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HomeMy WebLinkAboutX2019-0031 - Permits1•p City of Newport Beach - Building Division IIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIII '. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 ?, Permit Counter Phone (949)644-3288 ' .Inspection Requests Phone (949)644-3255 - '� " Combination Type - MFP YP 0 0 3 1 COMB Permit: X2019-0031 Project No : 2019 Issued Date: Area Inspection Area 8 Plan Check Fee: $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST. VALID INSPECTION. x$0.00 - 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: 2650 VISTA ORNADA NB x$0.00 Energy Compliance: $0.00 Description: - MFR REMOVE EXTG CLAY TILE & REPLACE UNERLAYMENT (2 LYRS 30# FELT) REINSTALL THE SAME CLAY TILE (15 SOS) $0.00 N TR 7082 LOT 47 $0.00 Hazardous Mat $0.00 Owner: Desa: SEN DUO& PEI TINGTING Contractor - LUIS MENDOZA ROOFING Architect 'Y Address: 2650 VISTA ORNADA Address: 2323 W 12TH ST Address: Grading PC Feer NEWPORT BEACH CA 92660 SANTA ANA CA 92703 .... Phone. Phone: ' 714-785-3545 .Phone: State Lie:. •.... • Applicant LUIS MENDOZA ROOFING Con State Lie 972859 Engineer: o e e • o-, o' • • ° o. Address: 2323 IN 12TH ST Lie Expire: 08131/2019 Address: ° SANTA ANA CA 92703 Bus Lie. BT30039447 Mechanical%: $0.00 Phone: - 714-786-3545 ' Lie Exp Dater : 05131/2018 Phone:. State Lie: .... ° • ° Code Edit 2016 Worker's Compensation Insurance - Designer. ee •• °.. o Type of Construction: VB Carrier: STATE COMP _ Address: ° ° e m . . e. • ° Occupancy Group: R2/U Policy No: 9011200 Added /New sq.ft. Bldg: 0 Expire: 04/2012019. Phones •. o ° O ° • ° ' Added /New sq. ft. Garage:.. 0.. ° • ®. • ° No of Stories: 2 Building Setbacks Rear: / Special Conditions: ...... No of Units: 4 Front: I ueoe.. Bldg Height: '0 _iii / °e�oom o000 Bldg Sprinklers: Right: / Flood Zone: Use Zr Parking Spaces: Or - Fire Hazard Zone : N Construction Valuation: $9.800.0 Building Permit Fee: $324.00 Plan Check Fee: $0.00 Overtime Plan Ck: x$0.00 - Investigation Fee. $0.00 Record Management: x$0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 0 E .se Tax:. $0.00 Planning Department - Additional Fee: $0.00 Plan check Fee: $0.00 Grading Bonds Fee: $0.00 fair Share.: $0.00 Grading PC Consultant :. $0.00 SJH Trans: $0.00 Grading Permit Fee:. $0.00 in -lieu Housing Fee: $0.00 Grading PC Feer $0.00.' Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : , $0.00 PM Plan Check: . . $0.00. Electrical %°: $0.00 San Dist: $0.00 Mechanical%: $0.00 NMUSD Fee: $0.00 Plumbing %i $0.00 TOTAL FEE: $325.00 PROCESSED BY: ZONING APPROVAL:. GRADING APPROVAL: Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: - $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 i $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 itemCs) action 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 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 ,fessions 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 more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness 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 Irovements 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 roved for the purpose of sale). 1, 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 Ily 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: 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 Iegalh 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 fessions CgA-is aitailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Proodrt?Owner or Authorized Agent Date :ENDED Qgg1V,CTOR'S DECLARATION � ereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se '0 00) f Division 3 of the Bus' e s and Professions C e and my lice 8e is in full force I enact. Licence Class License No �4 i1 Sy Cd J e`©( � Contracto ignatura . d )RKERS' CCWPENSA ION DECLARATION MINA FAILURE4e61CURE 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 ADDITION TO THE IYJF COMPEVATIOri. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ffirm pgdg pI§nalty of perjury one of the following declarations: I and WIN 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 Ice of tye work for which this permit is issued. Policy No. ... m.. and will ai.lftain workers' compensation insurance, asrequired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa carrier -and Pglicy number are: Policy Number Date It certify that, in the performance of the wo for which this permit is issued, I shall not employ any person in any manner se as to become subject to the workers' compensation laws of California, and agre tat, if I s d be a subject to the_wa k'r Fs=eor ensati visions of Section 3700 of the Labor Code, I shall forthwith comply with those prov'sions. \11 i / IEre to I % ®�( IECLACLARATION REGARDING CO CTIO ENCY \Cp 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 3 97, Civil de). ender's Name Lender's Address Iy 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 applIca e-eityand county ordiVICES and state s relating to building construction. ,r I authorize represenJaf es�e Is city or county to entqMe above-idenpl§d property for inspection purposes. ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE 1403 EXPIRED PERMIT EXTENDED PERMIT FINAL - �� /` A^ / (VJ A`</-ESDO EMI OAN 16N IS NOT APPLICABLE TO CERTIFICATE OF (,�VU`.� �GI,PPJJPD�N OCCUPANCY ISSUED 51 Q a) ` 0.- '00 d y 2L° E � d a) N .7 p CO (00 O y y O Q a) U) 7 O' C6 N E2 '0 O O U T U) a) O y 3 W a) a) X 12 a) 3 y 0. aS w .L.+ °� v cc oto a r- c m c E K J 3 a ,1 -OO E � L L C a) o a wcc v O LO O CL "'' N y O L X 0 trO O E EU Sc O o Op ai C _ydm � bv O woM d E a $ mm y v c wyEo co 0- -0vooN oa E y� `oma al U) U O U) a) 3 .. 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