HomeMy WebLinkAboutX2022-1738 - PermitsCity of Newport Beach - Building Division 'X2022-1738* COMB Permit: X2022-1738
' . 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1593-2022
Permit Counter Phone (949)644-3288
�... Inspection Requests Phone (949)644-3255 ti• °••
Cc biT MFP - Issued Date: 06/2212022 ••••°•
'arxra>ur'"` mna Ion ype -
Inspection Area : 4
•• °
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID ° ° • ° ° °
°m a
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: 4032RIVOLINB ° °°• ° ° °
Description: MFR ALT 336 SF: R/R DRYWALL R INSULATION m • • O° °
Legal Desc.: • • ° °G°°•
a •. a
Owner:
NEWPORT BLUFFS LLC
Contractor:
NATIONAL RENOVATION INC
Address:
PO BOX 2450
Address:
15650 EL PRADO RD
NEWPORT BEACH, CA 92658
CHINO CA 91710
Phone:
Phone:
909-606-0370
Applicant:
TRUAX JAY
Con State Lie:
956793
Address:
206 1/2 ABALONE AVE
Lie Expire:
01/31/2023
BALBOA ISLAND, CA 92662
Bus Lie:
ST30062023
Phone:
949-285-5594
Lie Exp Date:
01/31/2023
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R2/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 16
Bldg Height: 0
Bldg Sprinklers:
Worker's Compensation Insurance
Carrier: INS CO OF THE WEST
Policy No: WVE506190300
Expire: 09/01/2022
Building Setbacks Rear: /
Front: /
Left: /
Right: I
°c°m•
Architect: RANIERI RANDY
Address: 5868 MESQUITE SPRINGS RD®• •• o • a
TWENTY-NINE PALMS CA 92277 • p° °ar�mm•
Phone: 714-296-5502 State Lic:CO24225 , m • m ° a � m
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lie:
Special Conditions:
LIQUEFACTION ZONE
Flood Zone: X
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $12 000.00
Building Permit Fee: $280.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $243.60
Additional Fee :
$0.00
Plan check Fee :
$52.00
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 W
$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 : $576.60
Plan Check Fee
: $295.60
Fee Due at Permit Issuance :
$281.00
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: 5
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
1 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.@usdness 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 fires sigrj'ed 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
'lgfV%dons CodeJ Qrethat he or she is exempt from Iicensure 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
lot mo a than AverhurnJred dollars ($500).
EL I, % owner ofJhe property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
slproYements .nre aDl=ntended 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
TIOWyAd for the'rlurpMe of sale).
las owneyof tVgroperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
IpgIyJQ an ownBlbf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
1 gal exempt t7om Iicensure under the Contractors' State License Law for the following reason:
iy-my;SignatuT-beJdVVCI 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 Iegallt
ell a structure float 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
?rofessslons Code, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html.
11rrafure of PIbpgRy pwner 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 7000) of Division 3 of the Business and Professio de -ea license is in full force
Ind effect. License Class License No Date Z2-2� Contractor Signature
VORKERS' COMPENSATION DECLARATION
1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT 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:
7 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
performance of the work for which this permit is issued. Policy No.
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
JI certify that, in the performance 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
lat, if I should become subject to the work ' om tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
2Z-ZZ �
ignature of Applicant i - Date1C _
DECLARATION REGARDINtIONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjurythat 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 owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter Ure.abeve-ideA44er�property for inspection purposes.
ACTION DATE BY DErLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
QMD
PERMITFINAL
' %
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
TfflPROPOSED DEM
OCCUPANCY ISSUED
SIC.
Date &—ZZ