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Home My WebLink AboutX2019-1568 - Permitswi> City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIII II COMB Permit: X2019-1568 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 5 6 e Project No: 1118-2019 Building Permit Feer Permit Counter Phone (949)644-3288 Excise Tax: $0.00 Planning Department - ar Inspection Requests Phone (949)644-3255 Plan Check Fee: $0.00 Additional Fee: $1,573.16 Issued Date : 2019 $0.00 ;e*r e exm .0 Combination Type.- SFP $0.00 Overtime Plan Ck $0.00 Grading Bonds Fee: $0.00 - Fair Share : Area Inspection Area : 2 Fire Plan Rev $0.00 Investigation Fee: - $0.00 Grading PC Consultant : PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. SJH Trans : $0.00 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 $0.00 Job Address: 33 EBB TIDE CIR NB $0.00 In -lieu Housing Fee: $0.00 .Building Dept Adm Description:. SFR - REMOVEIREPLACE DRYWALL, ELEC, MECH, PLUM AND REPAIR ROOFING, DECKINGS, AND BALCONIES. REMODEL KIT AND BATH Energy Compliance: LegalDesc.: Grading PC Fee: $0.00 000® General Service $0.00 CA Seismic Safety: $0.00 Owner: CHOI CHRISTINE Contractor: RINNOVO GROUP INC Architect: Refund Deposit Address: 33 EBB TIDE CIR Address: 1512 EUREKA RD, STE 201 Address:. $0.00 -- NEWPORT BEACH CA 92663 ROSEVILLE CA 95661 Grading Bond: $0.00 Phone Phone. 918-826-1639 Phone: State Lie: $0.00 San Dist: $0.00 oo Applicant SOCOLEAN DENNIS Con State Lie: 948666 Engineer. Mechanical %: $0.00 Address: 1512 EUREKA Lie Expire: 06/3012020 Address: $0.00 ROSEVILLE CA. 95661 Bus Lie: BT30066832 Plumbing %: 000pom "e .n Phone: 916-826-1839 Lie Exp Date: 0413012020 Phone: State Lie: �, 1 6• o ° o Plan Check Fee: $1,538.16 Fee Due at Permit Issuance : o Fo oo°°° Code Edit -. 2016 Compensation Insurance Worker's Comp Designer: SOCOLEAN DENNIS g c o o ° o Type of Construction: V -B -SPR Carrier: STATE COMP INS FUND Address: 1512 EUREKA 11 Occupancy Group: R3/U Policy No: 9065843 ROSEVILLE CA 95661 Added /New sq.ft. Bldg: '0 Expire: 08/01/2019 Phone:. Added/New sq. B. Garage: 0 No of Stories: 3 Building Setbacks Rear: / .Special Conditions: No of Units: 1 Front: i Bldg Height:. 0 Left: / Bldg Sprinklers: Y Right: / Flood Zone: X Use Zone: Parking Spaces:.' 0 Fire Hazard Zone : N Construction Valuation: $u.uu Building Permit Feer $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee: $1,573.16 Plan check Fee : $0.00 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: $0.00 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 : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 .$0.00 TOTAL FEE : $1,573.16 Plan Check Fee: $1,538.16 Fee Due at Permit Issuance : $35.00 PROCESSED BY: _ - PUBLIC WORKS APPROVAL: ZONING APPROVAL: L 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) ction 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 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 cessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 rovements 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 roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors toconstructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ly to an owrje'"prpperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I arp exempPfroV licensure under the Contractors' State License Law for the following reason: wyaignature belbtel 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 legal a sfructureihat 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 fes'sfons Code,.is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. iature of Progerty Qwner or Authorized Agent Date ENSSED CONTRACTOR'S DECLARATION re4y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 1 is' ry of the Business and2RED s' od /3nd my license is in full force. ,affect. Licease.6ress License No Date C Contractor Sign IRKtRS' COMPENSATION DECLARATION NING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUHOUSAND DOLLARS ($700,000), IN ADDITION TO THI f OFCOMPEN§RQr1gI1.QAMAGES AS PROVIDED FOR IN SECTION 0105 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .. y affirm under pBnalty of perjury one of the following declarations: J have and velli rnamlain a certificate of consent to self -insure for workers' compensation, formance of tlfe %Mrk for which this permit is issued. Policy No. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 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' carrier and policy number are: Policy Number of Agent Date �I certify that, in the performance of a wor which this per n in any manner so as to become subject to the workers' c mpensation laws of California, and agre rat, if I should become su ec t wo rs' mpe provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Date IECLARATION REGAR ING CONSTRUCTION LENDING AGENCY hereby affirm under pe Ity 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). - ender's Name Lender's Address 'y 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. �r- I have read this application and the information I have provided is correct. y'� V i I agree to comply with all applicable city and county rdinan rid sta ws relating to building construction. I authorize representatives of this city or county to n r ve ' ntified property for inspection purposes. .✓/) �/% innRture of Pronerty Owner or Aued fhnrizADent Print Prooertv Owner's or Authorized Aaent's Name / ! 111M L to ACTION DATE BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ( REGULATIONS PART 61 OFTITLE 40AND AQMD RULE / 1403 PERMITEXPIRED I I LJ I SUBMITTED ASBESTOS NOTIFICATIONTA PERMIT EXTENDED LJAQMD PERMITFINALSBESTOS TIFI ISNOT CERTIFICATE OF PRO Q ) OLI OCCUPANCYISSUED //r/ SIGNATURE•