HomeMy WebLinkAboutX2021-2752 - Permits (2)City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
H. Permit Counter Phone (949)644-3288
s. - ✓6 Inspection Requests Phone (949)644-3255
Combination Type - MFP
COMB Permit: X2021-2752 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
Project No : 2395-2021
Issued Date : 10/1112021
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1011112024 OR PERMIT WILL BE INVALID
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: 2696 SAN JOAQUIN HILLS RD NB
Description: MFR - RIR 1/2" GYP BOARD IN WALLS & CEILINGS. RIR R13 INSULATION AS REQ'D. 1088 SF
Legal Desc.:
Owner: IRVINE COMPANY LLC THE
Contractor:
NATIONAL RENOVATION INC
Architect: RANIERI RANDY
Address: 550 NEWPORT CENTER DR
Address:
PO BOX 78810
Address: 3141 LIMERICK LN
NEWPORT BEACH, CA 92660
CORONA CA 92877
COSTA MESA, CA 92626
Phone:
Phone:
909-923-2077
Phone: 714-296-5502 State Lic:CO24225
Applicant: TRUAX JAY
Con State Lic: 956793
Engineer:
Address: 206.5 ABALONE AV
Lic Expire:
01/31/2023
Address:
BALBOA ISLAND CA 92662
Bus Lic:
BT30062023
Phone: 949.285.5594
Lic Exp Date:
02/28/2022
Phone: State Lic:
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V-B
Carrier:
INS CO OF THE WEST
Address:
Occupancy Group: R2
Policy No:
WVE506190300
Added /New sq.ft. Bldg: 0
Expire:
09/0112022
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions:
No of Units : 4
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
INSPECTOR
Flood Zone:
Use Zone:
Parkin Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $18.000.00
Building Permit Fee: $382.00
Excise Tax:
$0.00 Planning Department -
Fire Department
Plan Check Fee: $332.34
Additional Fee :
$0.00 Plan check Fee :
$52.00 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 : $6.00
Grading Permit Fee:
$0.00 In -lieu Housing Fee :
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00 Public Works Department - General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00 Park Dedication :
$0.00 Refund Deposit
$0.00
Disabled Access : $0.00
PNJ Plan Check :
$0.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00 San Dist:
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $773.34
Plan Check Fee : $384.34
Fee Due at Permit Issuance :
$389.00
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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
im roved 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
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).
❑ 1 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 legall)
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.html.
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 Section 70 ) of Division 3 of the Business and Professio license is in full force
and effect. License Class License No Date Contractor Signatures
WORKERS' COMPENSATION DECLARATION
WARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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 th
p rformance of the work for which this permit is issued. Policy No.
ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of thework for which this permit is issued. My workers' compensatiol
rance carrier and policy number are:
Policy Number
Date
ne of Agent rnone
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
, if I should become subject to the workers' of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
re of
Date%, EJ
hereby affirm under pena at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 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 owners 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 y for inspection purposes.
DATE BY' DECLARATION OF IREGULATIONS PA T061 OF IITLE 40 AND CE WITH ODE OF AQMD RULE
FOR OFFICE USE ONLY
PERMITEXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
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PERMIT CANCELLED
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PERMIT EXTENDED
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PERMITFINAL
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ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
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OCCUPANCYISSUED
SIGNATURE:--
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