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Home My WebLink AboutX2019-1258 - Permitslawn City of Newport Beach - Building Division : COMB Permit: X2019-1258 ,� III��III�IIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII� II 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 2 5 8 Project No: 8; x Permit Counter Phone (949)644-3286 .Inspection Requests Phone (949)644-3255 'ems - Combination Type - SFP. Issued Date: 0412212019 #yjp Inspection Area : 1 - PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Moors: 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: 1744 PLAZA DEL NORTE NB Description: SFR.T/O (E) 19 SQ, INSTALL COMP. SHINGLE, CLASS W MIN Legal Desc.:. N TR 518 8LK L LOT 11 Owner: VASSAR Contractor: NEWPORT COAST ROOFING INC Architect: fi Q4 Address: 17885 COLLINS AVE #3601 Address: 120 TUSTIN AVE #C-1084 Address: $ - SUNNY ISLES BEACH FL 33160 NEWPORT BEACH CA92663 ' Phone: Phone: 949-356.6074 Phone: State Lie: Applicant: ALMEIDA CESAR Con State Lie: 773158 Engineer: - Address: 120 TUSTIN AVE #C-1084 Lie Expire: 0413012021 Address: AICNrDnOT Donr•u rA 01ac1 B Li BT30066998 Phone Code Edit: 2017. Type of Construction: VI3 Occupancy Group: R31U 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: $9,925.00 Building Permit Fee: $324.00 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: $325.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: us c Lie Exp Date: 04/3012020 Phone: State Lie: Worker's Compensation Insurance Designer: Carrier: STATE COMP. INS - Address: - Policy No: 9249162. Expire: 04/17/2020 Phone: Building Setbacks Rear: I Special Conditions: LIQUEFACTION AREA Front: / Left:. / Right: /. .. Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant: Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %°: Plumbing %: rkina Spaces: 0 Fire Hazard Zone : N Fr�r i $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 : $325.00 :y E , ° ° ® e PUBU:C WORKS APPROVAL: PLAN CHECK BY: ljPPROVAL TO ISSUE: u°m ue ob. � mua $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Public Works Department - General Service $0.00 Park Dedication : " $0.00 Refund Deposit PIW Plan Check: $0.00 Grading Bond: $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 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 i" (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 L) 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 imrroved 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). ❑ 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 legally 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 LW I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 O) F i 3 of the Business and as' ns C dicn is in full force and effect. License Class License No Dat •� Contractor Signalyfe 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 ADDIT TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 th Znce of the work for which this permit is issued. Policy No. 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' compensatiol nsurance carrier a Icy number are: ,,�p'�t g /� (� ,� ^n�da� On, t f¢DIiINuMk/r ! Expiration Date of Agent 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 agree t, if I should becomes ject orke ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��`[[[ nature of Applicant ate CLARATION RE S ENDING AGENCY areby affirm undo 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). Ider's Name Lender's Address 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 or _ nd state laws relating to building construction. I authorize representatives of this city or couPty,ko pliter- - ' Drooerty for inspection purposes. of ProDertv Owner or Authorized ACTION DATE BY DEQARAiTON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED V I SUBMITTED ASBESTOS NOTIFICA NTO' •" •- .•• PERMITCANCELLED OEPA PERMIT EXTENDED QMD • ° PERMIT FINAL Zs Z ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PR OSED DERUOUri1ON •• ••• • • ••• v� • •�• OCCUPANCY ISSUED SIGNATURE: _ • •• .--_ _