HomeMy WebLinkAboutX2022-0734 - PermitsCity of Newport Beach - Building Division *X2022-0734* COMB Permit: X2022-0734
3
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0656-2022
Permit Counter Phone (949)644-3288
inspection Requests Phone (949)644-3255 Issued Date: 0311112022
'Js Combination Type - MFP Inspection Area : 3
AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS
MUST BE COMPLETED BY 0311112025 OR PERMIT)WILL BE INVALID
PERMIT EXPIRES 180 DAYS
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 Sundayorol yolidays
Construction
Job Address:
1805 SHERINGTON PL NB
Description:
MFR -DECK REPAIR 72 SF U3303
Legal Desc.:
P BK 15 PG 36 PAR 2
F
Owner:
CORONADO SOUTH APTS Contractor:
A A A RESTORATION INC
Architect: ROMERO CESAR �a
Address: 17162 GOTHARD ST
Address:
1745 SHEA CENTER DR #200 Address:
29850 2ND STREET
LAKE ELSINORE CA 92532
HUNINGTON BEACH, CA 92647
HIGHLAND RANCH CA 92532
951-579-0724
Phone: 714-465-5200 State Lic:C030884 a
Phone:
9511609-4637 Phone:
Applicant: A A A RESTORATION INC
Address: 29850 2ND STREET
LAKE ELSINORE CA 92532
Phone: 951-579-0724
Code Edit : 2019
Type of Construction: VB
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
Construction
Building Permit Fee: $127.00
Plan Check Fee: $110.49
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 :
$1.0c
TOTAL FEE: $290.49
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: 0410112022
Building Setbacks
Zone:
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: 1
Right: /
king S a
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
ORTIZ ROBERTO o o o
1744 W KATELLA AVE a a
JJoo
ORANGE, CA 92867 0
714-997-1145 State LicS-005512
J0 06
Special Conditions:
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $0.00
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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JJooaa
J
e o
ooJcca
0
J JJ
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $290.49
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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 requireatfyP..applicantfnr
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).
L.1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L portions of
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comr
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,
❑apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractol
1 am exempt from licensure 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
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I un
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.legin
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affrmunaer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 and effect. LicdhS9131ass License No Date
NORIEERS' C6MPENSATION DECLARATION
VARNNIG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALI
'cisi l-COMPENSAf1ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
,jeer Eby affirmund� penalty of perjury one of the following declarations:
:shave and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of
rZpWnanGe of:he.lygrk for which this permit is issued. Policy No.
Nerve and will ma stain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
as ce carrier'and policy number are:
m;-Z • •.
of
if I should
ature of AI
Policy Number
work, and the structure is not intended or offered for sale (Section 7044,
ployees' 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
(Ision 3 of the Business and Profes Cod n y I' en full force
Z Contractor Signatur5
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0003, 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'
Expiration Date
II shall not employ an y o as to become subject to the workers' compensation laws of California, and agre
p y y person in an manner s
stin 3700 of the Labor Code, I shall forthwith comply with those provisions. 2 /
.__.._.... Date
Breby 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).
lder's Name Lender's Address
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 or a state I S atin In construction. A
^I^authorize representatives of this city or county toty t bide d poe for ins action purposes.
ACTION
PERMIT
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY97dFCLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION
ITZ / PRO OSED
FOR OFFICE USE ONLY
Date