HomeMy WebLinkAboutX2020-2084 - Permitsw City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
r Permit Counter Phone (949)644-3288
-s.. Inspection Requests Phone (949)644-3255
Combination Type - MFP
IIII�I�IIII�IIIII�II�IIIII�II���IIIIII�II COMB Permit: X2020-2084
Project No : 1692-2020
Issued Date : 04/23/2021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED B Y 04/23/2024 OR PERMIT WILL BE INVALID
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: 394 VILLA POINT DR NB
Description: MFR - REPL DAMAGED 3X STRINGERS & REUSE EXTG CONCRETE TREADS
Legal Desc.: TRACT 11937 LOT 2 OF PROJECT 939-63 LOCATED ON AP 442-411-11
Owner: VILL APOINT CONDOMINIUM ASSOC Contractor:
CRANK WATERPROOFING
Architect:
Address: 1818 S OLD SPRINGS RD
Address:
134 COMMERCIAL WY
Address:
ANAHEIM HILLS CA 92808
COSTA MESA
CA 92627
Phone: 714-3965245
Phone:
949-646.9356
Phone:
State Lic:
Applicant: BELLUCCI ROBERT
Con State Lic: 1038420
Engineer:
SAVOIE RHETT
Address: 970 W VALLEY PKWY
Lic Expire:
04130/2022
Address:
908 S CLEVELAND ST
ESCONDIDO CA 92025
Bus Lic:
BT30063958
OCEANSIDE CA 92054
Phone: 310-984-9037
Lic Exp Date:
06/3012021
Phone:
760-966-6355 State Lic:C-046423
Code Edit : 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V-8-3PR
Carrier:
FALLS LAKE
Address:
Occupancy Group: R2/U
Policy No:
FLA01345000
Added /New sq.ft. Bldg: 0
Expire:
01/26/2022
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions: UNITS 394.408
No of Units : 8
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone: X
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $10,000.00
Building Permit Fee: $246.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee :
$53.51
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
P/W Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical °/:
$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 : $300.51
Plan Check Fee
: $300.51
Fee
Due at Permit Issuance :
$0.00
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
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 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).
J I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of tt
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through e
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of compl
nproved for the purpose of sale).
7 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, 1
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor
I I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one y,
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I un(
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginf
lignature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of
nd effect. License Class License No Date
work, and the structure is not intended or offered for sale (Section 7044,
oloyees' or personal effort, builds or improves the property, provided that the
on, the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of the improvements covered by this permit, I cannot
that a copy of the applicable law, Section 7044 of the Business and
Date
3 of the Business and Professions Code, and my license is in full force
Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: 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:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of
'ormance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
Trance carrier and policy number are:
rier Policy Number
ne of Agent
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
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
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions.
Signature of Applicant Date_
)ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty 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
3y 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 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 the above -identified property for inspection purposes.
lignature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITC4NCELLED
EPA
PERMIT EXTENDED
0AQMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
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)
ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
Date