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Home My WebLink AboutX2021-0482 - Permits111 City of Newport Beach Building Division ` 100 Civic Center Drive, Newport Beach, CA 92660 w Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 oaia Combination Type - CIP "X2021-0482' COMB Permit: X2021-0482 Project No: Issued Date: 03/18/2021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0311812024 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: 592 SUPERIOR AVE NB St: 1 FI: 1 Unit: A Description: COMM *CITY JOB* REROOF W/CLS W' BUR CRRC#0700-0028, T/O (E) 64 SCIS Legal Desc.: IRVINE SUB LOT 169 BLK 2 10 AC IN LOT -INC POR OF ST ADJ- -EX FREE L I oft"- Owner: ft- Owner: CITY OF NEWPORT BEACH Address: 1000 CIVIC CENTER DR Record Management : NEWPORT BEACH, CA 92660 Phone: 949-6443014 Applicant: CHAPMAN COAST ROOF CO INC Address: 2030 EAST WALNYT AVE Hazardous Mat FULLERTON CA 92831 Phone: 714.738-6611 Code Edit: 2019 Type of Construction: Va Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: Building Permit Fee: $985.00 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 : $3.00 TOTAL FEE: $3.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: CHAPMAN COAST ROOF CO INC Address: 2030 EAST WALNYT AVE Fair Share: FULLERTON CA 92831 Phone: 714.738-6611 Con State Lic: 927543 Lie Expire: 01/31/2023 Bus Lie: BT30073355 Lie Exp Date: 10131/2021 Worker's Compensation Insurance Carrier: REDWOOD FIRE Policy No: CHWC139760 Expire: 0410112021 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: I Left: I Right: I Parking Spa $0.00 ($985.00) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: 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 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 %' ECTFOR State Lie: State Lie: Plan Check Fee : $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 0 c000cm $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3.00 m o e m o 00 0 oomoo 0 eoeoo 000000 m e o e m 000000 0 m0oo0 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: Plan Check Fee : $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 0 c000cm $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3.00 m o e m o 00 0 oomoo 0 eoeoo 000000 m e o e m 000000 0 m0oo0 r' 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 U 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). 111, 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). d 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 I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) 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 PropaRy.Owner or Authorized Agent Date LICENSED CdNTRAtTOR'S DECLARATION //�� I airpGy affirm ugder pEnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 o the Business an Prof7el s Code, an y licens 's in full force amid effect. Licep§e 9ps License No to Contractor ature� �1i✓ OLRKlcrjtS' COKPENSATION DECLARATION ARM". FAILURE TQ SECUJE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TORIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OFGOMPENSpAOry IR MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I %erltly affirm under penalty of perjury one of the following declarations: . .• 44M% and VAIL fnpyRain 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 mance of the work for which this permit is issued. Policy No. OE nd will plairdain 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' compensatio in nce carrier9Q(j poIry number are: ::Tmer•'; Policy Number Expiration Date Narf16EPAgent ""'; Phone I certify 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 rkers' compensation laws of California, and agre COM that, if I should become ct to the workers' compens tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi s. -7 Signature of ApoI t Date7 I - DECLARATION R CONSTRUCTION LENDING AGENCY I hereby affirm unde 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). 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 ounty ordinances and state laws relating to building construction. I authorize representatives of this ei4, or my t er the ab ve-idem' d property for inspection purposes. ..,,�� Signature of Property Owner or Authorize ent Print Property Owners or Authorized Agent's Name (ice to—� ACTION DATE Y DELLA TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGU TIONS PART 61 OF TITLE 40 AND AQMD RULE 1 PERMIT EXPIRED LI MITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED 111EPA PERMIT EXTENDED PERMITFINAL - 'L/ ASBESTIJIS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED E ION OCCUPANCY ISSUED S M