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HomeMy WebLinkAboutX2018-3609 - Permitsno City of Newport Beach - Building Division 6` 100 Civic Center Drive, Newport Beach, CA 92660 ti Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 f r r a��s• Combination Type - CIP IIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-3609 X 2 0 1 8 3 6 0 9 Project No : Issued Date: 1112912018 Inspection Area : 7 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: 4100 CAMPUS DR NIB Description: COMM T/O (E) 32 SQ @ MANSARD, INSTALL METAL ROOFING, CLASS 'B' MIN. Legal Desc.: Owner: IRVINE FOUR LLC Address: 11766 WILSHIRE BLVD #820 Record Management: LOS ANGLES CA 90025 Phone: $0.00 Applicant: MEDINA BEN Address: 2187 N BATAVIA ..Hazardous Mat ORANGE CA 92666 Phone: 818-735-7876 Code Edit : 2016 Type of Construction: Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Building Permit Fee: $1,029.00 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: $4.00 TOTAL FEE: $1,033.00 PROCESSED BY: ZONING APPROVAL: Contractor: SAN MARINO ROOF CO INC Address: 2187 N BATAVIA Fair Share: ORANGE CA 92665 Phone: 714-974.3070 Con State Lic- 249559 Lic Expire: .07131/2020 Bus Lic: BT30008923 Lic Exp Date: 04/3012019 Worker's Compensation Insurance Carrier: REDWOOD FIRE Policy No: SAWC827135 Expire: 07/0112019 Building Setbacks Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: I king Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0,00 $0.00 $0.00 $0.00 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lic: State Lic: Special Conditions: NOT OVER CONDITIONED SPACE 0 Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee $0.00 Fair Share: $0.00 SJH Trans : Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee _ -BOO R..O® •e ` ° ® a OG 0G e 4 C 4°C �® °°• f _ e $0.00 Fee Due at Permit Issuance : $1,033.00 • o UBI:.IC VV°ORI4 APPRbv&: i ° ° 4 4 p • PLAN CHECK bY: °° °•• GRADING APPROVAL: ° �. E ° o °APRROVAL TO ISSUE: c e c � � c o o •° < ° o c a c �+ �. o � •° o e o o u 6W0 60© °OG O 4 G6N ° Ofi. p0 B6 6� O °0p vQ• Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,033.00 • o UBI:.IC VV°ORI4 APPRbv&: i ° ° 4 4 p • PLAN CHECK bY: °° °•• GRADING APPROVAL: ° �. E ° o °APRROVAL TO ISSUE: c e c � � c o o •° < ° o c a c �+ �. o � •° o e o o u 6W0 60© °OG O 4 G6N ° Ofi. p0 B6 6� O °0p vQ• OWNER -BUILDER DECLARATION 1 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 is 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 got more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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). 1 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). 7 1 am exempt from licensure under the Contractors' State License Law for 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 this permit, I cannot legally 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://v w .leginfo.ca.gov/calaw.htmi. 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 ZOW of is' ®f the Business and Pr o e, and my license is in full force ndeffect. License Class License No Date .� Contractor Sign YORKERS' COMPENSATION DECLARATION NARNING: 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 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 of the Labor Code, for the )a ormance of the work for which this permit is issued. Policy No. AI have and"II m• intain 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' compensatiol nsurance carne nd policy numb )arrier A cy N b )r Expiration Date Jame of Age ° Phone # :1I certify that, in the performance of the work for whit rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree hat, if I should become su 'act to the wo Ion r e Labor Code, I shall forthwith comply with those provisions. ' signature of Applicant )ECLARATION REGA ING CONS ON LENDIP61CGENCY - hereby affirm under penalty oPWury that there is a c Ing agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y 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 or a aws rela' construction. I authorize representatives of this city, or coun er the above -id propert foes.L-21 3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na riv'�"-' D ril<< ACTION DATE BY DECLARATION IANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY IONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED Disu3nTTEBABBESTQSAO"PIAIGATION O t• •: • • • • • PERMIT CANCELLED DEA • • • • • PERMIT EMENDED • • • • PERMITFINALC'� y -J 'T•,Sr\9 Y4i''w'�" SBESTOS NOTIFICATION IS BLE TO CERTIFICATEOF PROPOSEDM LITION OCCUPANCYISSUED SIGNATURE:• ••• • • • •• ••• • ••. ••• • • •••