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HomeMy WebLinkAboutX2020-0399 - Permits�tgxrr q� City of Newport Beach - Building Division II III I II I I II II II II I I IIII II COMB Permit: M9 4 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 0 3 9 9 Project No : 0533-2019 n Permit Counter Phone (949)644-3288 a Inspection Requests Phone (949)644-3255 a Combination Type - SFP Issued Date : Area : 2020 l4ru4 � Inspection Area 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 2201 WATERFRONT DR NB Description: SFR REROOF W/CLS"A" COMP, T/O COMP (13 SQS), REROOF FLAT ROOF WI MODIFIED BITUMEN, T/O CAPSHHET (4 SQS) Legal Desc.: TR 682 LOT 42 POR OF LOT /^� /� , Owner: IWB HOMES LLC Contractor: BARNETT ROOFING Architect: f N S P _ l t Address: 3419 VIA LIDO #627 Address: 16581 DELTONCIR #3 Address: V \F NEWPORT BEACH CA 92663 HUNTINGTON BEACH, CA 92647 Phone: Applicant: Address: Phone: BARNETT ROOFING 16581 DELTONCIR #3 HUNTINGTON BEACH, CA 92647 714-724-1938 Code Edit: 2019 Type of Construction: VB Occupancy Group: R3/U 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: Valuation: $12,400.00 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: Phone: 714-724-1938 Phone: spy' State Lie: , Con State Lie: 661981 Engineer: "® C,,®Aro-A •, Lie Expire: 12/3112020 Address: �'T U�(*� Bus Lie: BT30069528 p,r ��®r ' Lie Exp Date: 10/31/2020 Phone: State Lic: V Worker's Compensation Insurance Designer: Carrier: STATE FUND Address:i,J �g Policy No: 1816874,r� 04/29/2020 Phone: ' Expire: Building Setbacks Rear: I Special Conditions: Front: I Left: / Right: I Use Zone: Parking Spaces 0 Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $325.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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 1e 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 pply to an ccvner 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 aln eK npt from licensure under the Contractors' State License Law for the following reason: ly my sionatUr., 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 ell a structure 'hat 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 'rofessions Code, is 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 .ICENSEQ CONTRACTOR'S DECLARATION /n� hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of Di 'sion 3 of the Business d Professjlfny�Gode, lice a is in full force ,id effects License Class License No i (7 Contract gnature In CORKERS' COMPENSATION DECLARATION I�.RNING: FAILUkE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP ONE UNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OS'" OF COMPFNSA,'ION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby aff im finder penalty of perjury one of the following declarations: I ; nave anu 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 =rformance of toe work for which this permit is issued. Policy No. have 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' ie of Agent §W � X's Q certify that, in the performance jjt should become subject toC are: �F G L Policy Number Leoug � t"L - L / Expiration Date Ik-I t.* i Phone# 76k,L'�l :tl'JI for which this permit is issued, I shall not employ any person in any manner so as to become subject to the qftpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CLARAtION REGARDING CONSTRUCTION LENDING AGENCY ;reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued 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 ordm9kces and state laws relating to building construction. I authorize representativ f this city or countytt47e/rt>�r above -identified property for inspection purposes. nature of ProDertv Own Authorized AGent ''f�����//�� Print ProDertv Owner's or Authorized Aoent'sAam ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIREO LJISUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT FINAL �L_q //e L]p. BESTOS NOTIFICATIONI OTF>; ABLL CERTIFICATE OF ./ V 1`�" PRO SED DEMOLITION , Itjt j, �v\ �.l OCCUPANCYISSUED SI RE: 1 compensation laws of California, and agre Civil Code).