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Home My WebLink AboutX2019-2251 - Permits1a City of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111111111111x COMB Permit: X2019-2251 >b - 100 Civic Center Drive, Newport Beach, CA 92660 2 0 1 9 2 7 5 1 H _ Permit Counter Phone (949)644-3288 Project No : 1625-2019 xi : ✓a Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date : 09119/2019 ' - Inspection Area : 2 PER 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: 66 EBB TIDE CIR NB Description: SFR - RIR STUCCO AND TILE, CHANGE OUT WINDOWS, R/R DRYWALL, ELEC,MECH, PLUM, WINDOWS, REPAIR ROOFING, DECKING BATH AND BALCONIES. REMODEL KIT AND Legal Desc.: k, R Owner: AGHA KHAN DENNIS Contractor. RINNOVO GROUP INC Architect:' Address: 66 EBB TIDE CIR Address: 1512 EUREKA RD, STE 201 Address: NEWPORT BEACH CA 92663 ROSEVILLE CA 95661 •e • a Phone: Phone: , 918-826-1639 Phone: State Lie: `•..••. y e Applicant: SOCOLEAN DENNIS Con State Lie: 948665 o °• °•••co Engineer. : o • o Address: 1512 EUREKA Lie Expire: 06130/2020 Address: ROSEVILLE CA 95661 Bus Lie: BT30066832 Phone: 916.826-1639 Lie Exp Date: •. n 04130/2020 Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer: SOCOLEAN DENNIS Type of Construction: V -B .Carrier: STATE COMP INS FUND Address: 1512 EUREKA RD STE 210 Occupancy Group: R3/U Policy No: 9065843 ROSEVILLE CA 95661 Added /New sq.ft: Bldg: 0 Expire: 08/01/2019 Phone: 916-941.6498 Added /New sq. ft. Garage: D No of Stories: 3 Building Setbacks Rear: I Special Conditions: GREENLEAF TO No of Units :. 1 Front: I HAUL DEBRIS Bldg Height: 0 Left:l Bldg Sprinklers: Y - Right: / Flood Zone: X Use Zone: ParkingS aces: 0 Fire Hazard Zone : N Construction Valuation: $200.000.00 - Building Permit Fee: $1,768.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 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:. $1,768.00 - 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 $564.00 Disabled Access : $0.00 P/W 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 : $4,682.60 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $4,682.60 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL:. 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) '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 :he 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 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 iot 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 'mproved for the purpose of sale). - ❑ 1, 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 ofproperty 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 from licensure under the Contractors' State License Law for the following reason: By 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 sell 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 Professions Codgyig pvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Date Signature of Property Qwner or Authorized Agent LICENSED COMACTOR'S DECLARATION tUrAgZaffirm Aida; panalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Division 3 of the Business and Pr esf� Code, and my license is in full force arjd effect. LiceRge lass License No Date Contractor Signal $V( IJVM'�'RS' COMPENSATION DECLARATION - w®RNIIJp: FAILURE :9 64RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE H DRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE DOINT OFCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. fp �hey Eby affirm under p onalty of perjury one of the following declarations: Is'd J j>a0e and 0111 Maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the Kaf ante of thebwork for which this permit is issued... Policy No. ve and v,{iR ana4ain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol ip$gragge carrier and pClicy number are: Carogr ' " Policy Number Expiration Date Nameof Agent 0*** Phone# 01 certify that, in the p/'NG 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' �ommpp�ensation laws of California, and agre that, if I should becomorkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dat Signature of Applicant DECLARATION REGASTRUCTION LENDING AGENCYI herebyaffirm under pjury that there is a construction lending agency for the performance of the work for which this. permit is issued (Section 309 Civil Code). Lender's Name Lender's Address By 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 informatioj1h ve provided is correctI agree to comply with all applicable city and cordinancesand state laws relating to building construction. I authorize representatives of this city or counnter the above -identified property for inspection purposes. /y Signature of Property Owner or Authorized Agent Print F, op Owner's or Authorized Agent's Nam �� i� IS D to T , � BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE EXPIRED pER-MITFINALCERTIFICATE OF I PROP BEED D STONOTIF ION ION IS NOT APPLICABLE TO OCCUPANCVISSUED 14 '(r/{ K� / SIGNATUR