HomeMy WebLinkAboutX2019-2262 - Permitsas City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
COMB Permit: X2019-2262
* 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9
Permit Phone
2 2 6 2 Project No: 1625-2019
- H + Counter (949)644-3288
v : Inspection Requests Phone (949)644-3255
0
-
aZrraR'b Combination Type - SFP.ELEC MECH PLUM
Issued Date : 09/19/2019
Inspection Area : 2
PERMITS EXPIRE 980. 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: 77 EBB TIDE CIR NB
Planning Department-.
Description: BFR -RIR STUCCO AND TILE, CHANGE OUT WINDOWS, RIR DRYWALL, ELEC, MECH, PLUM, WINDOWS,
REPAIR ROOFING, DECKING AND BALCONIES. REMODEL KIT AND
BATH.
Legal Desc.:
Owner: MICHAEL Contractor. RINNOVO GROUP INC
.°ae
Architect:
CARUSO
Additional Fee :
Address: 77 EBB TIDE CIR Address: 1612 EUREKA RD, STE 201
e °
Address: kip
` NEWPORT BEACH CA 92663 ROSEVILLE CA 95661
° °
Phone: Phone: 918-826-1639.
Phone: State Lie: °
Applicant: SOCOLEAN DENNIS Con State Lica 948665 -
Engineer: °OO°®
Address: 1512 EUREKA Lie Expire: 06130/2020
Address:
ROSEVILLE CA 95661 Bus Lie: BT30066832. -
m -.•°Oe eaeoo
Phone: 916.826-1639 Lie Exp Date: 0413012020
Phone: State Lie:
Fire Plan Rev
°
Code Edit `. - 2016 Worker's Compensation
Designer SOCOLEAN DENNIS . o
.Insurance
Type of Construction: V -B Carrier: - STATE COMP INS FUND
Address: 1512 EUREKA RD STE 210
Occupancy Group: R31U Policy No: 9065843
ROSEVILLE CA 95661
Added/New sq.ft.. Bldg: 0 Expire: 0 8101/2 01 9
Phone: 916-941.5498
Added /New sq. ft. Garage: 0
No of Stories: 3 Building Setbacks Rear: I
Special Conditions: GREENLEAF TO
No of Units : 1 Front: I
HAUL DEBRIS
Bldg Height: 0 Left:
In -lieu Housing Fee :
Bldg Sprinklers:. Y Right:
$0.00
Flood Zone: X Use Zone: Parkine Soaces: 0
Fire Hazard Zone : N
TOTAL FEE: $4,452.76
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:.
Plan Check Fee :
$0.00 Fee Due at Permit Issuance : $4,452.76 -
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
Building Permit Fee: $1,768.00
Excise Tax:
$0.00
Planning Department-.
Fire Department
Plan Check Fee: $1,538.16
Additional Fee :
$0.00
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
$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
$664.00
Disabled Access:
$0.00 -
PAN Plan Check:
$0.00
Grading Bond:.
$0.00
Hazardous Mat
$0.00.
Electrical %:
$123.76
San Dist;
$0.00
Building Green Fee :
$8.00
Mechanical %:
$70.72
NMUSD Fee:
$0.00
$0.00
Plumbing%:
$159.12
$0.00
TOTAL FEE: $4,452.76
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:.
Plan Check Fee :
$0.00 Fee Due at Permit Issuance : $4,452.76 -
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
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 sheds 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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (,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). _
❑ 1 am exempt Mddi Jicensure under the Contractors' State License Law for the following reason:
By mygignaturcfifelaw 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 legalll
MI"structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044of the Business and
Professions 054%,%Svailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
%ndtpre of Property Owner or Authorized Agent Date
LICENSED CQNTRACTOR'S DECLARATION
tljeft affirm endespenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Divisio 3 of the Business and Prof sions Code, and my license is in full force
and®ffect. License Class License No Date Contractor Signatur /1
IYORrERS466MFIENSATION DECLARATION 7
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
PP%T.gF COMPENSATION, DAMAGES AS PROVIDED. FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES
Rere6y affirm p9$ ,rpenalty of perjury one of the following declarations:
2m1 -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 the
oo�ormance Offle 4rk for which this permit is issued. Policy No.
...
I have 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' compensation
ns arca carrier and policy number are:
Darner Policy Number Expiration Date
Vame of Agent Phone #
JI certify that, in thepert rman'a 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
.hat, if I should become bject to workers' compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions..
signature of Applicant Dale ��6%�(.�
)ECLARATION REG DING CONSTRUCTION LENDING AGENCY
hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 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 theL
er's behalf.
I have read this application and the information I hs correct
I agree to comply with all applicable city and countand state laws relating to building construction.
I authorize representatives of this city or county to ve-identified property for inspection purposes.r��3i nature of Property Owner or Authorized Agent- Print Pro art Owner's or Authorized A ent's Nam � P��n Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMITFINAL CERTIFICATE OF rlh I_ .e/L OP06ED D8MOLFIT®NION IS NOTAPPLICABLE TO