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Home My WebLink AboutX2021-3072 - Permitsaav , City of Newport Beach - Building Division *X2021-3072* COMB Permit: X2021-3072 o$ d,4 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2667-2021 ) + Permit Counter Phone (949)644-3288 w... Inspection Requests Phone (949)644-3255 'liar c= ' rik14�' Combination Type - MIFF YP ado. g'i^' 7'-' x �� (a,� � Issued Date : 11/16/2021 1 i� Inspection Area : 4 PERMIT EXPIRES 180 DAYS 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: 1000 COLONY PLZ NB ' Description: MFR (BLDG 1) NEW DOOR FOR IDF ACCESS Legal Desc.: N TR 15935 LOT 69 Owner: IRVINE CO Contractor: NATIONAL RENOVATION INC Architect: RANIERI RANDY Address: 550 NEWPORT CENTER DR Address: 15650 EL PRADO RD Address: 3141 LIMERICK LN NEWPORT BEACH, CA 92660 CHINO CA 91710 COSTA MESA, CA 92626 Phone: Phone: 909-606-0370 Phone: 714-296-5502 State Lic:CO24225 s Applicant: TRUAXJAY Con State Lic: 956793 Engineer: m•e••• Address: 206112 ABALONE Lic Expire: 01131/2023 Address: ° ° c••.oc NEWORT BEACH, CA 92662 Bus Lic: BT30062023 ••e!•• ° o Phone: 949.285-5594 Lic Exp Date: 0113112022 Phone: State Lic: • . ° ° ! Code Edit: 2019 Worker's Compensation Insurance Designer: ° • toO Type of Construction: V-A Carrier: INS CO OF THE WEST Address: 'o0°°E0 °• •'� Occupancy Group: R2 Policy No: WVE506190300 °xeo Ef Added/New sq.ft. Bldg: 0 Expire: 09/01/2022 Phone: Added /New sq. ft. Garage: 0 • •!o 0 No of Stories: 6 Building Setbacks Rear: / Special Conditions: r,°lvon No of Units : 0 Front: / Bldg Height: 0 Left: / ° to •o°°co Bldg Sprinklers: Right: / °eooe.. °°•!o° Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $1,475.00 Building Permit Fee: $110.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $96.70 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: $4.00 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 : $262.70 Plan Check Fee : $95.70 Fee Due at Permit Issuance : $167.00 PROCESSED BY: L7 PUBLIC WORKS APPROVAL: ZONING APPROVAL: J 1 PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 3 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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-Builderwill have the burden of proving that it was not built or improved for the purpose of sale). ❑ 1, 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). ❑ 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.html. Signature of Property O)yner or Authorized Agent Date LICENSED CONTRAPTOR'S DECLARATION I: erebx affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivisi n 3 of the Business and Professions e, and my}}rIppee�J�se is in full force sra eiferat. Llcensc6iass License No Date l \ I(, Contractor Signature j@R14FyRS' COR2PENSATION DECLARATION IMRNI NO: 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 (6100,000), IN ADDITION TO THE COST OF.COMPENS(,=I 1k.0;MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 4ert1 42ffirm under peflalty of perjury one of the following declarations: ❑.I.1rwe 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 the 3p¢prWwr ce of & AFIK for which this permit is issued. Policy No. i mvnd willlnaigtein 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 v"Agent ••.... certify that, in the performer if I should become subject of W,BKPolicy Number k1y E S 0 4196 30 v Expiration Date work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree rkers' co /ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ` Date x CLARATION REGARDING CONSTRUCTION LENDING AGENCY :reby affirm under penalty 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). Idler's Name 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 rthe aboo identified property for inspection purposes. 1 nature of Prouertv Owner or Authorized Anent X iL,.,�G G _ Print Property Owner's or Authorized Agent's Name X 6 ACTION DATE BY DECLARATION OF II REGULATIONS PARTOMPLIANCE WITH CODE OF 61 OF TITLE 40 AND OMD RULERAL FOR OFFICE USE ONLY PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED 0EPA PERMIT EXTENDED 0AQMD PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED 2q 7 y S ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DIMOLIT SIGNATURE: x,