HomeMy WebLinkAboutX2018-2973 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-2973
100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 e 2 9 7 3 Project No : 2356-2018
H _ Permit Counter Phone (949)644-3288
u - m Inspection Requests Phone (949)644-3255
Issued Date: 10/0412018
Combination Type - MFP Inspection Area : 9�
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: l��ys
Job Address: 7201 SAN JOAQUIN PLZ NB
Description: MFR REPAIR DRYWALL @ THE KITCHEN CEILING
Legal Desc.:
Owner: VILLAS ATE FASHION ISLAND LLC
Contractor:
NATIONAL RENOVATION
INC Architect: RANIERI RANDY
Address: 2 SAN JOAQUIN PLZ
Address:
PO BOX 78810
Address: 206 112 ABALONE AVE
NEWPORT BEACH CA 92660
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: 206 112 ABALONE AVE
Lie Expire:
0113112019
Address:
NEWPORT BEACH CA 92662
Bus Lie:
BT30062023
-
Phone: 714-296-5502
Lie Exp Date:
01131/2019
Phone: State Lie:
Code Edit: 2016
Workers Compensation Insurance
Designer:
Type of Construction: V-A- SPR
Carrier:
ARCH INSURANCE CO Address:
Occupancy Group: R2IU
Policy No:
ZAWC12536801
Added /New sq.ft. Bldg: 0
Expire:
0910112019
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 4
Building Setbacks
Rear: I
Special Conditions:
No of Units: 1
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers: Y
Right: /
Flood Zone: X
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
PNV 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:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat 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).
11, 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,
Iusiness 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
n 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
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:
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:/Aw .leginfo.ca.gov/calaw.html.
'signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of ivisi 3 of the Business and Profe ns C } ense is in full force
nd effect. License Class License No Da Contractor Signatu
VORKERS' L:OMPENSATION DECLARATION
'ARNIN(+: FAILURE T7 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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
jpr.nance of the wo,k for which this permit is issued. Policy No.
and Y'i'I 7aintain 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'
carrier and policy number are:
Policy Number Expiration Date
Jame or Agent Phone #
31 certify that, in the perform ce of the *io
permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensa 'on laws of California, and agree
hat, if I Should bc;cc,i.a sub' ct to the rkprovisionsof Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date
]ECLARATION REG RDING CONS L DING AGENCY
hereby affirm under penalty of pedur7lhat there 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
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 is c
I agree to comply with all applicable city and county ordinanc laws relating to building construction.
I authorize representatives of this city or county to an the 6-property for inspection purposes.
signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name //t?� ✓�/arDat
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART fit OF TITLE 40 AND AQMD RULE
SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
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PERMIT EXTENDED
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CERTIFICATEOF
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OCCUPANCY ISSUED
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SIGNATURE: