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Home My WebLink AboutX2019-2250 - Permitsrpt{, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2250 100 Civic Center. Drive, Newport Beach, CA 92660 X 2 0 1 9 2 2 5 0 r. Permit Counter Phone (949)644-3268 Project No : 1625-2019 v +q Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date : 09119/2019 Inspection Area : 2 Added /New sq. ft. Garage: 0 o o 0 0 No of Stories: 3......Building Setbacks Rear: / Special Conditions: GREENLEAF TO o 0 No of Units : 1 Front: / HAUL DEBRIS... C c oo°o Bldg Height: 0 Left: / Bldg Sprinklers: Y Right: 1. Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $200.000.00 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: 64 EBB TIDE CIR NB - Building Permit Fee: $1,768.00 Description: SFR:- R/R STUCCO AND TILE, CHANGE OUT WINDOWS, R/R DRYWALL, ELEC, MECH, PLUM, WINDOWS, REPAIR ROOFING, DECKING AND BALCONIES. REMODEL KIT AND BATH Plan Check Fee: $1,538.16 Additional Fee : Legal Desc.: Plan check Fee : $0.00 Fire Inspection:. $0.00 Overtime Plan Ck $0.00 Grading Bonds Fee: $0.00 Owner THIBODEAUX JR TIMOTHY Contractor RINNOVO GROUP INC Architect Address: 64 EBB TIDE CIR NEWPORT BEACH CA 92663 Address. 1512 EUREKA RD, STE 201 ROSEVILLE CA 95661 Address: d o o Phone. Demolition Fee Phone 918-826-1639 Phone: State Lic Record Management : Applicant: SOCOLEAN DENNIS Con State Lic: 946665 Engineer. ° Address: 1512 EUREKA Lic Expire: 06/30/2020 - Address: .... Grading PC Fee: ROSEVILLE CA 95661 ' Bus Lic: BT30066832 General Service Phone: 916-826-1639 Lic Exp Date: 0413012020 Phone: State Lic 0o n $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Code Edit: 2016 Worker's Compensation Insurance Designer: SOCOLEAN DENNIS Type of Construction: V-8 Carrier: STATE COMP INS FUND Address: 1512 EUREKA RD STE 210 $0.00 . Occupancy Group:: R31U Policy No: 9065843 ROSEVILLE CA 95661 $123.76 Added/New sq.ft. Bldg: 0 Expire: 08/0112019 Phone: 916-941-6498 ° 0000 Added /New sq. ft. Garage: 0 o o 0 0 No of Stories: 3......Building Setbacks Rear: / Special Conditions: GREENLEAF TO o 0 No of Units : 1 Front: / HAUL DEBRIS... C c oo°o Bldg Height: 0 Left: / Bldg Sprinklers: Y Right: 1. 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 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 $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 Bond:. $0.00 . Hazardous Mat $0.00 Electrical %, $123.76 San Dist: $0.00 .Grading Building Green Fee :. $8.00 Mechanical %: $70.72 NMUSD Fee: $0.00. $0.00 Plumbing %: $159.12 : $0.00 TOTAL FEE: $4,452.76 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $4,452.76 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING 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) ,ction 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 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 �fessions 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 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, ;iness 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 )rovements 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 moved 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 )Iy 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: 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 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 ,fessions Code, is available upon request when this application is submitted or at the following Web site:http://vvww.leginfo.ca.gov/calaw.html. nature of PrO�dryQwner or Authorized Agent Date TENSED CCIATRACTOR'S DECLARATION trbbt affirm VNIE r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7J0) of Division 3 of the Business and rofess' s Code, and my license is in full force 1 effect. License Class License No Date Contractor Sign re y13VI' ERS' COMPENSATION DECLARATION ( I ' 11 'ARNING: FAILUR�RQ $F. RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CST (1'F�pOMPE ,MAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herliBy affirm ugclpr penalty of perjury one of the following declarations: .•• • . . I have and WiM 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 •RA mance of thework for which this permit is issued. Policy No. ••• • vp and vii j Lrlip4ain 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 surance carrier and policy number are: ••..• �r�igr • • • • Policy Number Expiration Date ame of Agent • • • • Phone # ]I 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' co ensation laws of California, and agre at, if I should become subj t workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant i Date DECLARATION REGARD G CONSTRUCTION LEND( ENCY (,__,— hereby affirm under pen Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , 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 have rovided is correct. I agree to comply with all applicable city and county ances and state IawVelating to building construction. I authorize representatives of this city or county t ter he ab deaUted property for inspection purposes. ' /,r / �% kmature of ProDertv Owner or Authorized Accent . Print Property Owner's or Authorized Agent's Name / ajeg a D p4eli BY DECLARATION 01 / I REGULATIONS PART CO ATOMPLIANCE WITH CODE OF 10 TTLE 40AND, RU ERAL I FOR OFFICE USE ONLY I SUBMITTED ASBESTOS PERMIT EXTENDED PERMITFINAL Al -L-11 TUTOS N AN ON ISN TO CERFICATE OF E� OCCUPANCYISSUED SIGNATURE: