HomeMy WebLinkAboutX2018-1529 - Permits,Qatv�4 City of Newport Beach - Building Division
04 100 Civic Center Drive, Newport Beach, CA 92660
N y' Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC PLUM
'X2018-1529'
COMB Permit: X2018-1529
Project No : 1077-2018
Issued Date . �0�126/2A
Inspectlo4rea : 8 y"A iR'
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 Address: 2400 NAPLES NB
Description: MFR - BLDG 6C - ADD LED CAN LIGHTS & WASHER/DRYER
& REMODEL BATHROOMS
TO UNITS 2400 - 2415 d' RG,rno9@L. KYrGliENS
Legal Desc.: TR 12309 LOT 2 FOR OF LOT
Owner: IRVINE COMPANY
Contractor:
R B C I INC
Architect: LAWRENCE MARKEL GREGOR
Address: 550 NEWPORT CENTER DR
Address:
1121 E ELM AVE Address: 5865 OWENS DR
NEWPORT BEACH, CA 92660
FULLERTON CA 92831 PLEASANTON CA 94588
Phone: 949-720-2828
Phone:
714-758-8804
Phone: 925-251-7200 State Lic:CO23921
Applicant: MILLARD CHRIS
Can State Lic: 867627
Engineer:
Address: 550 NEWPORT CENTER DR
Lie Expire:
1113012019
Address:
NEWPORT BEACH, CA 92660
Bus Lie:
BT30023089
Phone: 949-720-2828
Lie Exp Date:
0212812019
Phone: State Lie:
Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V-B
Carder:
CYPRESS INSURANCE Address:
Occupancy Group: R21U
Policy No:
RBWC912596
Added /New sq.ft. Bldg: 0
Expire:
01/24/2019
Phone:
Added /New sq. ft. Garage: 0
,
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions:
No of Units: 12
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
'
Construction Valuation: $180,000.00
Building Permit Fee: $1,496.00
Excise Tax:
$0.00
Planning Department - Fire Department
'
Plan Check Fee: $0.00
Additional Fee :
$53.72
Plan check Fee : $37.50 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00 Fire Plan Rev
.'$'Gt�C
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00 Demolition Fee
Record Management: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee : $0.00 Building Dept Adm
$24:00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department - General Service
$197.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit
$564.00
Disabled Access : $0.00
PAN Plan Check: $0.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$104.65
San Dist: $0.00
Building Green Fee : $8.00
Mechanical W
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$134.55
$0.00
TOTAL FEE : $2,618.42
Plan Check Fee
: $378.74 Fee Due at Permit Issuance :
$2,239.68
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
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
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 U all of or U 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
improved 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).
❑ I 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 year prior to completion of the improvements covered by this permit, I cannot legally
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.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 )pf !vision 3 of the Business and Proles ohs Code, and my license is in full force
and effect. License Class License No Date b yd(-i Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSAaU:, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm unr e.. p3nalty of perjury one of the following declarations:
n 1 havq and vdll mairtain 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
performance of the wink for which this permit is issued. Policy No.
'hsva and will 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
Trance carrier Prd po'icy number are:
Policy Number
cf Agent
Date
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre,
i, iS I should become gllbject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant P n^� Date_ V
CLAPATION PELF ING CONSTRUCTION LENDING AGENCY I�1
;reoy affirm undder p6 salty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
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 courV ordinances and state laws relating to building construction.
I authorize representatives of this city or county topriter th� 7a�o�ve-Identified property for inspection purposes. fig
T p /
nature of Prooertv Owner or Authorized Agent / v Print Property Owner's or Authorized Agent's Name J 9^q'�^� / "�YJA r 1(� C-T;-r)ate d Ci 4
ACTION DATE BY V DECLARATION OF II REGULAT ONS PART 1 O TCOMPLIAIITLE 40 AND AQMD RULECE WITH CODE OF
FOR OFFICE USE ONLY
PERMIT EXPIRED i 1 1 LIIS rl-'rED ASBESTOS
PERMITCANCELLED EPA
PERMITFINAL AESTOS
OEM IIFICA ON IS NOT APPLICABLE TO
CERTIFICATE OF
OCCUPANCY ISSUED SIGNATURE: ���