HomeMy WebLinkAboutX2022-0735 - PermitsCity of Newport Beach -Building Division
d 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
-;; Inspection Requests Phone (949)644-3255
Combination Type - MIFF
*X2022-0735* COMB Permit: X2022-0735
Project No : 0656-2022
Issued Date: 03/11/2022
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0311112025 OR PERMIT WI
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: 1815 SHERINGTON PL NB
Description: MFR -(4) DECK REPAIRS 360 SF TOTAL VS307, VS308, VS311, V3312
Legal Desc.: P BK 15 PG 36 PAR 2
Owner:
CORONADO SOUTH APTS
Address:
1745 SHEA CENTER DR #200
HIGHLAND RANCH CA 92532
Phone:
9511609-4637
Applicant:
A A A RESTORATION INC
Address:
29850 2ND STREET
LAKE ELSINORE CA 92532
Phone:
951-579-0724
Code Edit:
2019
Type of Construction:
VB
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
Flood Zone:
X
Construction Valuation: _$
Building Permit Fee: $212.00
Plan Check Fee: $184.44
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: $449.44
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 Lie:
834839
Lie Expire:
03/31/2022
Bus Lie:
BT30066985
Lie Exp Date:
10/3112022
Worker's Compensation Insurance
Carrier: TWIN CITY FIRE INS CO
Policy No: 72WEAAC9XAX
Expire: 04/01/2022
Building Setbacks
Zone:
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: /
arking 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:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
ROMERO CESAR
17162 GOTHARD ST
HUNINGTON BEACH, CA 92647
714 465-5200 State Lie C030884
ORTIZ ROBERTO
1744 W KATELLA AVE
°°°•
0 0
oo•o
ORANGE, CA 92867
714-997.1145 State Lic:S-005512
•
Special Conditions:
Fire
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:
o •
0
oa0000
•
•
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $449.44
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
. °
000•oo
a •
o•oao
°
oo•••
a000a•
o •
° •
oa0000a
•
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 Bivisien 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).
U I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of t
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through (
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor
❑ 1 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 y
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I unI
Professions Code, is available upon request when this application is submitted or at the following Web site:http://Www.legini
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
hereby affirm uoldarpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)
andeffact. Lirense Flass License No Date
JOVERS' �COiIaRENSATION DECLARATION
VARNINe: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALT
:OST BF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Ivrdby affirmvmdeRpenalty of perjury one of the following declarations:
work, and the structure is not intended or offered for sale (Section 7044,
ployees' or personal effort, builds or improves the property, provided that the
on, the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
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 the Business and
3 of the Business and
2.- Contractor Siqna
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE
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
ice oT?ft*&rk for which this permit is issued. Policy No.
and wi14 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' compensa.
carrier and policy number are:
ne of Agent.
• ,
certify that,SlT the performance of the work
, if I should become subject t _ rker;'
iature of ADolicant
Policy Number Expiration Date
I shall not employ any person in any manner so as to become subject to the workers' compensatio laws of California, and agre
.ction 3700 of the Labor Code, I shall forthwith comply with those provisions. /
Date lit 22_
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 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/end stat relati building construction.
I authorize representatives of this city or county to a a11v4e-id I �'
Jl�� p inspection purposes.
iana}ure of PrnncAv n,.,,,ar — e, ah,..hva n......a / _
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE
_ 1403
SUBMITTED ASBESTOS NOTIFICATION TO
TO
permit is issued (Section 3097, Civil Code).
vners or Authorized AD
FOR OFFICE USE ONLY
't�� Date :ZV�(