HomeMy WebLinkAboutX2019-2181 - Permitsgwl City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
[. Permit Counter Phone (949)644-3288
n Inspection Requests Phone (949)644-3255
Pdrxtr4';� ' Combination Type - SFP ELEC MECH PLUM
COMB Permit: X2019-2181
Project No :1564-2019
Issued Date : 07/18/2019
Inspection Area : 2
o e
p
Type of Construction: V -B
Carrier:
PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Occupancy Group: R31U
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:
55 EBB TIDE CIR NB
08/01/2019
.Added /New sq. ft. Garage: 0
Description:
SFR - R/R STUCCO AND TILE, CHANGE OUT WINDOWS, RIR
DRYWALL, ELEC, MECH, PLUM, WINDOWS, REPAIR ROOFING, DECKING AND BALCONIES. REMODEL KIT AND
BATH
Rear: l
No of Units : 1
Plan Check Fee: $1,538.16
Legal Desc.:
Bldg Height: 0 '
Plan check Fee :
Left: I
Owner
LIN ALBERT
.Contractor:
RINNOVO GROUP INC Architect:
Address:
55 EBB TIDE CIR
Address:
1512 EUREKA RD, STE 201 Address:
NEWPORT BEACH CA 92663
Fire Plan Rev
ROSEVILLE CA 95661.
Phone`.
-
Phone:
918-826-1639 Phone: State Lie:
Applicant:
SOCOLEAN DENNIS
- Con State Lie:-.
948665 Engineer.
Address:
1612 EUREKA
Lie Expire:
06/30/2020 Address:
$0.00
ROSEVILLE CA 95661
Bus Lie:
BT30066832
Phone:
916.826-1639
Lie Exp Date:
04/30/2020 Phone: State Lie:
C d Edit
2016
Worker's Com ensation Insurance Desi ner SOCOLEAN DENNIS
o e
p
Type of Construction: V -B
Carrier:
STATE COMP INS FUND
Occupancy Group: R31U
Policy No:
9065843
- Added /New sq.ft. Bldg: 0
Expire:
08/01/2019
.Added /New sq. ft. Garage: 0
Planning Department-
No of Stories: 3
Building Setbacks
Rear: l
No of Units : 1
Plan Check Fee: $1,538.16
Front: I
Bldg Height: 0 '
Plan check Fee :
Left: I
Bldg Sprinklers: Y.
Fire Inspection:
Right: I
Flnnd 7nne: X -
Use Zone:
Parkina Soaces: 0
9
Address: 1512 EUREKA RD STE 210
ROSEVILLE CA 95661
Phone: 916.941.6498
Special Conditions: GREENLEAF TO
HAUL DEBRIS
G& p'a, ® d
sipr
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
$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
12.4.0.0..
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$497.00
CA Seismic Safety: $0.00.
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$56400.
Disabled Access: $0.00
-
P/W Plan Check:
$0.00
-
Grading Bond:
010.6010
Hazardous Mat $0.00
Electrical %:
$123.76
San Dist:
$0.00
°
Building Green Fee : $8.00
Mechanical %:
$70.72
NMUSD Fee:
$0.00
Plumbing %:
$159.12 -
8$0.00°
TOTAL FEE : $4,452.76
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$4,452€7L
r.
°
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS 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 U 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
im roved for the purpose of sale).
I, as owner of the property, amexclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: 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 legalll
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:htlp://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of DIVISIn 3 of the Business and ProfSSions =Code, my license is in full force
and effect. License Class License No Date Contractor Signa
WORKERS' 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 1$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
:11 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,
l5elgprmance of the work for which this permit is issued. Policy No.
I Nave 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' compensalio
'nsurbince carrier and policy number are:
IT' r Policy Number Expiration Date
Name of Agent Phone #
I 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
that, if I should gggme subject to the workers' compensatiop-,provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
Signature of y/ ApplioSr t P Date/ / ! A G1 / 1 I
PPPt QRATIQN REGA ING CONSTRUCTION LENDING AGENCY (�T
I hereby affim%Urlder 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).
Lender's Name Lender's Address
B f gV%ignature below, I certify to each of the following:
I om the properly owner or authorized to act on the property owner's behalf.
J j Ive read this application and the information I have provided is correct.
agree to ¢oraply with all applicable city and county ordinances and state laws relating to building construction.
j aEthonze representatives of this city or county to enter the above -identified property for inspection purposes. ,�,r
S' a of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name /'' Ci Z�r1il , I Date
:A ION ..... DATE By:
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
��•.•. •� _ REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
• • • • 1403
PERMITEXPIRED• \I L1 I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITFINALASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF / PROPOSED DEMOLITION
OCCUPANCY155UED ' /� �/I �I SIGNATURE:, A �Z/