HomeMy WebLinkAboutX2019-2951 - Permits9wt City of Newport Beach - Building Division II�IIIIIII�II�IIIIIIIIIIIIIII�IIII�IIIIIII II COMB Permit: X2019-2951
h +� 100 Civic Center Drive, Newport Beach, CA 92660 2 0 1 9 2 9 5 1 Project No : 2013-2019
t., _ Permit Counter Phone (949)644-3288
- yr Inspection Requests Phone (949)644-3255.
atyv.S '" Combination Type - MFP ELEC MECH PLUM Issued Date : 1011112019
- Inspection Area : 8
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: 721 BAYPOINTE DR NB
Description: MFR (BLDG 7) KITCHEN AND BATHROOM UPGRADES
Legal Desc.: TR NO 14989 FOR OF LOTS 1 & 2
Owner: THE IRVINE COMPANY LLC Contractor: R B C I INC Architect: VARELA RAY
Address: PO BOX 2450 Address: 1121 E ELM AVE Address: 13136 CHAMBORD WAY
NEWPORT BEACH, CA 92658
Phone:
Applicant: MILLARD CHRIS
Address: 550 NEWPORT CENTER DR
NEWPORT BEACH CA 92660
Phone: 949-720-2828
Code Edit : 2016
Type of Construction: V-BSPR
Occupancy Group: R3
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 2
Bldg Height: 0
Bldg Sprinklers: - Y
Flood Zone: X
Construction Valuation: $12
Building Permit Fee: -
$264.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$1.00
TOTAL FEE: $398.52
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
FULLERTON CA 92831
Phone:
714-758-8804
Con State Lie:
867627
Lie Expire:
1113012019
Bus Lie:
BT30023089
Lie Exp Dater
02128/2020
Worker's Compensation Insurance
Carrier: CYPRESS INSURANCE
Policy No: RBWC912696
Expire: 01/24/2020
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: I
Left: I
Right: I
arking Spa
$0.00
($34.33)
$0.00
$0.00
$0.00
$0.00
$0.00
$69.12
$54.30
$44.43
Planning Department -
SAN DIEGO CA 92130
Phone: 619.239-2353 State Lic:CO26947
Engineer:
Address:.
Phone: State Lie:
Designer:
Address:
Phone:
Special Conditions:
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check,
$0.00
San Dist:
$0.00
NMUSO Fee:
$0.00
Plan Check Fee:
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:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$241.76 Fee Due at Permit Issuance : $156.76
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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 items)
(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 U 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
improved for the purpose of sale).
❑ I, asowner 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 ohe year prior to completion of the improvements covered by this permit, I cannot legallt
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 11 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://mvw.lerginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CCUTUCTOR'S DECLARATION
FherebKafhrm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 QO f j;i q3 of the Business and Prof es s C , and my license is in full force
V68413t. Licenee6lass License No Date fJ ill! Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE Tt 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 COMPENS6ATION,PAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm unil&**nalty of perjury one of the following declarations:
QLbave anq pill) 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�fpjnlance of the work forwhich this permit is issued. Policy No.
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'
carrger. .ndpolicy number are:
Policy Number Expiration Date
ie of Agent' r
certify that, innthR
e pl
. if I should become
of Applicant
so as to become subject to the workers' compensation laws of California, and agre
i comply with those provisions. //
Date [ l 0 v
:rebyaffirm under alty 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).
r��
Ider's Name If 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 co ty ordinances and state laws relating to building construction.
I authorize representatives of this city or county enter the aboveAdentified property for inspection purposes.
nature of PmDerty Owner or Authorized Aqen rn/L-u ,- -- Print Property Owner's or Authorized Agent's Name
Ice of the work for which this permit is issued, I shall not employ any person in any
to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
ACTION I DATE BYI/-I DECLARATION OF REGULATIONS PART0610 TIITLE 40 AND AQMD RULE CE WITH CODE OF AL I FOR OFFICE USE ONLY
PERMIT EXPIRED I I I LJISUBMITTED ASBESTOS
PERMIT EXTENDED
LJAQMD
PERMITFINAL
7 /L3
ASBESTOSN TIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF
PROPOSED DENPLITION
OCCUPANCYISSUED
SIGNATURE: (ZI �-.