HomeMy WebLinkAboutX2019-1941 - Permits�v1pp
City of Newport Beach - Building Division
.,
100 Civic Center Drive, Newport Beach, CA 92660
Record Management:
Permit Counter Phone (949)644-3288
Phone:
Inspection Requests Phone (949)644-3255
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Combination Type - SFP
COMB Permit: X2019-1941
X 2 0 1 9 1 9 4 1�4II
Project No :
Issued Date: 0612012019
Inspection Area : 8
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: 15 ROCKINGHAM DR NB
Description: SFR REROOF W/CLS"A" CONCRETE EAGLE TILE 9.2 PSF ESR #1900, TIO EXTG ORIGINAL EAGLE TILE (SAME WEIGHT) (50 SQS)
Legal Desc.: N TR 11449 LOT 27
Owner:
ZICCARDI KAREN
Address:
PO BOX 9948
Record Management:
NEWPORT BEACH, CA 92658
Phone:
$0.00
Applicant:
DEPINHO ROOFING INC
Address:
2832 N OLIVE AVE
Hazardous Mat
ORANGE CA 92865
Phone:
714-632-7663
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $324.00
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: $326.00
PROCESSED BY:
ZONING APPROVAL:
Contractor: DEPINHO ROOFING INC
Address: 2832 N OLIVE AVE
ORANGE CA 92865
Phone: 714-632-7663
Con State Lie:
683894
Lie Expire:
02129/2020
Bus Lic:
BT30009064
Lie Exp Date:
05131/2020
Worker's Compensation Insurance
Carrier: CA INSURANCE
Policy No: 828268990110
Expire: 05/01/2020
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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
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
PAN Plan Check :.
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
State Lie:
State Lie:
Plan Check Fee : $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:. APPROVAL TO ISSUE:
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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:
Plan Check Fee : $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:. 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)
(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 (_) 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
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 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://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm ugdet Qflgalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Serkq.D-7000 f Division 3 of the Busi and Profs s' s Cod d myy gcense Is In full force
agd effecj. License Eless License No tD'a`l�\ � \ Contractor natra�//
d6ftfMS' CQRPEySATION DECLARATION
NABNIN% FAILUREYO SPCURE 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
CBSAOF COMPENSATI N, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affir der pepalty of perjury one of the following declarations:
�•I'Fg • and whl-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
i ance of the kwok for which this permit is issued. Policy No.
ue and wilIVISifltain 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' compensatiol
rygp @ carrier arid policy number are:
:tIrrTer _ _' _ _ _ • n Policv Number _ A Expiration Date _.
JI C@Itify that, in the performance of the work for which this perm' n—Fstf5lr of employ any person in any manner so as to become subject to the worker' compensation laws of California, and agre
.hat, if f should come tett to thg worker/s' co�]pan� provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^ rr ^
Signature of Applit / ✓ — Da l
)ECLARATIO E ARD' 1G ON TRUCTION LENDING AGENCY
hereby affirm undo 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
3y 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 cit and county ordinances and stat a Ing to building construction. (�
I authorize representatives of this c't7or county to t the a - ent' ' d property for inspection purposes.
Signature of Property Owner or Au h i d Agent Print Property Owner's or Authorize pmt's Name O'J '•.•cu% t
ACTION DAT BY DE LARATION CIF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED
PERMITCANCELLED
CERTIFICATE OF
OCCUPANCY15SUED
141
I SUBMITTED ASBESTOS NOTIFICATION TO
NOT APPLICABLE
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