HomeMy WebLinkAboutx2021-0055 - Permits (2)City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
A Permit Counter Phone (949)644-3288
V.. Inspection Requests Phone (949)644-3255
b`i+a'renu Combination Type - SFP
'X2021-0055" COMB Permit: X2021-0055
Project No :
Issued Date : 01/0712021
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0110812024 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: 51 MONTECITO DR NB
Description: SFR REROOF W/ CLS"A" BORAL TILE, 5.7 PSF, ES#1647, (41 SQS), TIO SHAKE _ AA
Legal Desc.: N TR 78" LOT 60 - �N�°` (J` � (`, j`I
Owner: SMITH E BRIAN
Address: 51 MONTECITOOR
CORONA DEL MAR CA 92625
Phone:
Applicant: TO ROOFING AND ROOF REMOVAL
Address: 960 N ENTERPRISES ST
ORANGE CA 92867
Phone: 714-637-1530
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R3/1.1
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
11 Construction Valuation: $4
Building Permit Fee: $343.00
Plan Check Fee: $0.00
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:
$2.00
TOTAL FEE: $345.00
PROCESSED BY:
ZONING APPROVAL:
Contractor:
TG ROOFING AND ROOF REMOVAL
Architect:
Address:
960 N ENTERPRISES ST
Address:
ORANGE CA 92867
Phone:
714-637-1530
Phone: State Lic:
Con State Lic:
657689
Engineer:
Lic Expire:
12131/2022
Address:
Bus Lic:
BT30070777
Lic Exp Date:
01/3112021
Phone: State Lic:
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 1976314
Expire: 07101/2021
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
king Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Designer:
Address:
Phone:
Special Conditions:
0
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing 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
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:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $345.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
• o
oaaeoo
o
00000
••000
® o
000a•o
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
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 ficensure 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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
im roved 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
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).
❑ 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 year prior to completion of the improvements covered by this permit, I cannot legal)
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:hftp://www.leginfo.ca.gov/calaw.htmi.
Signature of Propwty.Qwner or Authorized Agent Date
LICENSED CONTUACTOR'S DECLARATION
I derE{7Y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Divi ion 3 of the Busine an P rofessions , a my license is in full force
and effect. License Eia� s License No D e 1 Z/ Contractor SI ature
ORKWS' COF4PENSATION DECLARATION
NIIPr~,. FAILURE TplEryURE 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
COST OF.COMPENS- 3 , DSMAGES AS PROWDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
16erh)iiaaffirm under penalty of perjury one of the following declarations:
rNafhe*cN
g and %114 Tnaintain 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 thnce of the work for which this permit is issued. Policy No.
;and will Jrlaigtain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensatioe camer%nd p(Jcy number are:
,Policy Number Expiration Dale
Agent .....Phone#
y 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 ogrehould become subject to the ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of AppY'€- {te / /�
DECLARATION REg4RDING CONSTRUCTION LENDING AGENCY
I 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).
Lender's Name Lender's Address
By 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 county to enterove-identified property for inspection purposes. p/ -{
Signature of Property Owner or Authoriz nt r =—=� Print Property Owners or Authorized Agent's N e / P/� 4 5, 6�-_e Z/
ACTION DATE owl BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITC4NCELLED LIEPA
PERMIT EXTENDED QMD
PERMITFINAL p�l.r/r. BESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF —/��./ n04- PROPOS DEMOU
OCCUPANCY ISSUED I _ SIGNA