HomeMy WebLinkAboutX2022-1317 - Permits (3)City of Newport Beach - Building Division
*s, 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
1,
r.; �,;raa+`•> Combination Type - MFP
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSP C7
Construction Hours: Monday - Friday 7:00 a.m, to 6:30 p. and
Job Address: 3065 RIVOLI NB
Description: MFR REMOVE/REPLACE 24 SF OF 518" TYPE X GYP. BROAD IN 2,11HEN
Legal Desc.: `rJ
Owner:
NEWPORT BLUFFS LLC
Address:
PO BOX 2450
NEWPORT BEACH, CA 92658
Phone:
Applicant:
TRUAX JAY
Address:
206 112 ABALONE AVE
NEWPORT BEACH, CA 92662
Phone:
949-285-5594
Code Edit:
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R21U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
12
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Construction Valuation:
Building Permit Fee:
Plan Check Fee: 9.
Overtime Plan Ck�
Investigation Fee:
Record Management:
Energy Compliance:
CA Seismic Safety
Disabled Access
Hazardous Mat
Building Green Fee
PROCESSED BY:
Contractor: RE )rROPF,i CE
Address: 1 IMO R�/IA
TA(knA CA 92
Pho 1714-4%104 r^'
n State Lic: 1063
//.Bl�ls
08/31/202
BT3006 9
t '` 28 23
n n rance
EMPT g O EM . YE
Idi1`7
$1 i %E se Tax:% $0.00 Planning Del
J.� ditional ?,, ru $0.00 Plan check
0.00 Gradin onds`-e'.' $0.00 Fair Share
$0.0 Gra P on Itant : $&.Ai? SJH Tr
$6. ,n Gradi r eeIn-lie ou
$0.0 rading e: o! Publi orks
.00 Insp. ee: ,ter, $ 0�1 rk De'
$„' a"''-+�„r PNV P n
$0.0 e al%: , 0 San D' t:
$1.00 apical %e'' mac$ 00 NM S ee:
umbing %. $0.00
TOTAL FEE: $264.70
ZONING APPROVAL:
GRADING APPROVAL:
COMB Permit: X2O22-1317
Project No : 1217-2022
Issued Date: 05/09/2022
Inspection Area : 4
MUST OMPLETED BY OR PERMIT WILL BE INVAL
8:00 a.m. 6:00 p.m. No work on Sundays or Holidays
Architect: RAFT
Address: 5868
Phone: 714-2
Engineer:
Address
P onel
g si er:6
s O*ecial Con iong�
o�
GS RD
CA 92277
ate Lic:CO24225
/
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
nt -
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
�S
Plan eck F e • $147.70 Fee Due at Permit Issuance : $117.00
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 far the reason(s) indicated bcl'ow b hr
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demglish, or repaR r
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Licer�,s+¢'I.aw (Chapter 9
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violaticl elonection 7031.5 by any
not more than five hundred dollars ($500).
J I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all o
usiness and Professions Code: The Contractors' State License Law does not apply to an owner pf pei
nprovements are not intended or offered for sale. If, however, the building or improvement is within I
nproved for the purpose of sale). ,O\
I, as owner of the property, am exclusively contracting with licensed Contractors onstruct toe fee
pply to an owner of property who builds or improves thereon, and who contract_ the projectsMth a lic
I am exempt from licensure under the Contractors' State License Law a following reason:
'y my signature below I acknowledge that, except for my personal re " ce in which I st have re ed
ell a structure that I have built as an owner -builder if it has not by�r constructed i entiret by licensed
'rofessions Code, is available upon request when this 'as
�i� is submitte at th:01dT Web sde
'signature of Property Owner or Authorized Agent C
ICENSED CONTRACTOR'S DECLARATIO
checkmark(s) I have placed next to the applicable item(sj
/ structure, prior to its issuance, also requires the applicant for
mmencing with Section 7000) of Division 3 of the Business and
applicant for a permit subjects the applicant to a civil penally of
Is of the work,ti�the stru ure is not intended or offered for sale (Section 7044,
)ugh a �ly'la�i' or persona ffort, builds or improves the property, provided that the
cconto , the Owner 'Ide will have the burden of proving that it was not built or
T➢44, Busines d Professions de: The Contractors' State License Law does not
rector pur t to the Contractors' late License Law).
a e year prior to completion of the im ovements covered by this permit, I cannot le(
I understand that a copy of the applic le law, Section 7044 of the Business and
.Ieginfo.ca.gov/calaw.html.
Date
hereby affirm under penalty of perjury that I tensed n er visions of"CF ptef FL cc elrDing with Section 700 I D�1 3 of the Busines Prok
nd effect. License Class Dense IN 45;„ Date 7 & ontr%c^XAure
ARNING FAILURE TO SECURE WO s' C
OSTOFCOMPENSATION,OAM ASPRO
hereby affirm under Ity of prryeyr'.
I have and will intail1���'e`YtWWific
erformance of the w for9ich this
have and will maim n work cor
ranee carrier and poli num r are:
'ne of Agent It
certify that, in the performs a of
, if I should become s feet t he
iatureof Applican __
- T COVERA IS UNLAWFUL, AND SHALL SUBJEC1,0466PLOYER TO CRIMINAL PENALTIES AND CIV�'�ry{1 ES TO ONE HUNDRED
1 SECTION 3 OF THE LABOR CODE, INTEREST ATTORNEYS FEES. A
of the {ng 444444�clarations
t: r 1, oo,,
of co nt to,self insure for workers' compenfssued by the D�i g�Ctpo,tgdrUstnaLFJffons as provi fol
It Is 1 ed. ley No. �`� yj4®�' \(.5 ,wp
at,onvI urance os required by Sec'Ion 3700 of the La ACE, )the ance of the w �r�1N tIMT I:
hereby affirm unde(penalty of perjuryjllat there is a
ender's Name \\
y my signature below, I certify to each o e fell
I am the property owner or authorized t ct 0 tt
I have read this application and the infer tion
I agree to comply with all applicable city a tour
I authorize representatives of this city or cou t,
of ProDertv Owner or Authorized
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
I DATE I BY
*party o"Fs behalf.
is provided is correct.
ordinances and statda
pYoy any person in any
the Labor Code, I shall
rforma of the we
's Tess
q ing construction.
inspection purposes.
WITH CODE OF FEDERAL
40 AND AQMD RULE
ASBESTOS NOTIFICATION TO
ISNOTAPPLICABLE TO
and my license is in full force
($100,000), IN ADDITION TO THE
of the Labor Code, for
is issued. My workers'
o as to b m ject to the workers' compensation)aws o alifornia, and agre
coin wit ose provisions. 7. �+ n
DatAl J /7
this permit is issued (Section 3097, Civil Code).
FOR OFFICE USE ONLY
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