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Home My WebLink AboutX2017-1073 - Permitsgwro City of Newport Beach - Building Division a r 100 Civic Center Drive, Newport Beach, CA 92660 E Permit Counter Phone (949)644-3288 r Inspection Requests Phone (949)644-3255 Combination Type - SFP COMB Permit: X2017-1073 nom onium nouns nunrnunnnnwnin oo° n Project No: Issued Date : 04/03/2017 Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE Construction Hours: Monday -Friday 7:00 a.m, to 6:30 p.m. and Saturday f Job Address: 8 COLLINS ISLE NB Description: SFR. RE -ROOF 23 SQ TORCH DOWN (FLAT AREA ONLY) & REPLC SKYLIGHT Legal Desc.: N TR 1723 LOT 7 Owner: NISSER JOHN Contractor: RANDY'S CLASSIC ROOFING Address: 9840 DOWNEY SANFORD BRIDGE RD Address: 32960 DAILY DR DOWNEY, CA 90240 MENIFEE CA Phone: Applicant: RANDY'S CLASSIC ROOFING Address: 32960 DAILY DR MENIFEE CA Phone Code Edit: 2016 Type of Construction: V -B Occupancy Group: R31U Added /Newrri sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: No of Units : 1 Bldg Height: 0 Bldg Sprinklers: - Building Permit Fee: Plan Check Fee: Overtime Plan Ck: Investigation Fee: Record Management Energy Compliance: CA Seismic Safety: Disabled Access: Hazardous Mat Building Green Fee PROCESSED BY: $16.620.00 $304.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 TOTAL FEE : $305.00 ZONING APPROVAL: Phone: Con State Lic: 726425 Lic Expire: 08/31/2018 Bus Lic: BT30058644 Lic Exp Date: 04/3 012 01 8 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9096068 Expire: 01/0112018 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: / Right: / L22 Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee $0.00 Fair Share: $0.00 SJH Trans : Fire Plan Rev In -lieu Housing Fee $0.00 Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 L o ° Nm work on Sundays or Holidays p 'State LIa J Al - State Lic: Plan Check Fee : $0.00 Fee Due at Permit Issuance : $305.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $305.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION ; ; „ : ; I hereby affirm under penalty of perjury that am:sxOmpt Jori t& dontractoss' 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: An9 City-Or'couffty that requires abermit 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). 0 ❑ 1, as owner of the property, or my employees wit♦S wagos as their sore o14pewi,1 n, 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 �irgnse L`ayJdD'eShot 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-Builderwill 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 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 legalh 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Di ision 3 of the Business and Profession Code, and my licen a is in full force and effect. License Class License No Dat d ! Contractor Signature 1/ NORKERS' COMPENSATION DECLARATION NARNING: 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 :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 t1v )erform;3nce of the work for which this permit is issued. Policy No. 7have 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' compensatior nsurance carrier and policy number are; 'arrier__C9u=-rn0-1f4u Policy Number ! (�i��J Expiration Date L�' m of Agent Phone # 7) pfd C' kLS`�fI c ify that, in the performance 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 agre( hat, I should becomes jje to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. !!gnat tto of Applicant � Date /�,/ .� )ECLAf2ATION REGARINING WNSTRUCTION LENDING AGENCY hereby Nrm 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, Civil Code). .antler'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 city and county ordinances and state laws relating to building construction. I authorize representatives of this city or cougty to eyyter the above-ioeatgied property for insgeet(on purposes. 1 , A, of PART 61 OF TITLE 40 AND AQMD RULE PERMITEHPIRED I I--IISUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED i"\ EPA TO TI CERTIFICATE OF I�IZ/ v �j'J / ONOTIFICATION CPROPOSEDDEMOLI5IOCCUPANCYISSUED 6ON � ISOPABLE v I SIGNATURt'.V yQ, Owner's or Authorized An I FOR OFFICE USE ONLY All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.