HomeMy WebLinkAboutX2020-0501 - Permitslftoy City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII /III COMB Permit :X2020-0501
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288 Project No : 0394-2020
c5 Inspection Requests Phone (949)644-3255
n"�tacn5E��4 Combination Type - MFP Issued Date : 02/25/2020
Inspection Area : 4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Nours: 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: 100 VILAGGIO NB
Description: MFR REPAIR (9) TRASH ENCLOSURES
Legal Desc.: N TR 15584 LOT 4
Owner:
NEWPORT BLUFFS LLC
Address:
PO BOX 2450
V9WC088393
NEWPORT BEACH, CA 92658
Phone:
949-735-5599
Applicant:
RWC INC
Address:
25312 VIA VIEJO
Bus Lie:
LAKE FOREST CA 92630
Phone:
949-735-5599
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Valuation:
Contractor:
RWC INC
Address:
25312 VIA VIEJO
V9WC088393
LAKE FOREST CA 92630
Phone:
949-735-5599
Con State Lie:
872399
Lie Expire:
06/30/2020
Bus Lie:
BT30071168
Lie Exp Date:
02128/2021
2019 Worker's Compensation Insurance
Carrier:
NATIONAL LIABILITY
U Policy No:
V9WC088393
0 Expire:
03/11/2020
0
CA Seismic Safety:
Building Setbacks
Rear: /
$0.00
Front: /
$0.00
Left: /
$3.00
Right: I
Use Zone:
Parkins Bnm.o. n
Building Permit Fee: $903.00
Plan Check Fee: $785.61
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$3.00
TOTAL FEE: $1,733.61
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Architect: /+VSPs^+w
Address: /V' / ®�
Phone: State Lie: l
Engineer: CHRISTIAN DALE
Address: 1744 W KATELLA AVE #107
ORANGE CA 92667
Phone: 714-997-1145 State Lic:S-002705.•`••.
o o.m
Designer: ,•
Address:
C om
0
Phone:
0o m
Special Conditions:
0 oeo
o m
0o m
Excise Tax:
$0.00
Planning Department -
Additional Fee:
$0.00
Plan check Fee:
Fire Department
Grading Bonds Fee:
$0.00
Fair Share :
0000
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Building Dept Adm
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Grading Bond:
P/W Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee : $0.00
$0.00
$0.00
Fee Due at Permit Issuance : $1,733.61
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
0 0
omo.00
0 0
00000
0
00.00
000mor,
m ° „
000000
0
00000
mo 0
• o0
Fire Department
0000
$40.00
Fire Inspection:
0000
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $1,733.61
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
0 0
omo.00
0 0
00000
0
00.00
000mor,
m ° „
000000
0
00000
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 repair
the checcture, prior
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).
ed Contractors to construct the project (Section Contractor
Business and Professions Code: The Contractors' State License Law does not
El I, as owner of the property, am exclusively contracting with licens
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).
❑I 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 legal)
all 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.html. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions f C apter 9 (commencing with Sec 7000 f Div'sion 3 of the Business d Professions Code,/ a� Y�iC�\� - ism fu)I force
and effect. License lass ��
License No 1� Dat L '2 0" ' Contractor S' lure
WORKERS' COWANSATION DECLARATION
W 11AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TOO HUNDRED THOUSAND DOLLARS 13100,0001, IN ADDITION TO THE
C� i5 bFyMPENaIjTlON�al�1AGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm uncle? perhlty of perjury one of the following declarations:
I h9se 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, fort i
rmance of the war -or which this permit is issued. Policy No.
..
I h�2 and will p�ir(jain 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' compensatlol
SItrBRo.carrier. . policy number are: ) -pry Expiration Date Ci`26Z�
Cartier } �e 'w' c C"I" Policy Nuummbbe`r �✓1 t, I"i e-6l�a�SYSi Phone#
Ir:fieObT r Pcnn 5 �•� t L+- U
manner so as to become subject to the workers' compensation laws of California, an
. ..
31 certify that, in Mie perFormance of the work for which this permit is issued, I shall not employ any person In any
should he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisiokate
z
ha%ifi esubjec
Signature ofAppliC)ECLARATI
that there is a construction lending agency farthe performance of the work for which this permit is issued (Sectiode).
GARDING CONSTRUCTION LENDING AGENCYhereby
affirm under penalty of perjury
Lender's Address
-ender's Name
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 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.
for inspection purposes.
,
I authorize representatives of this or county to enter the above -identified property
`= Print Property Owners or Author a nt's Name r-
ate
Signature of Propert Owner or Au zed A ant
1
ACTION DAT9 BY DECLARATIO OFFOWLIANCE WITH CODE OF AL FOR OFFICE US L
REGULATIONS PART 6 OF TITLE 40 AND AQMD RDE
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMIT EXTENDED QMD
PERMITFINAL 2 ASBES S NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF 7
OCCUPANCYISSUED SIGN URE: ---"'-"'