HomeMy WebLinkAboutX2019-1689 - PermitsRry City of Newport Beach - Building Division IIIIIIIIIII�I�I�III�hIIII�Ur�IINI� COMB Permit: X2019-1689
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 V @: •.1 6 8 9 Project. No:
Permit Counter Phone (949)644-3288 o °°•
r} Inspection Requests Phone (949)644-3255 ° - • • ° °
4.rrUR> Combination Type - SFPo _ • • • ° •° a ®• • • ° e, Issued Date: 05128/2010
e ° ° Inspection Area : 2
.PERMITS EXPIRE 180 DAYS AFTER ISSUANC 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: 439 FULLERTON AVE NB
Description: SFR - TIO (E) TILE, RE -USE SHEATHING. INSTL 2 LAYERS SYNTHETIC FELT, INSTL 25 SQ COMP SHINGLE
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS ELK 28 LOT 16 -
Owner. SIMON LARRY - Contractor: HOYT ROOFS INC Architect:
Address: 439 FULLERTON AVE Address: 1809 N ORANGETHORPE PK Address:
NEWPORT BEACH, CA 92663 : ANAHEIM CA 92801
Phone: Phone: 714-773-1820 Phone: State Lie:
Applicant: HOYT ROOFS INC Con State Lie: ` 606111 - Engineer.
Address: 1809 N ORANGETHORPE PIK Lie Expire: 12131/2020Address:
ANAHEIM CA 92801 Bus Lie: - BT30001500
Phone: 714.773-1820. Lie Exp Dater 11/30/2019 Phone: State Lie:
Code Edit: - 2016 Worker's Compensation Insurance Designer.
Type. of Construction: V -B Carrier: :.'REDWOOD Address:
Occupancy Group: R3/U Policy No: HOWC910462
Added /New sq.ft. Bldg:.. 0 Expire: 07/24/2019 - Phone: 441
Added /New sq. ft. Garage: 0 -s
No of Stories: 1 Building Setbacks Rear. / .Special Conditions: ' `
No of Units 1 Front: I ' ` -,�
Bldg Height: 0 Left: / 0 , .a �f,
� A
Bldg Sprinklers:. Right: /
Flood Zone: - - Use Zone: Parkina Spaces[ 0 Fire Hazard Zone : N
PROCESSED BY:
.ZONING APPROVAL:
GRADING APPROVAL:
Rua
Building Permit Fee: $324.00
$0.00
Plan Check Fee: . $0.00
Excise Tax:
Overtime Plan Ck: $0.00
Planning Department -
Investigation Fee: $0.00
Additional Fee :
Record Management: $0.00 -
Plan check Fee:
Energy Compliance: $0.00
Grading Bonds Fee:
CA Seismic Safety: $0.00
Fair Share :
Disabled Access : $0.00
Grading PC Consultant:
Hazardous Mat $0.00
SJH Trans
Building Green Fee.: $1.00
Grading Permit Fee:
TOTAL FEE: $92
In -lieu Housing Fee:
PROCESSED BY:
.ZONING APPROVAL:
GRADING APPROVAL:
Rua
Fire Department
$0.00
Fire Inspection:
Excise Tax:
$0.00
Planning Department -
Demolition Fee
Additional Fee :
$0.00
Plan check Fee:
General Service
Grading Bonds Fee:
$0.00_
Fair Share :
Grading Bond:
Grading PC Consultant:
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00 -
- Public Works Department-
. WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
-
P/W Plan Check: '
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$325.00
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:
$0.00 Fee Due at Permit Issuance :
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$325.00
OWNER -BUILDER DECLARATION • : • : '
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State Ltoease 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 qty Qr cckty that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
he permit to file a signed statement that he or she is IigPAsed orsuant to the. lwovisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Irofessions Code) or that he or she is exempt from licensure and the batjs for IRS alle§9Q exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
lot more than five hundred dollars ($500). •
I, as owner of the property, or my employees with wages as their sole comjfensa;1g will qb (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
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' State License Law does not
Ipply 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).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
3y 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 legall,
yell 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.
Signature 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 Section 7000) of Division 3 of the Business and Profs ions Code, and my license is in full force
Ind effect. License Class License No Date Contractor Signal
YORKERS' COMPENSATION DECLARATION
IARNING: 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 ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under 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 th
er lrmance 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'
carr(.er 9nd pof�py �numwber are: j I q'
�tdSh `�^ Policy Number V" "G�q ��� Expiration Date
Agent
I 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 agre
t, if I should become su ' workers' cow Ise ' provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant
CLARATION REG4KDING CONSTRUCTION LENDING AGENCY
areby-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, 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 ordinanc and state laws relating to building construction. �, / /
I authorize representatives of this city or county to cve-id ntif p,Brty for inspection purposes. I:.e ///��9p �r\/ _ /% C i/,f�/
nature of Prooertv Owner or Authorized ADenY i—�� Print Prooertv Owner's or Authorized ADenl's Name \ e _ 'SCJ U4 4Cf ate �"O/�
ACTION I DATE BY /I REGULA TINS OF COMPLIAT61 OF TNTLE CE ITH AND DE OF FEDERUDERAL FOR OFFICE USE ONLY
IC
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITFINALASBESTOS NOTIFICATION IS NOT APPLI B TO
CERTIFICATE OF )) L', 4fl PROPOSED DEMO
OCCUPANCYISSUED W IO I I '1/P f SIGNATUR
COS Z
� m O
ti 0. y
tom
O y
Isco
co
co
Q D
o -
v
CD
O
_\
O
CD y
(D
O_
n, 0
�a
n
<.
S n
to ti
c
Qo
(Q CD
�43 CD
n n.
O O
y T
0
O (D
D co
_� C)
C)
O C
am
o
l N
CD
(Dn
O CD
C N
CD O
CD
O CD
T
ED
7
c
m
rr Q m Z-�m; W C)CD C) 5'CD cn 3 r-0 "0 0
o o m m M _p 3 `m.
3 cn m _
n C N O CA (/� _'! 9) 9) (") O (D 7 Q_ C) (D z .-.
7Q -3 Q. Q. D3 (DQmv k 0Qm' 3CD ° O a Q
rt CD —I - p ' D O tl N O' CD O 7J 91 O CZ
m N N (D (D � CD .a m �' Q a 3 m — C) m C N
zc4 a* 5 C° D ��� w(n a m v N
0 7 (D S N 0• 10 (D p O 1 N CD !n.
N N rL < �. O CD " (7Q� (D 7 A S O p
S N (D N y N C� X .� W (D fv 7 N
N 91 (SD 9) O 7 O N C1 C 0 �` N
-n -O W C. 7 .+ fD 'y+ ,O -t p t3' O
o w� � a- i7 = d (D CD v CD �° CD
mg. 7 0 CD S =� CD Sy C L CD CL<. � 0� (D 7 ..O �
n S
O d !�' W N C CD CD CD fQ ` .7.. CCD CLS N
0 CD 0 CD
7 0 N N C -Ds S O (D — ,� N 7 Vl
�! 0 r0„ CD 3 .n-. 00 7 O O
7 v v v m n p c C m
k �+ = Q 3 C L `2 y N O CD I�. CD W
CD (D v 3 N p =.Q CL 0-
0 — CD7
.n. O
91 N C N 0 6 f0 0 7— O,_ n
-s rt C C I N CD p. N N � fL
p- O Q 7 N Np O C = m CS
erC N N 7 r: D n r. O 7 ;0 p r—
U)
N
N CD co 0 E3 (a'CD =r CL N Q 7 n
$D (D 'O a p N p. C N CD N �Fk
CD
S p X =r a C2 M CD X
N N9^. CD CD (p D O 0 N a 0
0CD
7 7 a' 7 7 N (D N N 0 C1
rs 0 N �G SZ O N O_ E N p CD
9) CD 5 N SD p CD N X N (D
4..^O" p 0(D _ O@ N 3 0
.. Cn N = n N 3 (D CL fn
O Q :E CD u) (D'C3
i CD M N N 3 O N o C
CD N
7
Vi
o
C7
M
IOD
C)
®
(D
v
Cl) m
<
�®
0
7Olo
ox
CD 03
C^C
rTmD
CD
n°�r�
M
Z
®
O
O mob
Q97
a>�
���
-3
`C
?
W
0 0
m 0
or,,
W
Z z
N
3
®
O�
O
N
zCD
O
x
®
m
m
m
N