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HomeMy WebLinkAboutX2019-1278 - Permits1�noe City of Newport Beach - Building Division ' 100 Civic Center Drive, Newport Beach, CA 92660 r Permit Counter Phone (949)644-3288 Phone: Inspection Requests Phone (949)644-3255 ray`' Combination Type - SFP IIIIIIIIIIIIIIIIIIIIII�IIIII�IIIIIII�IIII� II COMB Permit: X2019-1278 x 2 0 1 9 1 2 7 8 Project No: Issued Date : 0412312019 Inspection Area : 3 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: 2448 WINDWARD LN NB Description: SFR- PARTIAL RE -ROOF. T/O 9 SQ TILE. INSTL 30# FELT, INSTIL COMP SHINGLES. BACKFILL TILES AFTER SOLAR PANELS ARE INSTALLED Legal Desc.: N TR 5178 LOT 18 Owner: KRAUS SCOTT Address: 2448 WINDWARD LN $0.00 NEWPORT BEACH CA 92660 Phone: 949-452-3981 Applicant: ABOVE ALL CONSTRUCTION Address:. 3343 DURAHART ST $0.00 RIVERSIDE, CA 92507 Phone: 951-742.7156 Code Edit : 2016 Type of Construction: V -B Occupancy Group: R3IU Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of.4fits: Bldg, He! Elhts b Bldg 6prm1CPers: Flnn°I 7n..P o°°o°c ub®°e Buitdlrg�Permit F�seo ° ° °$324.00 Plan Ghpck Fee:` $0500 Address: Oyief[imte°Plan C$:° ° ° $0.00 Irrvestivtion Fee:© ° $0.00 Recard Managemerut : $0.00 Energy°Compliances ° ° $0.00 CA,'S@it&c Saf@tg o ° $0.00 Olsabled Access :° ° o $0.00 Hazardous Mat ° ° $0.00 Building Green Feed:° ° $1.00 Contractor: ABOVE ALL CONSTRUCTION Address: 3343 DURAHART STREET Fair Share RIVERSIDE, CA 92507 Phone: 951-742-7156 Con State Lie: 933062 Lie Expire: 12131/2019 Bus Lic: BT30067026 Lic Exp Date: 0413012020 Worker's Compensation Insurance Carrier: CYPRESS INS CO Policy No: ABWCO28116 Expire: 0210112020 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: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect: Address: Phone: State Lie: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share Fire Department SJH Trans Fire Inspection: In -lieu Housing Fee: Fire Plan Rev Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 II TOTAL FEE: $325.00 Plan Check Fee \A PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: "d Zone : 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 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $325.00 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' Stale 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 imrroved 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 ap ly to an owner of property who builds or improves thereon, and who contracts for the projects with alicensed Contractor pursuant to the Contractors' State License Law). I 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) 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:/Aw .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of,P�Sly�ythat I am licensed under provisions oj.�hap�er 9 (commencing with Section 0 f ivisio 3 f the Business and fe I o n y license is in full force and effect. License Class ( 5`7 License No �% �i iO�o 2 Da 3 �7 Contractor SignalGr� NORKERS' COMPENSATION DECLARATION ¢� NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES 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 penally of perjury one of the following declarations: 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 lh art rmance of the work for which this permit is issued. Policy No. ave and 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' compensatiol s ranc arrier and policy number are: Y� ••• -arrier [A f�Y`CSS' Policy Number MR)AI co ate)) to Expiration Date 2)�1 2 C, � •••� Name of Ad Phone # • - :1I certify that, in the performancerpf 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 end ogre :hat, if I should become subj ct t e w rke pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ..... Signature of Applicant y' f / l i' l' }lajQ�������' - OECLARATION REWEMG CONSTRUCTION LEN511NG AGENCY 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, vil 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 pr ed is correct. .... : • •' `: I agree to comply with all applicable city and county o dinaes and laws relating to building construction. ...... I authorize representatives of this city or county to ery7-er qe a ve-Id ed property for inspection purposes. ;innature of Pronartv Owner or Authoriz_7PV,t _ < Print Progertv Owner's or Authorized Aqent's Namei �V(11it 7 ?_YI(71, G ACTION DATE BY V IFCLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE -\1 1403 NOTIFICATION TO PERMIT EMENDED i UAQMD PERMIT FINAL ASBESTOS NOTIFICA N IS NOT APPLICABLE TO CERTIFICATE OF 1 ROPOSEDDEMO�IT OCCUPANCVISSUED t( SIGNATURE:,®/ % ms-r,r