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HomeMy WebLinkAboutX2022-0732 - Permitswerl( City of Newport Beach - Building Division *X2022-0732* COMB Permit: X2022-0732 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0656-2022 �, Permit Counter Phone (949)644-3288 s:. `x .y Inspection Requests Phone (949)644-3255 r"*r ntk ^x Combination Type - MFP Issued Date: 0311112022 0 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0311112025 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 ar`yHol�days Job Address: 1855 SHERINGTON PL NB 4, Description: MFR - (2) DECK REPAIRS 160 SF MS311 & NS312 Legal Desc.: P BK 15 PG 36 PAR 2 ✓ '� Owner: CORONADO SOUTH APTS Contractor: A A A RESTORATION INC Architect: ROMERO CESAR Address: 1745 SHEA CENTER DR #200 Address: 29860 2ND STREET Address: 17162 GOTHARD ST HIGHLAND RANCH CA 92532 LAKE ELSINORE CA 92532 HUNINGTON BEACH, CA 92647�, Phone: 9511609-4637 Phone: 951-579-0724 Phone: 714-465-5200 State Lic:C030884 Applicant: A A A RESTORATION INC Address: 29850 2ND STREET LAKE ELSINORE CA 92532 Phone: 951-579-0724 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R2/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 3 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Building Permit Fee: $127.00 Plan Check Fee: $110.49 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: $290.49 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 834839 Lic Expire: 03/31/2022 Bus Lic: BT30056985 Lic Exp Date: 10131/2022 Worker's Compensation Insurance Carrier: TWIN CITY FIRE INS CO Policy No: 72WEAAC9XAX Expire: 04/01/2022 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: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Engineer: ORTIZ ROBERTO Address: 1744 W KATELLA AVE ORANGE, CA 92867 Phone: 714-997-1145 State Lic:S-005512 Designer: Address: Phone: Special Conditions: Planning Department - 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 NMUSD Fee: $0.00 Plan Check Fee : $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: .v.• a om me�ae �O.OQ $0.00 • $0.07 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $290.49 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: m 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) action 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). J I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portion Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thro nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7 pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contr 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ''y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:11www. signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty o qu that am sic nsed under provisions of Chapter 9 (commencing with Section 70' nd effect. License Class �(P.resfa� License No Date IIORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL F DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: .••. I have and -will ma4ntain a certificate of consent to self -insure for workers' compensation, issued by the Direcl erfQrmence of the work for which this permit is issued. Policy No. C!I a,; and jig %ZMcain workers' compensation insurance, as required by Section 3700 of the Labor Code, for tl R ib?rallr< trier end policy number are: y `��,.ldJ C1 :arr21 ww C hl�f� �.V 11,S Policy Number 19p1eq( Agent• • • " ]I certify that, iR the performance of the mi,`flrshouId Mecomr; subje o 0 �jgp;W.e of Applicant of the work, and the structure is not intended or offered for sale (Section 7044, gh employees' or personal effort, builds or improves the property, provided that the )mpletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). year prior to completion of the improvements covered by this permit, I cannot understand that a copy of the applicable law, Section 7044 of the Business and Date 23 a iness and Profession ocJa,�,and m Is' ull force tractor Signature �.��� 2 CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($f 00,000(, IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' compensatioi Expiration Date is i ed, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre n 3700 of the Labor Code, I shall forthwith comply with those provisions. _ ///z Date Z_ :LAy4ATIOq RE.00LBI 1NG CONSTRUCTION LENDING AGENCY reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work foi oe'r'c Name . Lender's Address rS1+'signaturO pglDw. 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 I yvs relating to building construction. I authorize representatives of this city or county to%nt the ab -id tad iafurw of Pronertv Owner or Authorized Aaent/ ro for inspection purposes. I rooertv Owner's this permit is issued (Section 3097, Civil Code). Authorized AD ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 610E TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED rL` 1�'1•(5 I SUBMITTED ASBESTOS NOTIFICATION TO IS NOTAPPLICABLE TO Name Date 51i