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HomeMy WebLinkAboutX2019-2177 - Permits;� tP, City of Newport Beach Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-2177 a4. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 1 7 7 Project NO :1564-2019 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 - e dar„ �` Combination Type - SFP ELEC MECH PLUM Issued Date : 07/1812019 0 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: 47 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:. LIANG NI - Contractor: RINNOVO GROUP INC Architect: Address:; 47 EBB TIDE CIR Address:. 1512 EUREKA RD, STE 201 Address: - NEWPORT BEACH CA 92663 ROSEVILLE CA 95661 Phone: Phone: 918-826-1639 Phone: State Lic: Applicant: SOCOLEAN DENNIS Con State Lic: 948665. Engineer: Address: 1512 EUREKA Lic Expire: 06/30/2020. Address: ROSEVILLE CA 95661 Bus Lic: BT30066832 Phone:, 916-826-1639 Lic Exp Date: 04/3012020 - Phone: State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer. Type of Construction: V -B Occupancy Group: R3IU Carrier: Policy No: STATE COMP 9065843 INS FUND Address: iNSPEU1. Added /New sq.ft. Bldg: 0 Expire: 08/01/2019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 3 Building Setbacks Rear: I - Special Conditions: GREENLEAF TO No of Units : 1 Front: I HAUL DEBRIS Bldg Height: 0 Left: / Bldg Sprinklers: Y Right 7 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 °oo.. ° ...... Plan Check Fee: $1,538.16 Additional Fee: $0.00 Plan check Fee : $0.00 Fire Inspection:. 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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $123.76 San Dist: $0.00 Building Green Fee : $8.00. Mechanical %: $70.72 NMUSD Fee: $0.00 $0.00 Plumbing %: $159.12 $0.00 TOTAL FEE i $4,452.76 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $4,452.76 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 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 (_) all of or (_) 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 i�m roved for the purpose of sale). I, as owner of the properly, am exclusively 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' Stale 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 legally 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:http://Www.leginfo.ca.gov/calaw.htmi. 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 Sectio 0 0) of Division 3 of the Business and Profs ions Code, and my license is in full force and effect. License Class License No Da Contractor Signatu f eq .--- WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSA11pl AMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm Oilgr"ftalty of perjury one of the following declarations: ash hese and will raaietain 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 p�eence of file work for which this permit is issued. Policy No. ILII T vd' 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 carrier and policy number are: r r r : Policy Number Expiration Date 4ei 9f Agent car{ify 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 t.4jrhould become subject o t workers' compeELsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. natur9 of ApIfIR91lNy at DLARATION REGARDING WNSTRUCTION LENDING AGENCY Nieby affirm underrpmalty 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 r r r r 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to the above -identified property for inspection purposes. nature of Pronertv Owner or Authorized Aoe Print Property Owners or Authorized Agent's Name o r 1, b�'O / FN.'S I• Date a h C ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED OAQMD PERMITFINAL � �/L--V� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF _t2 PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: