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HomeMy WebLinkAboutX2020-2914 - PermitsCity of Newport Beach - Building Division IIIIIIIIIII'IIIIIII�IIIIIII�IIllll'IIIIIIIIIII II COMB Permit: X2020-2914 4 100 Civic Center Drive, Newport Beacti, CA 92660 X 2 0 2 0 2 9 1 4 Project No w Permit Counter Phone (949)644-3288 s#" Inspection Requests Phone (949)644-3255 Cop* ination Type - SFP Issued Date : _ Inspection Arearea :2020 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1211612023 OR PERMIT WILL BE INVALID 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: 414 VIA LIDO NORD NB Description: SFR REROOF TIO TILE (9.5 LBS) & REPLACE WI BORAL SAXONY TILE 9LBS CLASS "B" 25 SCIS Legal Desc.: TR 907 LOT 479 SELY 15 FT AND NWLY 20 FT LOT 480 AND POR ABAND ALLEY I ® Owner: LEVICH DAVID - Contractor: SUPERIOR ROOFING SYSTEMS Architect: •L; ® • Address: 414 VIA LIDO NORD Address: 360 E IST ST #701 Address: ° NEWPORT BEACH, CA 92663 TUSTIN CA 92780 ° • m • • 0 0 0 Phone: Phone: 866-783-4400 Lic: TION WO Phone: N® CONSTRUCTION yt��t (�i�f Applicant: SUPERIOR ROOFING SYSTEMS Con State Lic: 865713 Engineer: IM 6 p"I Y,.Y� tlN 6➢V K °, o Address: 360 E 1ST ST #701 Lic Expire: 1013112021 Address: °me•om TUSTIN CA 92780 Bus Lic: BT30062175 Phone: 866-7834400 Lic Exp Date: 01/3112021 Phone: State Lic: • ° ®. ° ° ° Code Edit: 2019 Worker's Compensation Insurance Designer: ON SATURDAYS". Type of Construction: V -B Carrier: STATE FUND Address: .... Occupancy Group: R31U Policy No: 1957583 Added /New sq.ft. Bldg: 0 Expire: 01/01/2021 Phone: ° °O Added/New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: LIQUEFACTION .... No of Units : 1 Front: I PRE INSPECTION REQ Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $23.900.00 Building Permit Fee: $343.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee: $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0:00 Disabled Access: $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $344.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $344.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: _ OWNER -BUILDER DECLARATION - - I -* - 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 appl%ent 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 L) all of or L) 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). ❑ 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 exemgt fronj licensure under the Contractors' State License Law for the following reason: By my signature beiogv 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 gtructui that I ave 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 Proies;ions 4fle,J 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 CIC�NSED CONTRACTOR'S DECLARATION I he4&y affirm tinder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio' 0) o Div' ion 3 of the Business and Pr Sion 's in full force aryf rffgct. Li6�dse 4�lass License No Date ,oZxontractor Signature WORKERS' COMPENSATION DECLARATION WAARIAG: FAILU& To wcuRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE pPai OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES. I bareb iaffirm Aerpgnalty of perjury one of the following declarations: 1 hd;e and -wig m4ntain 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 thI 6aln�nce of tbP,lyprk for which this permit is issued. Policy No. Rave and Am marrl ain 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' compensatior s nce carrier and policy number are: -arrier Policy Number Expiration Date \lame of Agent Phone # :1I certify that, in the pert rmance of the w or 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 agree :hat, if I should beco s bjec to w Spin ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,r �7� 3ignatureof Applicant Date 12 OIDU"_ DECLARATION REGA DI IN NCY hereby affirm under p nalty of pe ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civi 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 beh I have read this application and the information I have provided is co ct. I agree to comply with all applicable city an co my ordin as to laws relating to building construction. I authorize representatives of this city or cou to ant I ' roperty for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name �� Date ACTION DATE BY _DECL0r,%rbN OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGJAIYTIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMITFINAL CERTIFICATE OF II ,f ml'I I,yINATEEDED N OLITCAT I ��� TO OCCUPANCY ISSUED I Q L 1�i ���111fff �1{��' 6' I 1 1 r r r FYI Il ,� W 1