HomeMy WebLinkAboutX2017-3381 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
t Inspection Requests Phone (949)644-3255
crra u'' Combination Type - SFP
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COMB Permit: X2017-3381
Project No :
Issued Date : 10/20/2017
Inspection Area : 8
PERMITS EXPIRE 180 DAYS AFTER ISS UAN F Ok 0AST 1GA21D 1PJSPECTION.
Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m, and Saturdayetfom 8:00 a.m, to 6:00 p.m. No work on Sundays or Holidays
Job Address: 1991 VISTA CAUDAL NB
Description: SFR - RE -ROOF. TIO WOOD SHAKE, INSTL 7116" OSB AS NEEDED, INSTL LIGHTWEIGHT BORAL TILE ESR # 1647 5.9 PSF
Legal Desc.: TR 5435 (L.L.84-214024) PAR 62
Owner:
CHO MIN
Contractor:
CENTURY ROOFING COMPANY
Address:
1991 VISTA CAUDAL
Address:
8662 DOLPHIN DR
CA Seismic Safety:
NEWPORT BEACH, CA 92660
Disabled Access :
HUNTINGTON BEACH CA 92646
Phone:
$0.00
Phone:
714.968.3233
Applicant:
CENTURY ROOFING COMPANY
Con State Lic:
674019
Address:
8662 DOLPHIN DRILic
Expire:
07/31/2019
$0.00
HUNTINGTON BEACH CA 9646
Bus Lic:
BT30060909
Phone:
714-968-3233
Lic Exp Date:
1 013112 01 8
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: R31U
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:
Building Permit Fee: $304.00
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 :
$1.00
TOTAL FEE: $305.00
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation
Insurance
Carrier:
STATE COMP INS FUND
Policy No:
1462890
Expire:
1010112018
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: /
Left: /
Right: /
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Zone : N
h
w u
state
.r
State Lic:
$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
$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
P/W 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 :
$305.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
...
OWNER -BUILDER DECLARATION : . • .' •- .
I hereby affirm under penalty of perjury that I am exempt from the ContMctor*S State kicer.%e 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 "construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
he permit to file a signed statement that he or she is licenVd.purguant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Irofessions 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
lot more than five hundred dollars ($500). • . ' • . ; • .'
. . .,
I, as owner of the property, or my employees with wages'as•thoir sol2iompe'risationr wDl do -C_) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness and Professions Code: The Contractors' State License Law does not apply to III Ewnor of property who, through employees' or personal effort, builds or improves the property, provided that the
,nprovements are not intended or offered for sale. If, however, the building or improvement is Mid within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
reproved 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
ipply 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:
3y 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 legalb
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
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
-ICENSED CONTRACTOR'S DECLARATION
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 Profe's pre ode, and my license is in full force
Ind effect. License Class License No Dae l '1 Contractor Signat
VORKERS' COMPENSATION DECLARATION
IARNING: 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
:OST 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:
7 I 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,
eNgrmance of the work for which this permit is issued. Policy No.
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'
er-eRd-poliFY number are: tt '' �+�
� "� Policy Number ' `"1 � Z 8 C1 6 Expiration Date
of Agent
JI certify that, in the performaork 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 agre
sat, if should become at
a workers ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant
IECLARATION ;ONSTRUCT107TMDING AGENCY V
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
: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 andkuntydinances and state laws relating to building construction.
I authorize representatives of this cityor couer the db°Identified property for inspection purposes. Cionature of ProOertv Owner or Authorized AoenA Print Prooertv Owner's or Authorized ADent's NartS�✓ [fid l ✓' ht'�-W— Date' V 1�
DATE BY REGULATIONS -O&CO 10FTNCE WIT40 H DE OF FEDERUDERAL I FOR OFFICE USE ONLY
PART
PERMITEXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED OEPA
PERMIT EXTENDED OMD
PERMITFINAL rys� q BESTOS PNTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF 'L I "� I PROPOSED D.EM PI
OCCUPANCYISSUED SIGNATIIRF- r
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