HomeMy WebLinkAboutX2019-2261 - Permitsa
City of Newport Beach - Building Division IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-2261
100 Civic Center Drive, Newport Beach, CA 92660 X 2. 0 1 9 2 2 6 1Project No . 1625-2019
Permit Counter Phane (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type SFP ELEC MECH PLUM Issued Date : 09/1912019
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: 79 EBB TIDE CIR NB
Description: SFR - RIR STUCCO AND TILE, CHANGE OUT WINDOWS, R/R DRYWALL, ELEC, MECH, PLUM, WINDOWS, REPAIR ROOFING, DECKING AND BALCONIES. REMODEL KIT AND
HATH -
Legal Desc.:
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Owner: ALEXANDER MICHAEL Contractor. RINNOVO GROUP INC Architect fi ,sO• o
Address: 79 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
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 :
$0.06
Hazardous Mat
- $0.00
Building Green Fee :
$8.00
Con StateLic:
948665
- Lie Expire:
06/30/2020
Bus Lie:
BT30066832
Lie Exp Date:
04/30/2020
Worker's Compensation Insurance
Carrier:.
STATE COMP INS FUND
Policy No:
9066843
Expire:
08/01/2019
Building Setbacks
Use Zone:
1.00 -
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %
Mechanical %:
Plumbing %:
TOTAL FEE: $4,452.76
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Rear: /
Front: /
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$123.76
$70.72
$159.12
Fire Hazard Zone : N
Planning Department -
Fire Department
0 0
Fire Inspection:.
Fair Share
Fire Plan Rev
000000
o n
Engineer
Building Dept Adm
°
°••` c
Address:
PAN Plan Check:
. o.
San Dist:
$0.00
NMUSD Fee:
$0.00
Phone:
State Lic:
o
000000
Designer.:
SOCOLEAN DENNIS
000
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oea
Address:
1512 EUREKA RD STE 210
°
0xa•oo
ROSEVILLE CA 95661
0 00
0 0
Phone:
916-941-6498
°o ca oo
Op00
Special Conditions: GREENLEAF TO
HAUL DEBRIS
Fire Hazard Zone : N
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:.
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $0.00
Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$24.00
$197.00
$554.00
$0.00
$0.00
$0.00
$4,452.76
Fire Department
$0.00
Fire Inspection:.
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$24.00
$197.00
$554.00
$0.00
$0.00
$0.00
$4,452.76
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
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 a civil penalty of
of more than five hundred dollars ($500).
3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not. intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
. licensure
I am exempt fromrom ycensureunder the Contractors' State License Law for the following reason:
my eignaturebefo% I acknowledge that, except for personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
12S¢ucture tMitt I h$ve 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
rofe§sions Coda ie.available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
;ignatore of Property Owner or Authorized Agent Date
MISED CONTRACTOR'S DECLARATION
lhore*W affirm*Ifi &I jenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Division 3 of the Business and Professions o a, nd my license is in full force
ndVIfect. License Class License No Date Contractor Signature
4i7 KERS't;QIFF1ENSATION DECLARATION
I;RING: FAILURE'[O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRE HOUSAND DOLLARS IE100,0001, IN ADDITION TO THE
OBFOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby affirm.Ijrv*Jenalty of perjury one of the following declarations:
31'** ve and yiyll 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 thi
Cr"mance of the�work for which this permit is issued.. Policy Na
I have 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' compensatior
ante carrier and policy number are:
arner - Policy Number Expiration Date
lame of Agent Phone #
31 certify that, in the perform ce 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' mpensation laws of California, and agre,
lot, if I should become subje t to th workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant D e'/�
IECLARATION REGARDI G CONSTRUCTION LENDING AGENCY - -
hereby affirm under pen ty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 097 Civil Code)..
ender's Name Lender's Address
y 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 haverOvided is correct.
I agree to comply with all applicable city and county oinances and state laws relating to building construction.
I authorize. representatives of this city or county toter the above -identified property for inspection purposes.
ignature of Property Owner or Authorized Agent Print Property Owner
1CTION DATE BY 7 bECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR
REG ULATIQNS PART 61 OF TITLE 40 AND, RULE
NOTIFICATION TO
NOT
CERTIFICATE OF �/�/ Mj GNAT EDDITFINAL To EN OLITI TI ATION ISQM') f BLE TO
OCCUPANCYISSUED /Gf' v ��
/
s or Authorized Agent's Na / � ��h / r D/e-/'//
OFFICE USE ONLY