HomeMy WebLinkAboutX2018-2159 - Permitsw1,4 City of Newport Beach - Building Division
off. ^2 100 Civic Center Drive, Newport Beach, CA 92660
H - Permit Counter Phone (949)644-3288
- Inspection Requests Phone (949)644-3255
r ,agtr.+ Combination Type - MFP
II1111111111111111111111Jill1111I 11I 11111 � ya° e° oCOMB Permit: X2018-2159
o„ o .Project No : 1701-2018
eoe
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR L.JSN VBLID IN:
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.1". to 6
Job Address: 1060 CAMPANILE NB
Description: MFR - R/R 5/8" TYPE GYP BOARD & R13 INSULATION AS REQ'D IN TUB/SHOWER AREA IN BATH #2
Legal Desc.:
Owner: THE IRVINE CO Contractor: NATIONAL RENOVATION INC Architect:
Address: 111 INNOVATION Address: 15650 EL PARDO RD Address:
IRVINE CA 92612 CHINO CA 91710
Phone: Phone: 909-923-2077 Phone:
Applicant: TRUAX JAY
Address: 206.5 ABALONE AV
BALBOA ISLAND CA 92662
Phone
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: R2
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
11 Construction Valuation: $•
Building Permit Fee: $97.00
Plan Check Fee: $84.39
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $223.89
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
956793
Lie Expire:
01/31/2019
Bus Lie:
BT30062023
Lie Exp Date:
01/3112019
Worker's Compensation Insurance
Carrier: ARCH INSURANCE CO
Policy No: ZAWC125368
Expire: 09/01/2018
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: I
Parkins Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
e
Issued Date: 0 711 812 01 8
°la•spection Area : 4
Y TTN. e o
p.m. No work on Sundays or Holidays
t r
.d
TDR
RANIERI RAND
206 112 ABALONE AVE
NEWPORT BEACH CA 92662
714.296-5502 State Lic:CO24225
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Fire Department
Plan check Fee
$37.50
Fair Share:
$0.00
SJH Trans :
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
PM Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
State Lie:
$121.89 Fee Due at Permit Issuance : $102.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
$37.50
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$121.89 Fee Due at Permit Issuance : $102.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION i ; • • •
I hereby affirm under penalty of perjury that I aw ..Wi fr8pi•tha C@ntiac{ors'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 requiree•apermit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
ie 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
'rofessions Code) or that he or she is exempt fg)%licesure anq the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of
of more than five hundred dollars ($500).
I, as owner of the property, or my employeds vlit wages a$ t7eir sole comi3e,{lsition, will do L) all of or (_) 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 aces not apply toan owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or Improlement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
n roved 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
pply 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).
7 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 year prior to completion of the improvements covered by this permit, I cannot legall)
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner 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 70 o vis'o of the Business and Professions Co r II nse is in full force
nd effect. License Class - License No Dat Contractor Signatur
VORKERS' COMPENSATION DECLARATION
'ARNING: 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), INA DFTION TO THE
OST 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 Industrial Relations as provided for by Section 3700 of the Labor Code, for th
Wormance of the work for which this permit is issued. Policy No.
ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatio
rance carrier and policy number are:
carrier Policy Number Expiration Date
Jame of Agent Phone #
:1I certify that, in the performance gf trre J rk for which is permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensatioz1a sof alifornia, and agre
hat, if I should become subject t he ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant -- Dj)(
)ECLARATION REGARDIN CONST UCTION LENDING AGENCY I LV
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 ord' ces an state laws relating to building construction.
I authorize representatives of this city or count to ab a -i entified property for inspection purposes. ,]1t,,,, ,�
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam DUUI'1 (w Date 1(/
ACTION DATE BY 46EELARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMITEXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED DEPA
PERMITFINAL 'Alq pi OPOESTOS NOTIFICATION
O IFICA ION IS NOTA/Yg/9JUISABLE TO
CERTIFICATE OF IIID' ( /`%?'%70�.9G'
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