HomeMy WebLinkAboutX2020-1794 - PermitsCity cf Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2020-1794
100 Civic. Center Drive, Newport Beach, CA 92660 x 2 0 2 0 1 7 9 a Project No
Permit C ranter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Y \ < Combin etion Type - MIFF Inspection
Date :
Inspection Arearea :2020
4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OBIO812023 OR PERMIT WILL BE INVALID
Cons. ruction 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: 4250 PARK NE WPORT OR NB = J
Description: MFR PARTIAL REROOF REMOVE AND REPLACE B.U.R CLASS B 32 SQS
Legal Desc.: N TR 6947 LO' 2
Owner:
PARK NEWPOPT LAND LTD
Address:
201 FILBERT S: #700
SAN FRANCISCO, CA 94133
Phone:
Applicant:
R D M WEATHERPRF & CONTR
Address:
PO BOX 130
BEDIAS TX 77831
Phone:
714-404-8739
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 4
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Contractor.
R D M WEATHERPRF & CONTR
Address:
PO BOX 130
BEDIAS TX 77831 _
Phone:
714-404-8739
Con State Lic:
724244
Lic Expire:
06/30/2022
Bus Lic:
BT0302449
Lic Exp Date:
02/28/2021
2019 Worker's Compensation Insurance
V-3 Carrier:
STATE COMP
Ri/U Policy No:
9210506
0 Expire:
0511512021
0
Building Setbacks
Rear: I
Front: I
Left: I
Right: I
Use Zone:
Parking Spaces:
Building Permit Fee: $335.00
Plan Check Fee: $0.00
Overtime Plan Ck:
50.00
Investigation Fee:
50.00
Record Management:
$0.00
Energy Compliance:
30.00
CA Seismic Safety :
5om
Disabled Access :
50.00
Hazardous Mat
:i0.00
Building Green Fee :
51.00
TOTAL FEE : $336.00
PROCESSED BY:
ZONING APPROVAL:
Architect:
' -
Address:-
ILL
o OPhone: State Lic:
oe
Engineer:
J x
Address:
Phone:
J
State Lic:° -'_ W
Designer:
Address:
"r/1
Phone:
Special Conditions
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
PNV 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 :
$336.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION --
I hereby affirm under penalty of penury 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 th • applicable item(r)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to Construct, alter, improve, demolish, or repair any structure, priorto Its issuance, also requires the applicant for
he 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 Divis nn 3 of the Business and
'rofessions Code) or that he or she is Exempt from ficensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the app-icant to a civil penally of
rot more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sale compensation, will do (j all of or �] portions of work, and the structure is not intended or offered for r sle (Seaton 7044,
3usiness and Professions Code: The Contactors' State License Lew does not apply to an owner of property who, through employees' or personal effort, buffs or improves the pro,' erty, provided that the
Tlprovements 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 :hat it was not built or
mproved 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' StateLicense 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).
lam exempt from I-icensure under the Contractors' State License Law far the following reason:
iy 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 'nis perrtt, I cannot Tegaily
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
)rofessfons Code, is available upon request when this application is submitted or at the following Web site:http:ltwww.legirtfo.m.gov/calaw.htm]. of Property Owner or Authorized Agent Date_
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0) of Division 3 of the Business and Pro ions C ands ,y license is in full force
ind effect Ucahse Class License No Dat 08/07/2020 Contractor Signature
VORKERS' COMPENSATION DECLARATION
1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I :100,WDi, IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROwDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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 : f the Labor Code, for the
erformance of the work forwhich 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. � 1y workers'
rance carrier and policy number are:
ne of Agent _
certify that, in the
. If I should bacon
Policy Number 921050E-20
Date 05/15/2021
work forwhich this permit is issued, I shall not employ any person in my mannerso as to become subject to the workers' compensation le vs of California, and
rkers' eo.Vansatlon provisions of Seaton 3700 of the Labor Code. I shall forthwith rrmnly wifh rhnen nrnvielono
;ignature of Applicant /� 3 ,t i� Date 08/07/2020
fECLARATION REGA D CONSTRUCTION ENDG INGAGENCY
hereby affirm under penalty of perjury that there Is a construction lending ageneyfor the performance of the work for which this permit is issued (Section 3097, Civil Code) -
enders Name Lenders Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners 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 cou enter the a Ida ed property for inspection purposes. •■
ignature of Property Owner arAuthorized Agent! Print Prooeriv Owner's nr AUfhnri ad AncnHe nra .VR.a.0 M�."III
BY f ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REgULATIONS PART 61 OFTrrLE 40 AND AQMD RULE
PERMfrFlNAC I-r7�J7� IZ4 BESfO$ !CATION IS NOT APPLICABLE TO
CER77FC4TE OF ft I OPOSEDD ON
OCCUPANCY/SSUED