HomeMy WebLinkAboutX2016-0805 - Permits�a�vvoq City of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2016-0805
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 6 0 8 0 5 Project No
t, S Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
excrroYF`* Combination Type - MFP Issued Date:
Inspection Arearea :2016
2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE/CARBON, MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED
Job Address:
880 IRVINE AVE NB St: E
Description:
MFR- REROOF W/ 60 MIL TPO ROOFING
SYSTEM, VACUUM EXTG ROCK & DEBRIS (101 SQ) "BLDG E"
Legal Desc.:
P BK 15 PG 36 PAR 1
Owner:
UDR NEWPORT BEACH NORTH L
Contractor:
DOO-RITE CONSTRUCTION INC
Architect:
Address:
PO BOX 06408
Address:
18300 GRAND AVE
Address:
CHICAGO, IL 60606
LAKE ELSONORE CA 92530
Phone:
Phone:
951-678-1330
Phone: State Lic:
Applicant:
DOO-RITE CONSTRUCTION INC
Con State Lic:
935039
Engineer:
Address:
18300 GRAND AVE
Lic Expire:
07/31/2017
Address:
LAKE ELSONORE CA 92530
Bus Lic:
BT30050600
Phone:
951-678-1330
Lic Exp Date:
03/31/2016
Phone: State Lic:
Code Edit:
2013
Type of Construction:
V-B
Occupancy Group:
R2/U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage: 0
No of Stories:
3
No of Units:
1
Bldg Height:
0
Bldg Sprinklers:
Flood Zone.
Construction Valuation: $34,845.00
Building Permit Fee:
$533.00
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:
$2.00
TOTAL
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: EMPLOYEE SERVICE GRP
Policy No: WC065269818
Expire: 02128/2017
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Npmbing %:
Rear: /
Front: /
Left: /
Right: /
'arking Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
0
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone
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
$0.00
PUBLIC WORK
PLAN CHECK t
APPROVALTO
Fee
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:
APPROVAL:
Permit Issuance
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$535.00
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 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
ie 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 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:
ly 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 legaI6
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
lignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
' ereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with $e i 7000 f ivision 3 of I Business and ProfessProfesspeR, e, and my license is in full force
nd eifect. License Ciass License No XDyte C ntractor Signature
VORYERS' COMNrNSATION DECLARATION
'4RNI-Ir: 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 (6100,000(, IN ADDITION TO THE
OST OF COMPENSA717:1, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
11e;a1by affirm undcr penalty of perjury one of the following declarations:
I 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 IN
P ance of tha ,nook 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'
carrier and nolicy number are:
me �f Agent
I certify that, in the performance of
t. if I should become subie.QM the
of
Policy Number Expiration Date
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
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions., 1 r
CLARATION REGARDING CONSTRUCTION LENDING AGENCY i
3reby 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
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 owners behalf.
I have read this application and the information I have provided i?d mect.
I agree to comply with all applicable city and county ordinance /and state laws relating to building construction. _
I authorize representatives of this city or county to a ove-identified property for'Irnspection purposes. hoMn�j�` �1
)ature of Property Owner or Authorized Agent J-X� P�Int Property Owner's or Authorized Agent's Nam l�'ly, I at J
Civil Code).
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