HomeMy WebLinkAboutX2022-0736 - PermitsCity of Newport Beach - Building Division *X2022-0736* COMB Permit: X2022-0736
A ` 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0656-2022
-sPermit Counter Phone (949)644-3288
j, Inspection Requests Phone (949)644-3255 Issued Date: 03111/2022
Combination Type - MFP 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 orpolidays
Job Address: 1755 SHERINGTON PL NB
Description: MFR - (3) DECK REPAIRS 270 SF TOTAL WS303, WS307, WS311 '.�,
Legal Desc.: P BK 15 PG 36 PAR 2°"= _
Owner: CORONADO SOUTH APTS Contractor: A A A RESTORATION INC Architect: ROMERO CESAR\s¢" `
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Address: 1745 SHEA CENTER DR #200 Address: 29850 2ND STREET Address: 17162 GOTHARD ST
HIGHLAND RANCH CA 92532 LAKE ELSINORE CA 92532 HUNINGTON BEACH, CA 92647,„
Phone: 951/609-4637 Phone: 951-579-0724 Phone: 714-465-5200 State Lic:C030884 F e.
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:
Added /New sq. ft. Garage:
No of Stories: 3
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Con State Lie:
834839
Engineer:
Lie Expire:
03/3112022
Address:
Bus Lic:
BT30066985
Lie Exp Date:
10131.12022
Phone:
Worker's Compensation
Insurance
Designer:
Carrier:
TWINµCITY FIRE INS CO
Address:
Policy No:
72WEAAC9XAX
Expire:
0410112022
Phone:
Building Setbacks
ORTIZ ROBERTO ....
1744 W KATELLA AVE °uaa••
ORANGE, CA 92867
714-997-1145 State Lic:S-005512 •° ° °
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Rear: I Special Conditions
Front: /
Left: /
Right: /
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tion Valuation: $5,500.00
Permit Fee: $178.00
Excise Tax:
$0.00
Planning Department -
$52.00
Fire Department
Fire Inspection:
$0.00
ck Fee: $154.86
Additional Fee :
$0.00
$0.00
Plan check Fee :
Fair Share : $0.00
Fire Plan Rev
$0.00
Plan Ck: $0.00
$0.00
FF
Grading Bonds Fee:
Grading PC Consultant :
$0.00
SJH Trans : $0.00
Demolition Fee
tion Fee:
anagement : $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee : $0.00
Building Dept Adm
$0.00
$0.00
ompliance: $0.00
Grading PC Fee:
$0.00
Public Works Department-
$0.00
General Service
Refund Deposit
$0.00
mic Safety : $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
PNV Plan Check: $0.00
Grading Bond:
$0.00
Disabled Access: $0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
TOTAL FEE : $385.86
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$385.86
PUBLIC WORKS APPROVAL:
PROCESSED BY:
PLAN CHECK BY:
ZONING APPROVAL:
APPROVAL TO ISSUE:
GRADING APPROVAL:
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 appHLant for
he 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
'rofessions 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
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of Tie work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
Tlprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp`etion, the Owner -Builder will have the burden of proving that it was not built or
reproved for the purpose of sale).
J I, as owner 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
pply 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).
1 am exempt from licensure under the Contractors' State License Law for the following reason: II
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfb.ca.gov/calaw.htmi. 'signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm lllidei- malty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) f l 'ion 3 of the Business and Professi d nd
nd effect. LicehSA Class License No is full force
Date l 'L.'— Contractor Signature
MWERS' CQMPENSATION DECLARATION
ARNIIIG: FMLUFIE'TOSTCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENAL
DST OACOMPENSAiION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
iereb y affirm .1der penalty of perjury one of the following declarations:
....
}ed for by Section 3700 of the Labor Code, for
as provided `b�ve and will m;intain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relationsidth
jf ante of t91a ak forwhich this permit is issued. Policy No.
have and will mafitain 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' compensatio
se carrier'and policy number are:
of Agent "
;Artify that, N tfle Performance of the work for which this permit is issue/da� shall
if I should become subject to the workers' compensation provisions.,efl2€ctien :
Policy Number
in
ignature of Applicant
IECLARATION REGARDING CONSTRUCTION LENDING
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
y 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 o ant reds la rel n D building construction.
I authorize representatives of this city or county t ' n ova= of inspection purposes.
ignature of Property Owner or Authorized Agent arty Owner's or Autl
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMITEXTENDED
QMD
PERMITFINAL
CERTIFIC4TEOF
(
ASBESTOS NOTIFICA ION IS N P E TO
I����3
PROPOSED DE MO TIO(�j
OCCUPANCYISSUED
..110
Date
as to become subject to the workers' compensatio laws of California, and agre
Imply with those provisions.
Date2�—
permit is issued (Section 3097, Civil Code).
FOR OFFICE USE ONLY
Name
Date