HomeMy WebLinkAboutX2022-0731 - PermitsCity of Newport Beach - Building Division *X2022-0731* COMB Permit: X2022-0731
.off 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0656-2022
a v Permit Counter Phone (949)644-3288
u Inspection Requests Phone (949)644-3255
r z Combination Type - MFP Issued Date : 022
Inspection Arearea : 3 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0311112025 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 orHolidays
Job Address:
1800 16TH ST NB
�•
Description:
MFR- DECK REPAIR 160 SF HS301
Legal Desc.:
P BK 15 PG 36 PAR 2`
Owner:
CORONADO SOUTH APTS
Contractor: A A A RESTORATION INC Architect: ROMERO CESAR , ,
Address:
1745 SHEA CENTER DR 9200
Address: 29850 2ND STREET Address: 17162 GOTHARD ST ° -
HIGHLAND RANCH CA 92532
LAKE ELSINORE CA 92532 HUNINGTON BEACH, CA 92647
Phone:
9511609-4637
Phone: 951-579-0724 Phone: 714-4655200 State Lic,C030884
Applicant:
A A A RESTORATION INC
Address:
29850 2ND'STREET
LAKE ELSINORE CA 92532
Phone:
951-579-0724
Code Edit :
2019
Type of Construction:
V-B
Occupancy Group:
R2/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
3
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
Construction Valuation: $4,000.00
Building Permit Fee: $144.00
Plan Check Fee: $125.28
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$8.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $330.28
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
834839
Lic Expire:
03/31/2022
Bus Lic:
BT30056985
Lic Exp Date:
10/3112022
Worker's Compensation Insurance
Carrier: TWIN CITY FIRE INS CO
Policy No: 72WEAAC9XAX
Expire: 04/0112022
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: /
Front: /
Left: I
Right: /
Engineer: ORTIZ ROBERTO
Address: 1744 W KATELLA AVE
ORANGE, CA 92867
Phone: 714-997-1145 State Lic:S-005512
Designer:
Address:
Phone:
Special Conditions:
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$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee:
$52.00
Fire Inspection:
; SQ.00•
$0.00
Fair Share :
$0.00
Fire Plan Rev
• $0.09
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department-
General Service
$0.00
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check: $0.00
Grading Bond:
$0.00
$0.00
San Dist: $0.00
$0.00
NMUSD Fee: $0.00
$0.00
$0.00
$0.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$330.28
PUBLIC WORKS APPROVAL:
_
PLAN CHECK BY:
APPROVAL TO ISSUE:
r/
I
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)
ction 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
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
fessions 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
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 t
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through (
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp
nproved for the purpose of sale).
1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
y 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.legin'
signature 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 7001
nd effect. License Class License No Date
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURJ TL?VtJURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL'
O5T OF COMPEN PT"6DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Iw%hy affirm Iynder penalty of perjury one of the following declarations:
II have and will n ntain a certificate of consent to self -insure for workers' compensation, issued by the Director of
erlior runce of the�work forwhich this permit is issued. Policy No.
It have and vWq;rMain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
Isery gee carrier and policy number are:
Agent
the Derformance of the work
of
Policy Number
work, and the structure is not intended or offered for sale (Section 7044,
pioyees' or personal effort, builds or improves the property, provided that the
ion, 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
1 3 of the Business and ProfessiWX C fie, a r ' 's in full force
Contractor Sig nature
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
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
ffiion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
Date 3 [ (L /Z Z�
�t6LAKA l IUITVi:tiA UINU DUNSIRUU I IUN LLNUING AUL:NOY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which
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 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 qrdinances a tat aws relating to building construction.
I authorize representatives of this city or county t r ab d property for inspection purposes.
ignature of Property Owner or Authorized Agent � Print ProDertv Owner's or Autl
ACTION
PERMIT EXPIRED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
PERMIT EXTENDED LJAQM D
SBESTOS NOTIFICATION IS N PP SUETO
PROP ED DEMOLITIO',y��J
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SIGNATIIRF- .f- Y �
PERMITFINAL
CERTIFICATE OF
I�I�'��
OCCUPANCYISSUED
permit is issued (Section 3097, Civil Code).
FOR OFFICE USE ONLY