HomeMy WebLinkAboutX2016-2727 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2016-2727
P 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 6 2 7 2 7 Project No:
t+ Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
"asrrox�"* Combination Type - BLDG PLUM ELEC Issued Date : 08/18/2016
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Job Address: 880 IRVINE AVE NB
Description: MFR SOUTH COURTYARD "B" WATER FEATURE "CORONADO APTS" INCLDS GAS & ELECT TO BBQ
Legal Desc.: P BK 15 PG 36 PAR 1
INSPECTOR
Owner: UDR NEWPORT BEACH SOUTH
Contractor:
RANSCAPES INC
Architect:
Address: 1745 SHEA CENTER #200
Address:
P.O, BOX 50580
Address:
HIGHLAND RANCH CO 80128
IRVINE CA 92619
Phone:
Phone:
866-883-9297
Phone:
State Lic:
Applicant: RANSCAPES INC
Con State Lic:
949437
Engineer:
Address: P.O, BOX 50580
Lic Expire:
06/30/2018
Address:
IRVINE CA 92619
Bus Lic:
BT30052837
Phone: 866.883-9297
Lic Exp Date:
10/31/2016
Phone:
State Lic:
Code Edit : 2013
Worker's Compensation Insurance
Designer:
.
Type of Construction:
Carrier:
TORUS NATIONAL INS
Address:
Occupancy Group: U
Policy No:
T10160072
,
Added /New sq.ft. Bldg: 0
Expire:
09/0812016
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: I
Special Conditions:
'
No of Units : 0
Front: I
'
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
-
Flood Zone:
Use Zone: Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $6,000.00
i
Building Permit Fee: $138.00
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: $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 %:
$9.66 San Dist :
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$12.42
$0.00
TOTAL FEE : $161.08
Plan
Check Fee : $0.00
Fee Due at Permit Issuance :
$161.08
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 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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).
❑ 1, as dWrTer of the "property; aiir 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 ohprgperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ I am exempt from Iicensure 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sest�on 7 ) of Division 3 of the Bus! s and Profes o $$ Q� and ° ensue Is in full force
and effect. License Class License No D e Contracto ignature1aL [Jo
WORKERS' COMPENSATION DECLARATION
J'ARNING'FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU WECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
COST OF ^.OMPEWAT-ON, CAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ I lydve 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
peiorrlance of Cha e.cn, for which this permit is issued. Policy No.
d wil! 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' compensatiol
rar�ce carrier al id nulicy number are:
Policy Number
Date
game of Agent
]I certify that, m 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 agm
,at, if I should be-D` ypj�ct to th0.e worker ' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
(ignature of Appl nt L I�I�t"in1
IECLARATIO ARDING CONSTRUCTION LENDING AGENCY V
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
iy 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 stale laws relating to building construction.
I authorize representatives of this city or county tAWtV9 the above-idd#lfied pronedv rnr ^soaction purposes. rl
of
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
Print
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
PA
IZ/OIIIG e i�JS (VA UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
C7C �PROPOSED DEMOLITION
J SIGNATURE:
FOR OFFICE USE ONLY