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HomeMy WebLinkAboutX2019-2180 - Permitst City of Newport Beach- Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2180 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 1 e o Project No : 1564-2019 6. F Permit Counter Phone (949)644-3288 - - g"') it Inspection Requests Phone (949)644-3255 ''+slwiw b Combination Type - SFP ELEC MECH PLUM Issued Date: 07118/2019 9 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: 53 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 DEANEJEFFERY, PAN MING Contractor: RINNOVO GROUP INC Architect - Address: 53 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 Address: 1512 EUREKA ROSEVILLE CA. 95661 Phone: 916-826-1639 Code Edit : 2016 Type of Construction: V -B Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units.: 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone:. X Construction Valuation: $200,000.0 Building Permit Fee: $1,768.00 Plan Check Fee: $1,538.16 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green fee: $8.00 Con State Lie: 948665 Engineer: Planning Department - Lie Expire: 06130/2020 Address: Fire Department. Bus Lie: BT30066832 $0.00 Plan check Fee : Lie Exp Date: 04/30/2020 Phone: State Lie: Worker's Compensation Insurance S Designer. Fair Share : Carrier: STATE COMP INS FUND Address: !1 OR Policy No: 9065843 $0.00 ���� 1 Expire: 08/0112019 Phone: Demolition Fee Building Setbacks Rear: I Special Conditions: GREENLEAF TO Front: I $0.00 HAUL DEBRIS Left: $0.00 - Public Works Department - Right: General Service WQ Insp. Fee: Excise Tax: $0.00 Planning Department - Fire Department. -. Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00. In -lieu Housing Fee: $0.00 Building Dept Adm Grading PC Fee: $0.00 - Public Works Department - General Service WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit FIR Plan Check: $0.00 Grading Bond: Electrical %: $123.76 San Dist: $0.00 Mechanical %: $70.72. NMUSD Feer $0.00 Plumbing %: $159.12 11 TOTAL FEE: $4,452:76 Plan Check Fee PROCESSED BY: f� ZONING APPROVAL: tY GRADING APPROVAL: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY APPROVAL TO ISSUE: 0000 � m oaoa $datr® m $0.00 0 $24.00 0o c $1sa°.ob $564,Q0 0 X90.00 b �y'OdlOoo $4,452r o60 0 0 0 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) lection 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 1e 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 a civil penalty of of more than five hundred dollars ($500). 7 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, 'usiness 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 nprovemenls 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). 1, 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: y 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 legally 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 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 Professions Code, and my license is in full force nd effect. License Class License No Date/A.-2,4 Contractor Signatuor z �a IORKERS' 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 ($100,000), IN ADDITION TO THE DST 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: 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 mance of the work 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 Agent Date 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 1 should becomes lett to workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. l • • • • L I-IP�I _�/ lature d(DING AGENCY 1ppljpsnt � ;LARATIONJIF,GARDING CONSTRUCTION LE Ikby almunder 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). der's NaMe Lender's Address Py my signatur§ below, I certify to each of the following: ' • •1 am the,LQpppt% owner or authorized to act on the property owner's behalf. •]have read this application and the information I have provided is correct. • •'I agree totgrfi(11y with all applicable city and county ordinances and state laws relating to building construction. • • • 1 authorize•reprtsentatives of this city or county to nter the above -identified property for inspection purposes.�7�L • Qrtrature of Pro erty Owner or Authorized A ent `- Print Property Owner's or Authorized Agent's Name !i r�sb eL 1 ACTION ,: • • • • DATE BY DEC ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY • • REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ••••: •• • 1403 r,.;IT EXPIRED. • • • U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA NOTIFICATION IS NOT APPLICABLE TO OCCUPANCYISSUED 11/ I //� VII'U 15 CNPATNR D_EI�pbLIeo-'\N - r„