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Home My WebLink AboutX2018-2333 - Permits (3)City of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111111COMB Permit: X201 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 2 3 3 3 Project No : 1848-2018 Permit Counter Phone (949)644-3288 sp Inspection Requests Phone (949)644-3255 Issued Date :0810612018 Combination Type - MFP Inspection Area : 2 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 Sundays or Holidays Job 325 E PROMONTORY DR INS Lescr Desc.:. MFR BATHROOM CEILING REPAIR (WATER DAMAGE) INIF-7irCTO Legal Desc.:�,p,y Owner: PROMONTORY POINT APARTMENTS LLC Contractor: NATIONAL RENOVATION INC Architect: RANIERI RANDY Address: 171 PROMONTORY DR W Address: 15650 EL PARDO RD Address: 206 112 ABALONE AVE NEWPORT BEACH, CA 92660 CHINO CA 91710 NEWPORT BEACH CA 92662 Phone: Phone: 909-923-2077 Phone: 714-296-5502 State Lic:CO24225 Applicant: TRUAX JAY Con State Lic: 956793 Engineer: Address: 206 1/2 ABALONE AVE Lie Expire: 01/3112019 Address: NEWPORT BEACH, CA 92662 Bus Lie: BT30062023 Phone: 949-285-5594 Lie Exp Date: 01/3112019 Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: ARCH INSURANCE CO Address: Occupancy Group: R2/U Policy No: ZAWC126368 Added /New sq.ft. Bldg: 0 Expire: 091011201E Phone: Added Mew sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units: 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $1,200.00 Building Permit Fee: $97.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $84.39 Additional Fee : $0.00 Plan check Fee : $37.50 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $4.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service CA Seismic Safety: $0,00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: Hazardous Mat $0.00 Electrical W $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $223.89 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $121.89 Fee Due at Permit Issuance : $102.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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, priorto 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 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). ❑ 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, Business 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 improvements 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 it was not built or Im roved 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 apply 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''underih'e 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 year prior to completion of the improvements covered by this permit, I cannot legalll sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. Signature of Property Owner or Authorized Agent Date LICENSED CLIA RACTOR'S DECLARATION I herebv affirm und.,l penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ion 70 n ivion 3 of th?nt in s and Profess TI y license is in full force and eifdct. Liccns; Class License No D Cgnature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE ".O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES AND CIVIL FINTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I' hereby affirm under penalty of perjury one of the following declarations: 0 1 have and A,T 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 thi p6rjaw. apce cf the work for which this permit is issued. Policy No. Ave and Mi. 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' compensatio au ranee carrier and policy number are: ;grrier Policy Number Expiration Date J,gme of Agent _ _ Phone # :1I certify that,iIn )lie performance of th which this permit is issued, I shall not employ any person in any manner so as to become subject to thew rkers' compen alien laws of California, and ogre hat, if I should become subject tMC mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3ignat e o ant JEC N REGARDINGON LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 , Civil Code). -ender's Name Lender's Address 3y 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' Tact. I agree to comply with all applicable city and county ordina as a d tate laws relating to building construction. I authorize representatives of this city or county o enter -i entified property for inspection purposes. Signature of Property Owner or Author' d A e / Print Property Owners or Authorized Agent's am Ui/bJ ZOt to ACTION DATE BY C ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 777 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 17 1403 PERMIT EXPIRED U 15UBM ITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMITEXTENDED QMD PERMITFINAL DA.�- SBEST NOT IF PLICABLE TO CERTIFICATE OF -S�ti c"-^ R D MOLI OCCUPANCY ISSUED F,. slc i