I have read this application and the information I have provided is correct. I agree to comply with all applicable city and co my ordinan es and state laws relating to building construction. I authorize representatives of this city or count7to�IR6�)#�e=-identified property for inspection purposes. I � 7/11 fi- Owner or Authorized ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGIL,ATIONS PART 61 OF TITLE 40 AND ACLMD RULE TO PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED TO Date