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Home My WebLink AboutX2021-3074 - PermitsCity of Newport Beach - Building Division d� 100 Civic Center Drive, Newport Beach, CA 92660 �^ Permit Counter Phone (949)644-3288 .,... Inspection Requests Phone (949)644-3255 -°+arastr. Combination Type - MFP *X2021-3074* COMB Permit: X2021-3074 Project No : 2667-2021 Issued Date: 11/16/2021 Inspection Area : 4 PERMIT EXPIRES 180 DA YS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111612024 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: 4000 COLONY PLZ NB Description: MFR (BLDG 4) NEW DOOR FOR IDF ACCESS Legal Desc.: N TR 15935 LOT 69 Owner: IRVINE CO Address: 550 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: Applicant: TRUAX JAY Address: 206 112 ABALONE NEWORT BEACH, CA 92662 Phone: 949.285-5594 Code Edit : 2019 Type of Construction:. V-A Occupancy Group: R2/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 6 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $1,475.00 Contractor: NATIONAL RENOVATION INC Address: 15650 EL PRADO RD CHINO CA 91710 Phone: 909-606.0370 Con State Lic: 956793 Lic Expire: 01/31/2023 Bus Lic: BT30062023 Lic Exp Date: 01/31/2022 Worker's Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WVE506190300 Expire: 09/01/2022 Building Setbacks Rear: / Front: / Left: I Right: / u Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: RANIER] RANDY 3141 LIMERICK LN COSTA MESA, CA 92626 714-296-5502 State Lic:CO24225 • e e••eee a o ooeom• 0 Special Conditions: rare mazara cone : ry State Lic: o m oeoemm m mo 0 o m m 0 00 0 0 mmomom Building Permit Fee: $110.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $95.70 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 $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 PAN 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: $206.70 Plan Check Fee : $95.70 Fee Due at Permit Issuance : $111.00 PROCESSED BY: ZONING APPROVAL: (S3 Cfe 5 (� PUBLIC WORKS APPROVAL: PLAN CHECK BY: p -57e GRADING APPROVAL: APPROVAL TO ISSUE: o mmmemo m mmmmo 0 mmmmo mmommm m m o m m oe0000 m mmmmo 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 is 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions 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 .ICENSED CCTgfAAIZTOR'S DECLARATION 4reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivi 'on 3 of the Business and Professions de, and rgy�l ense is in full force Ad effect. LiceTi§d V $s License No Date �\ (0 �—I Contractor Signature K 46RARS' COMPENSATION DECLARATION 'ARNIt7dr. FAILURE Tp SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE 09T OPCOMPENSAINDIA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby.affirm underpenalty of perjury one of the following declarations: 31*habe and &I;yZrRain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the trtdrm9nce of the Yvork for which this permit is issued. Policy No. ..• t have..and will cnaintsin workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Ituranc� arrier'�Id�oIcy number. a ' �. 3�riei 5�74�z-L co` o 'Y1� L%)Zfi Policy Number W V 6 o?U3 0`D Expiration Date le of Agent - - . mono x certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre, if I should become subject4$"hhe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant Y___'LJDate !reby affirm undel penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Ider's Name -ate' 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 rdinances and state laws relating to building construction. I authorize representatives of this city or count to the abov entified property for inspection purposes. `_ / nature of PmDertv Owner or Authorized ADent I Print Property Owner's or Authorized Agent's Name DATE BY DECLARATION OF II REGULAT ONS PA T063 OF IIT E 40 AND QMD RULE CE WITH CODE OF AL I FOR OFFICE USE ONLY PERMITEXPIRED I I I U I SUBMITTED ASBESTOS PERMIT EXTENDED MD PERMITFINAL 2 2 ice' ASBESTOSNOTIFICAT� NOTAPPLICABLE TO CERTIFICATE OF J PROPOSED DEMOLITION OCCUPANCYISSUED I SIGNATURE: Civil Code). I`c''A-G— Date\