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