HomeMy WebLinkAboutX2020-2420 - PermitsJ
nrp- City of Newport Beach - Building Division
sw 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INS)
Construction Hours: Monday -Friday 7:00 a.m. to 6:30 p.m.
Job Address: 323 MARINE AVE NB
Description: SFR REMOVEIREPLACE (E) 13 SQ OF TORCHDOWN, CLASS A
Legal Desc.: BALBOA ISLAND SEC 4 BLK 13 LOT 25
Owner: BALBOA BRENTWOOD LLC
Address: 1 WEYMOUTH CT
NEWPORT BEACH, CA 92090
Phone
Applicant: TERRAZAS ROOFING
Address: 2528 TRAVERS AVENUE
COMMERCE CA 90040
Phone: 323-842-2442
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R3/U
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:
Flood Zone: X
Construction Valuation:
Building Permit Fee: $343.00
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: $344.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
III IIIIIIIIIIIIIIIIIINIIIIIIIIIIIIIIIIIIIIIIIIII0 II
SAvciH IVS NO
COMB Permit
Project No :
Issued Date;
Inspection Area : 7
X2020-2420
BY OR PERMIT WILL BE INVAL.
nCjpMon Sundays or Holidays
Contractor:
TERRAZAS ROOFING
Architect:
Address:
2528 TRAVERS AVENUE
Address:
SJH Trans
COMMERCE CA 90040
In -lieu Housing Fee:
Phone:
323-842-2442
Phone: State Lie:
Con State Lie:
852568
Engineer:
Lie Expire:
01131/2021
Address:
Bus Lic:
BT30073298
Lie Exp Date:
10/31/2021
Phone: State Lie:
Worker's Compensation Insurance
Carrier: STATE COMP. INS
Policy No: 9111485
Expire: 0510112021
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: /
Front: /
Left: I
Right: I
king Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0
Designer:
Address:
Phone:
Special Conditions: LIQUEFACTION AREA
HIGH DENSITY
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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $344.00
RO9 00v OGO O Grip
A D O G
E
01.160Z WORKS APPROVAL:
PLAN CHECK BY:
<.ARPAOVAL TO ISSUE:
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
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $344.00
RO9 00v OGO O Grip
A D O G
E
01.160Z WORKS APPROVAL:
PLAN CHECK BY:
<.ARPAOVAL 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
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 penally 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
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 Iegall
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 under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700)f iVi ' n 3 of the Business and Pro awns Gd seis-in full force
and effect. License Class License No Date 2 2 o Contractor Signal
WORKERS' COMPENSATION DECLARATION
WARNING: 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.
I hereby affirm under penalty of perjury one of the following declarations:
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
pe. ance of the work for which this permit is issued. Policy No.
I have and will r al (ain workers,eeml, ensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio
Insurance carrier and• o y numbs\f ���
Carrier Ngjjoy b Expiration Date
Name of Agent J J` Phone If
I certify that, in the performance of the wo k,f whi this per it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws f California, and agre
that, if I should become sublet to the work 'co on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant
DECLARATION REG#ADMG CONS UCTIO ING AGENCY
I hereby affirm underfienalty of perjurya ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By 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 county tont the above -identified property for inspection purposes. - �• r et
"" -��
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na v"
ACTION
DATE BYLARATION
OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
R ULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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PERMITFINAL
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CERTIFICATE OF
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