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HomeMy WebLinkAboutX2019-1395 - PermitsCity of Newport Beach -°Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1395 100 Civic Center Drive, NJwpo1 aBea%D, % 926% o o X 2 0 1 9 1 3 9 5 PfOJBCt NO Permit Counter Phone (949)644-3288.. ° . ° ° ° Inspection Requests Phor`L',.(932$4$425Ee` o.. m.° Combination Type - SFP Issued Date : Area : 2019 Inspection Area 2 PERAOTS JFXPIPA 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Ft firs: R%ond2y s Ffi#hy 7.,Qg#.rV. 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: 33 EBB TIDE CIR NB Description: SFR REMOVEIREPLACE STUCCO LIKE FOR LIKE (ENTIRE HOME) AND CHANGE OUT WINDOWS (30) "LIKE FOR LIKE" Legal Desc.:. .Owner:. CHOI CHRISTINE Contractor: RINNOVO GROUP INC Architect: Address: 33 EBB TIDE CIR Address: 1512 EUREKA RD, STE 201 Address: NEWPORT BEACH CA 92660 ROSEVILLE CA 95661 Phone: Phone: 918-826-1639 Phone:. State Lic Applicant: RINNOVO GROUP INC Con State Lie: 948665 Engineer: Address: 1512 EUREKA RD, STE 201 Lie Expire: 06/30/2020 Address: ROSEVILLE CA 95661 Bus Lie: BT30066832 Phone: 918-826-1639 Lie Exp Date: 04/30/2020 Phone: State Lia: Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V -B -SPR Carrier: STATE COMP INS FUND Address: Occupancy Group: R31U Policy No: 9065843 Added /New sq.ft. Bldg: 0 Expire: 0810112019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 3 Building Setbacks Rear: I Special Conditions: FRANCHISED HAULER: . No of Units : 1 Front I GREENLEAF Bldg Height: 0 Left: I Right: I q Bldg Sprinklers: Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $200.000.00' Building Permit Fee: $1,768.00 Excise Tax: $0.00 Planning Department- Fire Depattment Plan Check Fee: $0.00 Additional Fee : $0.00 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 $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 PNV 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: ZONING APPROVAL: GRADING APPROVAL: 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 bylth9 ch a ckmark(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, demolisls, of repae ally structure;prior tarts issuance, also requires the applicant for to permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chitple} 9 (colnmericing Oith 86clion 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). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the3votk, aL1If the s;ru;tutee is npt i1 tee did Qr offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeesior personals ort, bui sor 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 complehoa•tha%wner-Byldel vv111 havg the Bgfden of proving that it was not built or n roved 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). I am exempt from licensure under the Contractors' State License Law for the following reason: Iy 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 Iegalh 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. - ignature of Property Owner or Authorized Agent D t .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of DN' ion of the Business and Prof ssi 5y and li nae is in full force nd effect. License Class License No Date i Contractor Signal CORKERS' COMPENSATION DECLARATION ARMING: 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 THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TD6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under 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 th jgtfrlance of the work for which this permit is issued. Policy No. ave 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' compensatiol Once carrier and policy number are: Tier Policy Number Expiration Date TIe of Agent - Phone # certify that, in the performanc a work for which this permit is issued, I shall no any person in any manner so as to become subject to the workers' compensation laws of California, and agree I, if I should become subject wo rs' co anon provisions 700 of the Labor Code, I shall forthwith comply with those provisions. t nature of Applicant Date CLARATION REG IN CONSTR TION LENDING AGENCY Ireby 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). 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. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county o Inances and st ew rsTng to building construction. I authorize representatives of this city or county to the -Identified property for inspection purposes. I % ) nature of Prooertv Owner or Authorized ADent n Print Prooertv Owner's or Authorized ADent's Name N Date (3 0( r ACTION DATE BY _\ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ('0 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED QRCIMD PERMITFINAL ASBESTOS NOTIVIZATION IS NOTAPPL E TO CERTIFICATE OF / U 9 OPOSED DEM 10 OCCUPANCYISSUED SIGNATURE: '