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HomeMy WebLinkAboutX2019-3072 - Permitsnp City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-3072 ' 100 Civic Center Drive, Newport Beach, CA 92660 Overtime Plan Ck: X 2 0 1 9 3 0 7 2 $0.00 Project NO $0.00 h 9 Permit Counter Phone (949)644-3288 CA Seismic Safety: $0.00 Disabled Access : $0.00 Si' - Inspection Requests Phone (949)644-3255 Building Green Fee : $2.00 - Grading PC Consultant :.. 'cdyt'• Combination Type - SFP SJH Trans : Issued Date: 09127/2019 Demolition Fee Grading Permit Feer $0.00 Inspection Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. $0.00 Grading PC Fee: Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to $:00 p.m. No work on Sundays or Holidays Job Address: 1900 DOVER OR NB $0.00 WQ Insp. Fee: $0.00 Park Dedication : Description: SFR - REROOF W/OWENS COMP 35 SQ TIO EXTG APPLY RADIANT BARRIER - Refund Deposit $0.00 Legal Desc : N TR 3004 LOT 10 - P/W Plan Check: IAVOwner: WINTER JEFFREY P Contractor: GUARDIAN ROOFS Architect: &P San. Dist: Address: 1900 DOVER DR Address: 1010 N. BATAVIA #F Address: Mechanical%: NEWPORT BEACH, CA 92660 ORANGE CA 92867 $0.00 Phone: 949-285-5091 Phone: 951-264.0008 Phone: State Lic: Applicant: GUARDIAN ROOFS Con State Lic: 847279 Engineer. s•o• Plan Check Pee Address:- 1010 N. BATAVIA#F - Lic Expire: 09/30/2020 Address: ° f ORANGE CA 82867 Bus Lic:. 8730054809 `v °•o° &®eeoo Phone: 951.264.0008 Lic Exp Date: 05/31/2020 Phone: State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer. Type of Construction: V-B-SPR Carrier: STATE FUND Address: Occupancy Group:. R31U Policy No: 9077388 °. Added /New sq.ft. Bldg: 0 Expire: 03101/2020 Phone: ° • • ®e • • a Added /New sq. ft. Garage: 0 " °":•. a No of Stories: 1 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / : • Bldg Height 0 Lek: 19 ° ay.° . v Bldg Sprinklers: Right: I ° e • a y ° ° °2 Building Permit Feer $324.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Feer $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: GRADING APPROVAL: Excise Tax: $0.00 Planning Department- Fire Department Additional Fee: $0.00 Plan check Fee: $0.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00.. Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant :.. $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Feer $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 - P/W Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $0.00 San. Dist: $0.00 Mechanical%: $0.00 NMUSD Fee: $0.00 .$0.00 Plumbing %:$0.00 $0.00 4 Plan Check Pee : $0.00 Fee Due at Permit Issuance : $326.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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 he 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 �rofesstons 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). 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, 3usiness 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 mprovements 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 mproved 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 doe6 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 legaly ;ell 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 'rofessions 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 _ICENSED CQIETRACTOR'S DECLARATION rereby affirm une2r"nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of Divtsi 3 of the Business and Professio) ode,and On '^ansa is in full force Intl 1aKegt. Lic ense C laps License No Date -2 Contractor Signature �E>_ NQRKERS' C07V;ASATION DECLARATION ✓kRRIMy Z:XAILURE TOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE .OST bF COMPENSAJION,,PpMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Hereby affirm uRd®r*pe$alty of perjury one of the following declarations: •• I I��ve and �yill 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 ce of s 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' ter and policy n mbar ar �4i� Policy Number !" ©L / U Expiration Date P� e• certify that, in theeperform a 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 ogre if I should become sub' t to the workers' comp ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7 lature of Applicant - - 2 Date CLARATION REG DING CONSTRYOON LENDING AGENCY ?reby affirm under penalty of perjury Kat 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 rdinances and state laws relating to building construction. I authorize representatives of this city or county t nter the above-ipqiified pro art for inspection purposes. mature of Prnnertv Owner nr Authorized Aoent lJ-i,Cir Print Prooertv Owner's or Authorized Acent's Name OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL .1/ ` SBE TOSSf NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSE n�pg�ii� ��,,N OCCUPANCY ISSUED SIGNATURE:�.!_�Cr ��C/ 0 J c E2 N Y) LLI N F" 00 3 x w N 0 N U CD Z E F ¢ Uo O p c0 @ o o w W mV Oz H Azov mo€ � O H y 0° 10 3 N N x —o VLL e' P61 OU�0 OOD M zo LD 'C 0'o A W a z W w�do 0° V O,� A a s J HU LU °- m ccac cc o > CLLI w �a 'O X H o � W y o a) y 'O = � w aa) G Wu - ISI � U ) N U O U U O y oLO° M O C y a) J c E2 O C N N N d of N p E m a) y .= p c0 @ O �, O w CL a) w 7 0 O 0 o a� t v >. y 0° 10 3 N N x 0 3 co N e' _a) c0 N= O 0 - __y LD 'C 0'o °Lm 0-0 y00 E a) °- m ccac cc o CC r �a 'O X N .D U N C a) y 'O = � O m O ) N >QUO X O=o O Ec i V oLO° M O c o a) = 3) c m w y' M ID c 3 d ° c E cc N 0 y �a O) ' . ° dm UfO- °U N) CLo o omy. m °o c m � c eo 'c° CU N m:? 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