HomeMy WebLinkAboutX2019-2190 - Permitsht� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIII�IIIIIII IICOMB Permit: X2019-2190
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 1 9 6 Project No : 1564-2019
t: Permit Counter Phone (949)644-3288
- Inspection Requests Phone (949)644-3255
c s rou t' Combination Type - SFP ELEC MECH PLUM Issued Date : 2019
Inspection Arearea ; 2
PERMITS EXPIRE 180 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: 69 EBB TIDE CIR NB
Description: SFR - RIR STUCCO AND TILE,. CHANGE OUT WINDOWS, RIR DRYWALL, ELEC, MECH, PLUM, WINDOWS, REPAIR ROOFING, DECKING AND BALCONIES. REMODEL KIT AND
BATH
Legal Desc.:
Owner: ROSOL BRET
Address: 69 EBB TIDE CIR
NEWPORT BEACH CA 92663
Phone:
Applicant: SOCOLEAN DENNIS
Address: 1512 EUREKA.
ROSEVILLE CA 95661
Phone: 916-826-1639
Code Edit:
2016.
Type of Construction:
V -B
Occupancy Group:
R31U
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:
Y
Flnnd 7nne-
X
Building Permit Fee:. $1,768.00
Plan Check Fee: $1,538.15
Contractor:
-RINNOVO GROUP INC
Address:
1512 EUREKA RD, STE 201
STATE COMP INS FUND
ROSEVILLE CA 95661.
Phone:
918-826-1639
Con State Lid:
948665
Lie Expire:
06/3012020.
Bus Lie,
BT30066832
Lie Exp Date:
0413012020
Workers Compensation Insurance
Carrier:
STATE COMP INS FUND
Policy No:
9065843
Expire:
08101/2019
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:.
$0.00
Disabled Access:
$0.00.
Hazardous Mat
$0.00
Building Green Fee : -
$8.00
TOTAL FEE: $4,452.76
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Building Setbacks
Rear: I
Address:
Front: I
Phone:
Left:
Designer:
Right: I.
Use Zone:.
Parking Space
$0.00
ROSEVILLE CA 95661
Excise Tax:
$0.00
Additional Fee:
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant:.
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %:
$123.76
Mechanical %:
$70.72
Plumbing %:
$159.12
Architect
Address:
Phone: State Lie
Engineer:
Fire Department
Address:
Fire Inspection:
Phone:
State Lie:
Designer:
SOCOLEAN DENNIS
Address:
1512 EUREKA RD STE 210
$0.00
ROSEVILLE CA 95661
Phone:
916-941.6498
Special Conditions: GREENLEAF TO £
HAUL DEBRISa
0 Fire Hazard Zone : N
Planning Department -
Plan check Fee:
Fire Department
Fair Share:
Fire Inspection:
SJH Trans
Fire Plan Rev
In -lieu Housing Fee.:
Demolition Fee
Public Works Department -
Park Dedication:
$0.00
PM Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
e°oo
� o
0000
O'YV WBC
$24.00
!Ci'9bD`
$5$.09
° fg.00 °
$0.00
c $8.00 c
°
$4,452076
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
e°oo
� o
0000
O'YV WBC
$24.00
!Ci'9bD`
$5$.09
° fg.00 °
$0.00
c $8.00 c
°
$4,452076
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
Imfessions 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
lot more than five hundred dollars ($500).
I, 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,
3usiness 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
mprovements 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).
I, 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
Ipply 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).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
3y 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
;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
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.loginfo.ca.gov/calaw.htmi.
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 Sectiory;900) of Divisi'o�n!3 of the Business and Professions Code, and my license is in full force
Ind effect. License Class License No D3!€� I Contractor Signatuoic Q
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
: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 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
eZ i;xhrance 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
iat, if I should become subject the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lignature of AppRoee6 Dat -A/
inkk'.ATIONREIPARDING CONSTRUCTION LENDING AGENCY
hereWaffirm Qryd%r 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).
ftdeF% Name Lender's Address
;y my -signature below, 1 certify to each of the following:
• �I aim the pnpedy owner or authorized to act on the property owner's behalf.
* ve read this application and the information I have provided is correct.
• • I.agree to ml Ipl�with all applicable city and county ordinances and state laws relating to building construction.
• • Lauihorize r4pras'entatives of this city or county to entre jthhe above -identified property for inspection purposes. �],r / //p "i /�//
igneYxe of Propgrtv Owner or Authorized ADenti Y / !✓ v� Print Property Owner's or Authorized Agent's Name /�"/I l�hl �✓J�lr t_S Date // /
'ACTION! • • • • • • DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
_
•• REGULATIONS PART61 OFTITLE40ANDAQMD RULE
•••• .00. 403
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCVISSUED
PROPOSED
NOTIFICATION IS NOT APPLICABLE TO