HomeMy WebLinkAboutX2022-1778 - Permits�w xclr City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
f», Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
a
Combination Type - MFP
IIIIIIIIIIIIIIIIIIII�IIIIII II COMB Permit: X2022-1778
x 2 0 2 2 1 7 7 8 Project No : 1630-2022
Issued Date : 06/28/2022
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0612812025 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 or Holidays
Job Address: 3010 RIVOLI NB
Description: MFR REMOVE & REPLACE 5/8" TYPE GYP BOARD IN PANTRY WALL & CEILING IN DINING RM 64 SF
Legal Desc.: N TR 15584 LOT 6
Owner:
IRVINE CO
Contractor:
NATIONAL RENOVATION INC
Architect:
RANIERI RANDY
Address:
550 NEWPORT CENTER DR
Address:
15650 EL PRADO RD
Address:
5868 MESQUITE SPRINGS RD
NEWPORT BEACH, CA 92660
CHINO CA 91710
TWENTY-NINE PALMS CA 92277
Phone:
Phone:
909-606.0370
Phone:
714-296-5502 State Lic:CO24225
Applicant:
TRUAX JAY
Con State Lic:
956793
Engineer:
Address:
206 112 ABALONE
Lic Expire:
01/31/2023
Address:
NEWPORT BEACH, CA 92660
Bus Lic:
BT30062023
Phone:
949-285-5594
Lic Exp Date:
01/3112023
Phone:
State Lic:
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R31U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units: 12
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Valuation: $2,600.00
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 :
$1.00
TOTAL FEE: $290.49
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier: INS CO OF THE WEST
Policy No: WVE506190300
Expire: 09/01/2022
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: /
Right: /
3arkina Soaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Designer:
Address:
Phone: �'-�
Special Conditions: 1 � .;� -� � � , 0
Fire Hazard
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
Fire Department
$52.00
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
$290.49 Fee Due at Permit Issuance : $0.00
PUBL-C WCRKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat 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 items)
(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
the 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 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
not more than five hundred dollars ($500).
❑ 1, 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,
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 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
apply 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).
❑ 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://w .leginfo.ca.gov/calaw.html.
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 Section 7000) of Division 3 of the Business and Pnfe;siees-6ede, 1pd my license is in full force
and effect. License Class License No Date -2 -Z Z_ Contractor Signet l�l
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES 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:
111 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,
performance 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
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
if I should become subjec(,tp __ __ _ _ provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Datol
IECLARATION REGASUWErCONSTRUCTION LENDING AGENCY
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
ly 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 state laws relating to building construction.
I authorize representatives of this city or coupty;ta-gMg entified property for inspection purposes.
ii nature of Property Owner or Authorized Ag Print Property Owner's or Authorized A
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
I SUBMITTED ASBESTOS NO . I FICA 1 10 1 TO _
PERMIT CANCELLED
DEPA `
PERMIT EXTENDED
qM ❑
PERMIT FINAL
q Z.
BESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE
/
PROPOSED �..
OCCUPANCY ISSUED
OCCUPANCYISF
SIGNATURE; -ICI'/
;AKT
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