HomeMy WebLinkAboutX2018-2991 - Permitsr�Nhopr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2018-2991
.t 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 2 9 9 1 Project NO : 2370-2018
ti '+ Permit Counter Phone (949)644-3288
v m Inspection Requests Phone (949)644-3255
Combination Type - MFP Issued Date: 1010412018
Inspection Arga : �'
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 Ho
Job Address:
2313 SAN JOAQUIN PLZ NB
Description:
MFR - RIR 5/8" TYPE X GYP BOARD IN BATHROOM CEILING
& WALL. R-13 INSULATION AS REQUIRED ��
Legal Desc.:
Owner:
THE IRVINE CO Contractor:
NATIONAL RENOVATION INC Architect: RANIER] RANDY
Address:
Ill INNOVATION Address:
PO BOX 78810 Address: 206 1/2 ABALONE AVE
IRVINE CA 92612
CORONA CA 92877 NEWPORT BEACH CA 92662
Phone:
Phone:
909-923-2077 Phone: 714-296-5502 State Lic:CO24225
Applicant: TRUAX JAY
Con State Lie:
956793
Engineer:
-
Address: 206.5 ABALONE AV
Lie Expire:
01/3112019
Address:
BALBOA ISLAND CA 92662
Bus Lie:
BT30062023
Phone: 949-285-5594
Lie Exp Date:
0113112019
Phone:
State Lie:
Code Edit: 2016
Workers Compensation Insurance
Designer:
Type of Construction: V-B
Carrier:
ARCH INSURANCE CO
Address:
Occupancy Group: R2
Policy No:
ZAWC12636801
Added /New sq.ft. Bldg: 0
Expire:
09101/2019
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 5
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: $800.00
Building Permit Fee: $104.00
Excise Tax:
$0.00
Planning Department
-
Fire Department
Plan Check Fee: $90.48
Additional Fee :
$0.00
Plan check Fee:
$40.00
Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
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
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department
-
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical%:
$0.00
San Dist:
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $239.48
? )
Plan Check Fee :
$130.48
Fee Due at Permit Issuance :
$109.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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, prior to its issuance, also requires the applicant for
IS 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).
1, 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,
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 it 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 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, 1 cannot legal])
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. leginfo.ca.gov/calaw. html.
ignature of Property Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm '!rde� p^nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70O B of i ' of the Business and Professions Cod y i ns is in full force
nd effect. License Class License No Dat Contractor Signature
1ORKERS' COMPENSATION DECLARATION
N.".RNIPS: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE
JOLT OF -OMPENSAT:ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm ur.ds: penalty of perjury one of the following declarations:
711 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 th
n rformance of the work for which this permit is issued. Policy No.
zve 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' compensatiol
39re carrier and policy number are:
,amer Policy Number Expiration Date
N]m: c`Agent Phone #
❑Lcertify that; in she performs a of the work Ich th' 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
that, if I should become subj to thew C ns Ion provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
Signature of Applicant Date_ G
DECLARATION REGARDING CON NDING AGENCY
hereby affirm under penalty of per t a there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lenders Address
By 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 1 have provid orrect.
I agree to comply with all applicable city and county Fdi nce d to laws relating to building construction.
I authorize representatives of this city or county enter a de tified property for inspection purposes.
Signature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name A V U Da
ACTION DATE BY DEC ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART fit OF TITLE 40 AND AOMD RULE
PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EIEPA
PERMIT EXTENDED QMD
PERMITFINAL ZWAe ASBE5T05NOTIFICATION BLE TO
CERTIFICATE OF , c^.:a PR POSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: