HomeMy WebLinkAboutX2022-0733 - PermitsCity of Newport Beach - Building Division
too Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
rgitsa.* " Combination Type - MFP
*X2022-0733* COMB Permit -. X2022-0733
Project No : 0656-2022
Issued Date:
Inspection F
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPL _ to is r v�i r ri�v<:, ..•� • ••••• • ••
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
Job Address: J895 SHERINGTON PL NB
Description: MFR - DECK REPAIR 132SF TS307
I anal nest.: P BK 15 PG 36 PAR 2
Owner:
CORONADO SOUTH APTS
Address:
1745 SHEA CENTER DR 9200
HIGHLAND RANCH CA 92532
Phone:
951/609-4637
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: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Construction
Building Permit Fee: $144.00
Plan Check Fee: $125.28
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access :
$0.0c
Hazardous Mat
$0.0c
Building Green Fee :
$1.0(
TOTAL FEE: $322.28
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: A A A RESTORATION INC
Address:
29850 2ND STREET
LAKE ELSINORE CA 92532
Phone:
951-579-0724
Con State Lic:
834839
Lic Expire:
03131/2022
Bus Lic:
BT30056985
Lic Exp Date:
1013112022
Worker's Compensation Insurance
Carrier: TWIN CITY FIRE INS CO
Policy No: 72WEAAC9XAX
Expire: 0410112022
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Rear: /
Front: I
Left: /
Right I
arkinq Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
0
Architect: ROMERO CESAR
Address: 17162 GOTHARD ST
HUNINGTON BEACH, CA 92647
Phone: 714-465-5200 State Lic'C030884
Engineer: ORTIZ ROBERTO 3 o m
Address: 1744 W KATELLA AVE
ORANGE, CA 92867
Phone: 714-997-1145 State Lic:S-005512
Designer:
Address:
Phone:
Special Conditions:
Glrc Havard lone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD 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:
m om
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $322.28
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: ET��:
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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 ir of the Busicant for
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 th
e property, or my employees with wages as their sole compensation, will do U all of or (-) portions
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu[
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of co
Improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 704
❑apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contrac
1 am exempt from licensure under the Contractors' State License Law for the following reason:
3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one
;ell a structure that I have built as an owner -builder if it has not bee ertytru'
cted in its en reby lice d contractors. I
'rofessions Code, is available upon request when this applicatio s s N tied �t th oil I
signature of Property Owner or Authorized Agent..
-ICENSED CONTRACTOR'S DECLARATION
hereby affirmllnaelownalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)
and effect. Licft6 Vass License No
R)M9ERS' tQMIbJENSATION DECLARATION Date
WRNWG: FAILURT?TeACURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEW
06.T D P COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm Lander penalty of perjury one of the following declarations:
}have and will m9intain a certificate of consent to self -insure for workers' compensation, issued by the Director
ynance of m : w ork for which this permit is issued. Policy No.
•lave and will ma stain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the I
S18ry ce carrierand policy number are:
vrric� • •e
Agent••
Policy Number
---- ••corm"-- ^- oin i wm [nI permit Is ued, I shall not employ any person in any manner:
hat, if I should become subfe o e ork om sa
R nrnvi OS of Section 3700 of the Labor Code, I shall forthwith
Signature of AoDhcant .�
-- r�wrvevrnUE U[Nb I NUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which
Ender's Name Lender's Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county n nces and st I s re ting to building construction.
I authorize representatives of this city or county e r I a s-
ignature of Property Owner or Authnri,Pd A�e„r party for inspection purposes.
the work, and the structure is not intended or offered for sale (Section 7044,
employees' or personal effort, builds or improves the property, provided that the
)letion, 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).
to completion of the improvements covered by this permit, I cannot
that a copy of the applicable law, Section 7044 of;he 2usiness and
Date
Division 3 of the Business and Professions Code, and my license is in full force
Contractor Signature
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
Industrial Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Expiration Date
as to become subject to the workers' compensation laws of California, and agre
)mply with those provisions. 3 /! �2�
Date i/�
permit is issued (Section 3097, Civil Code).
DATE BY v- DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL a
REGULATIONS PART61 OF TITLE 40 AND AQMD RULE FOR OFFICE USE ONLY
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PfRMIT CANCELLED
EE
EPA
PERMIT EXTENDED
QMD
PERMITFINAL
CERTIFICATEOF
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BESTOS NOTIFICATIOf`J�N/O3' A As TO
OCCUPANCYISSUED
PROPOSED DEMOLITIO,� �--