HomeMy WebLinkAboutX2019-1268 - PermitsCity of Newport Beach -Building Division
Building Setbacks
Use Zone:.
COMB Permit: X2019-1268
Special Conditions:
0 Fire Hazard Zone :
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D o • o D
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.....
Construction Valuation: $200.000.00
II
Excise Tax:.
$0.00
100 Civic Center Drive Newport Beach, CA 92660
X 2 0 1 9
1 2 6 6
Project No
N Permit Counter Phone(949)644-3288-
$0.00
Plan check Fee ; $0.00
s5 ar Inspection Requests Phone (949)644-3255
$0.00
e
Overtime Plan Cki $0.00
Grading Bonds Fee:
Issued Date:
Combination Type - SFP
Fire Plan Red
$0.00
Investigation Fee: $0.00
Inspection Arearea :2019
2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
SJH Trans : $0.00
Cruxctruction 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
-
Record Management'. $0.00
Description: SPITREMOVEIREPLACE STUCCO LIKE FOR LIKE (ENTIRE HOME) AND CHANGE OUT WINDOWS (30) *LIKE FOR LIKE'
$0.00
Legal Desc.:
Building Dept Adm
$24.00
Owner GIGI YSASAGA-RENICK Contractor. RINNOVO GROUP INC
Architect:
33 k��ivq�
Public Works Department -
Address: 11 EBB TIDE CIR Address: 1612 EUREKA RD, STE 201
Address:
CA Seismic Safety: $0.00
NEWPORT BEACH, CA 92663: ROSEVILLE CA 95661
$0.00
Park Dedication : $0.00
Phone: Phone: 918-826.1639
Phone:.
State Lie:
Applicant: RINNOVO GROUP INC Con State Lie: 948665
Engineer..
Address: - 1512 EUREKA RD, STE 201 Lie Expire: 06/3012020
Address:
oe•e
o °
ROSEVILLECA 96561 Bus Lie: BT30066832
Hazardous Mat $0.00
uoe eu000
Phone: 918-826-1639 Lie Exp Date: 04/3012020
Phone:
State Lie: • e: e o °
Code Edit: 2016 Worker's Compensation Insurance
Designer.
Doe o
Type of Construction. V-B-SPR Carrier: STATE COMP INS FUND
Address:
NMUSD Fee: $0.00
.Occupancy Group: R3111 Policy No: 9066643
$0.00
D mo o m o
o 0
Added /New sq.ft. Bldg: 0 Expire: 0810112019.
Phone:
$0.00.:...
o 0 om000
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 1
Bldg Height: 0
. Bldg Sprinklers:
Flood Zone:
Building Setbacks
Use Zone:.
Rear: I
Front: I
Left: I
Right: I
Parking Spaces:
Special Conditions:
0 Fire Hazard Zone :
FRANCHISED HAULER:
GREENLEAF
N
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Construction Valuation: $200.000.00
Building Permit Fee: $1,768.00
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 Cki $0.00
Grading Bonds Fee:
$0.00
Fair Share . $0.00
Fire Plan Red
$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans : $0.00
Demolition Fee
Record Management'. $0.00
Grading Permit Feer
$0.00
In -lieu Housing Fee: $0.00
Building Dept Adm
$24.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$197.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$564.00
Disabled Access: $0.00
P/W Plan Check: $0.00
Grading Bond:.
$0.00 '
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee: $8.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
-
$0.00
..Plumbing %:
$0.00.:...
$0.00
TOTAL FEE : $2,561.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$2,561.00
PROCESSED BY:
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 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
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).
U I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coder 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).
❑ 1 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 legall
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 to
LICENSED C•ONTRACTOR'S DECLARATION
1 hereby affirm upiderpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing withdo ,,ff��((QQIv "{ 3 of the as and Profes , an lilicense is In .ice
rand alfect. Llamas Class License No �ULS / Contrac i ignature
VVORKIERS' COMPENSATION DECLARATION
NNRNINOI 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 ($100,000), IN ADDITION TO THF
COSIVP COMPENSQTIOI� QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
,Merelry affirm %Qeft penalty of perjury one of the following declarations:
I•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 0
ifitrrmince, of%i?Wark for which this permit is issued. Policy No.
PeG 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' compensatio
noe carrier.snd Policy number are:
Ranier • • • • • Policy Number Expiration Date
flame
4a���fAgent •• • Phone#
iI certify that, in the prf / anc th rk for w ' his permit is issued, I shall not employ any person in any manner so as to become subject to th workers' compensation laws of California, and agre
hat, if I should becgn5a ' ct ers' pensa n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision
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
3y 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 th Information I have rovided is correct.
I agree to comply with all a ble city and coun r in nd state laws relating to building construction.
I authorize represen[ati f this iry or county a al ve= " d-property-faciaspection purposes. , A ,�-)
3i nature of PropertOw or Authorized A ent Print Property Owner's or Aut ri d Agent's Name C"t' �l1Jate
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE OSE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED OEPA
PERMITEXTENDED UAQMD
PERMITFINAL OS NOTIF ON TAPPLICABLE TO
CERTIFICATEOF DEM jA
OCCUPANCVISSUED s .NAT IRP.