HomeMy WebLinkAboutX2019-1024 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII��IIIIIIII�
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COMB Permit: X2019-1024
Building Permit Fee: $324.00
1'00 Civic Center Drive, Newport Beach, CA 92660
X 2 0 1 9
1 0 2 4
Project NO
Policy No:
a
.Permit Counter Phone (949)644-3288
Record Management : $0.00
$0.00
Energy Compliance: $0.00
$0.00
CA Seismic Safety: $0.00
Inspection Requests Phone (949)644-3255
Disabled Access : $0.00
$0.00
Hazardous Mat $0.00
-Building Green Fee:.? $1.00 `
Combination Type- SFP -
Issued Date : 04/02/2019
Inspection Area : 1
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:
301 UNDO AVE NB.
Description:
SFRREMOVE/REPLACEI7SQOFB.U.R,CLASS'B'
Legal Desc.:
EAST NEWPORT BILK A LOT 131(ANDSWLYII2 LOT 132
Owner
IVY GUNVOR LAST Contractor:
BOVEE ROOFING INC
Architect:
-tea
Address:
30535 ABINGTON CT Address: c
24392 BARBADOS
Address:
LAGUNA NIGUEL CA 92677 -
DANA POINT CA 92629
Phone.
Phone:
949-661-8985
Phone:
State Lic:�+^�
Applicant:
BOVEE ROOFING INC Con State Lic:
553968
Engineer:
Address:
24392 BARBADOS Lic Expire:
12/31/2020
Address:.
ra
DANA POINT CA 92629
Phone: 949-661-8985
Code Edit 2016
Type of Construction: VB
Occupancy Group: R3/IJ
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units: 1
Bldg Height: 0
Bldg Sprinklers:
Bus Lic:
BT30061236
_ Lic Exp Date:
Building Permit Fee: $324.00
Worker's Compensation
Plan Check Fee: ..$0.00
Carrier:
Overtime Plan Ck: $0.00
Policy No:
Investigation Fee: $0.00
Expire:
Record Management : $0.00
$0.00
Energy Compliance: $0.00
$0.00
CA Seismic Safety: $0.00
$0.00
Disabled Access : $0.00
$0.00
Hazardous Mat $0.00
-Building Green Fee:.? $1.00 `
Bus Lic:
BT30061236
_ Lic Exp Date:
11/30/2019
Worker's Compensation
Insurance
Carrier:
STATE COMP FUND
Policy No:
1957894
Expire:
04/30/2019
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: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Phone: State Lic:
Designer:.
Address:
Phone:
Special Conditions: LIQUEFACTION AREA
Planning Department -
Fire Department.
Plan check Fee
Fire Inspection:.
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PM Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:.
$0.00
TOTAL FEE $325.00 Plan Check Fee'.
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $325.00
A'. 000 4Y
G O{W OHO O !O
PUi3LCC $VCIRKS APPRQ°VAL
PLAN CHECK BY:
`4PPAIIVAL TO dSSUIo:* • i `n
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
$0.00 Fee Due at Permit Issuance : $325.00
A'. 000 4Y
G O{W OHO O !O
PUi3LCC $VCIRKS APPRQ°VAL
PLAN CHECK BY:
`4PPAIIVAL TO dSSUIo:* • i `n
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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' Slate 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 entirely 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://www.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 00 f Di ision 3 of the Business and Profe, andel I ee0,se is in full force
and effect. License Class License No Date Contractor Signatur
WORKERS' COMPENSATION DECLARATION
NARNING: 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
:11 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
oeormance of the work for which this permit is issued. Policy No.
have and will,; ntaln workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
rance carrier ail kV licy numberase.,%
is of Agent G7__S= _
certify that, in the performance of
, if I should become subjre thq
of
Date
c for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
co sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or r�u t$ to +1ta a above] tified perty for inspection purposes.
nature of Prooertv Owner or Authorized Ane �1 .� Print Property Owner's or Authorized Agent's He7� K ��?/!>✓' A,
ACTION DATE BY1 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 _ _ ... ...
PERMITCANCELLED UEDA; o•
PERMIT EXTENDED 0AQMD
PERMITFINAL Q ASBESTOS NOTIFICATP#I IS NOT APPLICABLE TO
CERTIFICATEOF "`--' POSE • • •'
OCCUPANCY ISSUED SIGNATAMA
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