The URL can be used to link to this page

Home My WebLink AboutX2022-0499 - PermitsCity of Newport Beach - Building Division *X2022-0499* COMB Permit: X2022-0499 100 Civic Center Drive, Newport Beach, CA 92660 a Project No : IYFwE9W2 v � Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ,.�� , 'haZira�u�'i Combination Type - CIP "°IECTO Y Issued Date : 02/18/2022 tl 'am Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0211812025 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: 355 PLACENTIA AVE NB Description: COMM REROOF (PARTIAL) INSTALL WALARKEY' ASPHALT SHINGLES W/ 2-LAYERS OF 15# UNDERLAYMENT OVER (E) 1-LAYER ASPHALT SHINGLES. (50 SQUARES) Legal Desc.: P M 154-01 PAR 1 UNIT 5 OF PROJ LOC ON AP 425.111-06 TOGETHER ICC ESIR 9 SO Owner: AMIT SHAH LLC Contractor: TOP NOTCH ROOF CO INC Architect: Address: 137 W CHAPMAN AVE STEA Address: 6771 WARNER AVENUE #3749 Address: FULLERTON, CA 92832 HUNTINGTON BCH CA 92605 Phone: 714-960-4441 Phone: 714-746-9999 Phone: Applicant: SMITH GARY Con State Lic: 696973 Engineer: Address: 6771 WARNER AVENUE #3749 Lic Expire: 10131/2022 Address: HUNTINGTON BCH CA 92605 Bus Lic: BT30077305 Phone: 714-746-9999 Lic Exp Date: 11/30/2022 Phone: Code Edit : 2019 Type of Construction: V-B Occupancy Group: U Added /New sq.ft. Bldg: 0 Added/New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Building Permit Fee: $487.00 Plan Check Fee: $0.00 Overtime Plan Ck $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $61.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE : $549.00 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMPENSATION INS FUND Policy No: 1675130 Expire: 01/01/2023 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: / Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Designer: Address: Phone: State Lic DASS PRAVEEN 1945 SHERINGTON PL Z 202 NEWPORT BEACH CA 92663 949.295-7943 State Lic:C-074200 Special Conditions: Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 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: m•em m e m.ee oneome • $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $549.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: • P O••Of.Q • E PIm(G O •coca Um894C P P G P O mnmPmo m c Py•m 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 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 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 Cade: 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 fl;ppl 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 legall3 ;ell a structure ttfaii 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 PTdfess2ons CoVIi, i;9Qailable 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 LTGENSED CONTRACTOR'S DECLARATION f hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, an I etfise is in full force gt%eftept. Lictnge(CMss License No Date 7—1'>�—ZZ' Contractor Signature Sc IAIORRERS' COMPENSATION DECLARATION ARR*N%%,FAILURE9 TO S5CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE G"ADF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. +hefeby.affirm under eenalty of perjury one of the following declarations: 1 I ha0e and tNUbrnai tain 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, mJnce of tt(p wgfl� for which this permit is issued. Policy No. e •. nave and wlll.malnkain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatior 'nsurance carrier and policy nunpper are: Policy Number of Agent Date :1I 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 workers' compensation laws of California, and agre hat, if I should become subject to the workers' complioe n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -< Signature of Applicant 1?< Dater Z )ECLARATION REGARDING CONSTRUCTIONtMING 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, Civil 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 provided is correct. I agree to comply with all applicable city and county ordinances a d S ate laws relating to building construction. I authorize representatives of this city or county to enter the ab entified property for inspection purposes. r Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name y — Y ate ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED L LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT —CANCELLED IDEPA PERMIT EXTENDED qMD PERMITFINAL SBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF I1 ..n/ PROPOSED DEMOLITION OCCUPANCYISSUED 4 V VV SIGNATURE: