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Home My WebLink AboutX2018-2795 - PermitsrNrp4� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-2795 ot� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 2 7 9 5 Project No : 2232-2018 ti Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 Combination Type - MFP Issued Date: Area : 2018 �LIyUL � Inspection Area 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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 Sunday ,0#8Jt� Job Address: COLONY PLZ NB MFR T2 Description: MFR - R/R 5'8" TYPE X GYP BOARD IN KITCHEN. R-13 INSULATION IN EXT WALL „ �� Legal Desc.: V l 6 Owner: THE IRVINE CO Address: Ill INNOVATION IRVINE CA 92612 Phone: Applicant: TRUAX JAY Address: 206.5 ABALONE AV BALBOA ISLAND CA 92662 Phone: 949-285-5594 Code Edit : 2016 Type of Construction: V-A- SPR Occupancy Group: R2/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 5 No of Units: 1 Bldg Height: 1 Bldg Sprinklers: Y Building Permit Fee: $97.00 Plan Check Fee: $84.39 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $223.89 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: NATIONAL RENOVATION INC Architect: RANIER] RANDY Address: PO BOX 78810 Address: 206 112 ABALONE AVE CORONA CA 92877 NEWPORT BEACH CA 92662 Phone: 909-923-2077 Phone: 714-296-5502 State Lic:CO24225 Con State Lie: 956793 Engineer: Lie Expire: 01/3112019 Address: Bus Lie: BT30062023 Lie Exp Date: 01131/2019 Phone: State Lie: Worker's Compensation Insurance Designer: Carrier: ARCH INSURANCE CO Address: Policy No: ZAWC12536801 Expire: 0910112019 Phone: Building Setbacks Use 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: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Special Conditions: Planning Department - Plan check Fee: Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P1W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $37.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: A nnno� 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $121.89 Fee Due at Permit Issuance : $102.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 4_ APPROVAL TO ISSUE: 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 Ie 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that 1t was not built or nproved for the purpose of sale). 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). 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 one year prior to completion of the improvements covered by this permit, I cannot Iegall) 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 Cooe, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. isr.a:ure of Property Owner or Authorized Agent Date .ICENSED CCIJ-ZACTOR'S DECLARATION h^.reb, affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Ision 7000 visio of the Bu ' and Profession icense is in full force nd erfect. License C'ass License No to r ctor Signature ✓ORKER& COMPENSATION DECLARATION ARNING: FAILURE TO 3ZCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE JLT CF COMPENaA'dON, JAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. F.crJLy affirm under penalty of perjury one of the following declarations: have 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 vnynce of the wum for which this permit is issued. Policy No. and wi;; rr.a:ntain 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' Barrier and policy number are: Policy Number of Agent Date ertify that, in the performance of the Is permit is issued, I shall not employ any person in any manner so as to become subject to if I;1wuLd become subject to the a sat provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisk )ECLAWRI6N-RE@A'RDING CON T 2e' LENDING AGENCY hereby affirm under penalty of perj t at th a is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 c rect. I agree to comply with all applicable city and county ordmanc a s e laws relating to building construction. I authorize representatives or county to enter th - Ed property for inspection purposes. //(A� _ �ionature of Prooertv Owner or ut�hhc ' ed Acent -i Print ProDertv Owner's or Authorized nt's Name A,. //4 �VA California, and ACTION DATE BY D (j✓�11�'NCOMPLIANCE WITH CODE OF FEDERAL R U N P RT 610F TITLE 40 AND AQMD RULE FOR OFFICE USE ONLY `yJ 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED QMD PERMITFINAL q r9 ( ASBESTOS NOTIFICAT I PLICABLE TO CERTIFICATE OF �� PROPOSED DEMOLITIO OCCUPANCY ISSUED • SIGNATURE: