HomeMy WebLinkAboutX2019-1805 - PermitsCity of Newport Beach - Building Division
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Permit: X2019-1805
100 Civic Center Drive, Newport Beach, CA 92660
X 2 0 1 9. 1 8 05
Project No
Permit Counter Phone (949)644-3288
a
Inspection Requests Phone (949)644-3255
Combination Type -SFP
Issued Date : 06/10/2019
Inspection Area : 8
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: '. 920 BELLIS ST NB
-
Description: SFR T/O{E) 35 SQ, INSTALL COMP. SHINGLE,.CLASS'B"
Legal Desc.: N TR 4893 LOT 16
Owner: BREEDEN LIMITED PARTNERSHIP
Contractor:
HOYT ROOFS
INC Architect:-
Address: P BOX 12793
Address:
1809 N ORANGETHORPE PK Address:
NEWPORT BEACHCA 92658
-
ANAHEIM CA
92801
Phone: -.
Phone:
714-773-1820
Phone:
State Lic
Applicant: HOYT ROOFS INC
Con State Lic:
606111
Engineer.
Address: 1809 N ORANGETHORPE PK
Lic. Expire:
1213112020
Address:
'
ANAHEIM CA 92801
Bus Lic '.
BT30001509
Phone: 714-773-1820;
Lic Exp Date: 11/3012019
Phone:.
State Lic:
Code Edit : 2016
Worker's Compensation
Insurance
Designer.
Type of Construction: VB -
Carrier:
REDWOOD
Address:
Occupancy Group: R31U
Policy No:
HOWC910462
,
Added /New sq.ft. Bldg: 0
Expire:
07/24/2019
Phone:
' -
Added /New sq. ft. Garage: 0
�
No of Stories:. 1
Building Setbacks
Rear: /
Special Conditions:
No of Units : 1
Front:
Bldg Height: 0
Left:
Bldg. Sprinklers: N
Right: l
-
Flood Zone: X
Use Zone:
Parkin S aces:
0 Fire Hazard Zone `. N
`Construction Valuation: $16.500.00
Building Permit Fee: $324.00.
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee:
$0.00
Plan check Fee: $0.00
Fire Inspection:.
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share'. $0.00
Fire Plan Rev
$0.00
Investigation Feer $0.00
Grading PC Consultant:
$0.00.
SJH Trans : $0.00
Demolition Fee
-
Record Management: $0.00
Grading Permit Feer
$0.00
In-lieu Housing Fee : $0.00.
Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00 -
Park Dedication : $0.00.
Refund Deposit
$0.00
Disabled Access, $0.00
PAN Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:.
$0.00
San Dist: $0.00
Building Green Fee ; $1.00
Mechanical %:
$0.00 -
NMUSD Fee: $0.00 -
$0.00
Plumbing %o:.
$0.00
$0.00
TOTAL FEE : $325.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance : $325.00
a .a
PROCESSED BY:
PUBLIC WORKS APPROVAL:
a
.ZONING APPROVAL:.
-PLAN CHECK BY:
GRADING APPROVAL:
a a
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 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 thg.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
of more than five hundred dollars ($500).
I, 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,
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
n roved 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).
1 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 legall)
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.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of p jU I I am licensed under provisions of Q� p(er Commencing with Sectio 70 0 of ivi ion 3 of the Business and Pro(, a ions Co and Amy lime in full force
not effect. License Class License No ��J �C�� Date Contractor Signatnreic_
YORKERS' COMPENSATION DECLARATION
FARMING: 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 3706 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
e rmance of the work for which this permit is issued. Policy No.
71 have and An 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
Isurance carrier nd olicv number are: In
'ierI y Number Expiration Date
1e of Agent Phone #
�—
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' comp nsation laws of California, and agre
, if I should become s ject to rkers' compensati ro isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions
. /I���/�
Iature of Applicant D e—
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm unde 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).
ender's Name Lender's Address
ly 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or cou Y y(' enter thh bove-identified p for inspection purposes. O
.,nea6,rn of Dr—Ff n.,ner nr Aidhnrlvnd A„onf Yt/si = Print Prooertv Owner's or Authorized Agent's Napl� lam/ eo ��Irl
DATE BY r DECLARATION OF COMPLIANCE WITH CODE OF II REGg6ATIONS PART61 OF TIT E 40AND AQMD RULE FEDERAL FOR OFFICE USE ONLY
PERMITEXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO
« r «•
PERMIT CANCELLED
EPA + « s e
PERMIT EXTENDED
D
PERMITFINAL
ASS S NOTIFICATION IS NOT APPLICABLE TO
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