HomeMy WebLinkAboutX2019-2191 - Permitsu1� City of Newport Beach - Building Division
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COMB Permit: X2019-2191
a' 100 Civic Center Drive; Newport Beach, CA 92660
X 2 0 1 9 2 1 9 1
Project NO i 1564-2019.
)
H a, Permit Counter Phone (949)644-3288
iY Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
Issued Date: 2019
Inspection Arearea : 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: 71 EBB TIDE CIR NB
Description: SFR- RIR STUCCO AND TILE, CHANGE OUT WINDOWS, RIR DRYWALL, ELEC,
MECH, PLUM, WINDOWS, REPAIR
ROOFING, DECKING AND BALCONIES. REMODEL KIT AND
BATH
.Legal Desc.:
.Owner ROMERO ALEJANDRO Contractor:
RINNOVO GROUP INC Architect:
Address: 71 EBB TIDE CIR Address:
1512 EUREKA.
RD, STE 201 Address:
NEWPORT BEACH CA 92663
ROSEVILLE CA 95661
Phone: - Phone:
918-826-1639
Phone:
State Lie:
Applicant: SOCOLEAN DENNIS Con State Lie:. 948665
Engineer
Address: 1512 EUREKA Lie Expire:..
06130/2020
Address:
ROSEVILLE CA 95661 Bus Lie:
ST30066832
Phone: .916-826-1639 Lie Exp Date:
04130/2020
Phone:
-State Lica
Code Edit: 2016 Worker's Compensation Insurance
Designer:
SOCOLEAN DENNIS
Type of Construction: V -B Carrier:
STATE COMP INS
FUND Address:..
1512 EUREKA RD STE 210
Occupancy Group: R3/U Policy No:
9065643
ROSEVILLE CA 95661
Added /New sq.k. Bldg: 0 Expire:
0810112019
Phone:
916-941-6498
Added /New sq. ft. Garage: 0
No of Stories: 3 Building Setbacks
Rear: I
,
Special Conditions: GREENLEAF TO A
No of Units : 1
Bldg Height:... 0.
Front: I
Left: Ia',1�.
�V+++,,,
HAUL DEBRIS
Bldg Sprinklers:. Y
Right: /
Flood Zone: X 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 Department
Plan Check Fee: $1,538.16 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. 1$040
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 Feer
$0.00 Building Dept Adm ,$;4.00°
Energy Compliance: $0.00 Grading PC Fee:
$0.00
Public Works Department-
General Service $197t00 -
CA Seismic Safety: $0.00 WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit $664.0b° D
Disabled Accessi $0.00.
PAN Plan Check: $0.00
Grading Bond: $0.100
Hazardous Mat $0.00 Electrical %:
$123.76
San Dist: $0.00
aDDDOD °
Building Green Fee: .$8.00 Mechanical %:
$70.72
NMUSD Fee: $0.00
- ° $0.00
Plumbing%:
$159.12
O
TOTAL FEE : $4,452.76
Plan Check Fee:
$0.00 Fee
Due at Permit Issuance: $4,452.76° ..... °
°
PROCESSED BY:
°
PUBLIC WORKS APPROVAL: -SKS D 1.
O C DDDR
ZONING APPROVAL:
PLAN CHECK BY:
4000
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
ie 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 acivil 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 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).
I 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof ss Code, and my license is in full force
nd effect. License Class License No .Date Ell �/ Contractor Signature l\
VORKERS' COMPENSATION DECLARATION
'ARNING: 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 ($700,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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
iNormance of the work for which this permit is issued. Policy No.
Cha 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' compensatioi
Isur nce carrier and policy number are:
Policy Number Expiration Date
ne 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 w�/kerscompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,�/ elliature of Applicant / _ r D
:LARATION REGARDIN CONSTR ION LENDING AGENCY �.�(
reby affirm under penalty bf perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
der's Name .... Lender's Address
y my signature below, I certify to each of the following:
e
• -1-am the pmpe. /y ner or authorized to act on the property owners behalf.
I have rea4his 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 represeatatives of this city or county to enter the above -identified property for inspection purposes.
laoature of ProtiaWdwner or Authorized Aoent� Print Property Ownel
ACTION • +• DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
•••••e ..•u• REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS
PERMIT FINAL .... �14J gSBEST05 NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF M ((PROPOSED DEMOLITION
OCCUPANCY ISSUED OV SIGNATURE: \ /
If,