HomeMy WebLinkAboutX2019-2084 - Permitso�vs City of Newport Beach - Building Division
100, Civic Center Drive, NewportBeach, CA 92660
H
.Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP
I VIII IIIIII VIII VIII VIII IIII IIIIIIVIIIVIIIVIII IIII IIII
COMB Permit: X2019-2084
Project No :
Issued Date : 07/03/2019
PERMITS EXP/RE f80 DAYS AFTER ISSUANCE OR LAST VAL/p INSPECTION. Inspection Area: 8
Construction Hours: Monday -Friday 7:00 a.m. to 6:30 p.m. and Saturday from 5:00 am. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 3085 CORTE PORTOFINO NB
Description: SFR REMOVE EXTG TILE, REPLACE UNDERLAYMENT, RE-INSTL TILE (22SQS)
Legal Desc.: N TR 12271 LOT 45
Owner: JONES
Address: 39905 VIA SCENA #222 Contractor: VARGAS ROOFING c
Phone: PALM DESSERT CA 92260 Address: 10960 ELKWOOD CIRCLE Architect Address: --V INSCP C7 -OR
RIVERSIDE CA 92503
Applicant: VARGAS ROOFING Phone'
Address: 10960 ELKWOOD CIRCLE
RIVERSIDE CA 92503
Phone: 714.822-6302
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R3/1.1
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage:. p
No of Stories: 1
No of Units : 1
Bldg Height: g.
Bldg Sprinklers:
Building Permit Fee:
$324.00
Plan Check Fee: $0.00
937011
Overtime Plan Ck:
$0.00
Investigation Feer
$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 :
$1.00
TOTAL FEE:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
.
714-822-6302
Con State Lic:
937011
Lic Expire:.
09/30/2020
Bus Lic:
BT3b065193
Lic Exp Date:
11/30/2019
Worker's Compensation Insurance
Carrier:
STATE COMP INS
Policy No:
9052044
Expire:
08/01/2019
Building Setbacks
Rear: /
Front:. /
Left: /
Use Zone:
Right: /
ParkinS ace:
.00
Excise Tax:
$0.00
Additional Fee:
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant:
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %:
$0.00
Mechanical %:
$0.00
Plumbing %:
$0.00
Plan Check Fee
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lic:
State Lic:
Special Conditions:
o
°
Fire Hazard Zone : N
°
° o
° o 0
Planning Department
•
Plan check Fee:
Fire Department
° °
....
o u
° °
Fair Share : $0.00
$0.00
Fire Inspection:
°
-.$9.0 0
G0°
SJH Trans :
$0.00
Fire Plan Rev
50.00
°
In -lieu Housing Fee : $0.00
Demolition Fee
Public Works Department -
Building Dept Adm
o PQ
..... °°°°
Park Dedication : $0.00
General Service
°4
° 0.00
P/W Plan Check :. $0.00
Refund Deposit
$0.00
...
San Dist: $0.00
Grading Bond:
° .1000
NMUSD Fee: $0.00
-
$0.00
$0.00
$0.00 Fee Due at Permit
Issuance:
$325.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
V
I have placed next to the applicable item(s)
far
OWNER -BUILDER DECLARATION
I hereby affirm under penalty A perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s applicant t a civil penalty of
action 7031.5, applicant for a permit subjects the app
alleged exemption. Any violation of Section 7031.5 by any app
ent that he or she is licensed pursuant to the provisions it the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
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 a applicant
permit to file a signed statem
44,
rfessions Code) or that he or she is exempt from licensure and the basis for the g all of or U P builds or improves the property, Provided that the
I more than five hundred dollars (5500). portions of the work, and the structure is not intended or offered for sale (Section 70
I, as owner of the property, or my employees with wages as their sole compensation, will do (_)
isiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' Or personal effort.
Business and Professions Code: The Contractors' State License Law does not
sloess and 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 e o
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,
I ly 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 aw).
Ilcable law, Section 7044 of the Business and
I am exempt from licensure under the Contractors' State License Law for the following reason:
m 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 lege
y y has Date
rlofes structure
that
tis availa,ilt as ble uponnrequest owner -builder it
this application is submitted orlat the following Web s e http'.//ensed cwww.legintors. I fo.ca.gov/calaw.htmerstand that a Lof the pp
rof essioature of Property Owner or Authorized Agent vision 3 of the Busj a and Professio Code, and my license i n full force
.ICENSED CONTRACTOR'S DECLARATION D Contractor S nature
hereby affirm under penalty of perjury that I am licensed under
L cense provisions of Chapter 9 (commencing with a On 70 IN ADDITION TO THE
Ind effect. License Class
NORKERS' COMPENSATION DECLARATION
VARNINGCO FAILURE
TTOIONCUREDAMWORKERS'
R AS PROVIDED COMPENSATION
IN SECTION G IS UNL
THErLABOR CODE, INTEREST, AND ATTORNEY'S FEES.
IMI AL PENALTIES PND CIVIL FINES UP TO ONE HUNDRED THODSAND DOLLARS (E100,
,OST OF
hereby affirm under penalty of perjury one of the following declarations: issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for t
1 have and f will
Work for which this permit is issued. to Policy Noe for workers' compensation, for the performance of the work for wV-4-
12b
iper
is issued. My workers' compensatior
e as required by Section 3700 of the Labor Code, (•••.•
I hav nd will maintain workers' compensation insurance, Expiration Date
r ce carr! 9 Ii numb
a are: policy Number Phone #
'ie" . F b�3 wnrkers' compensation laws of California, and ogre
ie d Ag nt arson in any manner so as to become ED lE
cerffy that, in jflergerf r ante of the work for which this permit is issued, I shall not employ any p
if I•s that, 6ec%�e bject c the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr
ould
nature of pplc t•
gyp' 47pT ON
IN CONSTRUCTION NDING AGENCY
none afi undo penalty of per that there !s a construction lending age= °y for Lender's Address of the work for which this permit is issue
y aWhfy to each o e
TOIIUWIIIV-
my signature.certi
.. L am -the property owner or authorized to act on the property owner's behalf.
• ►have read +his apptcation and the information I have provided is correct.
1 agree to conjT j &ith all applicable city and county ordinances and state le
I authorize representatives of this c! ^ county.fR enter he above -'de INS,
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
BY
OF
61
relating to building constructiona%,
onertv for inspection purposes. 1 Y
RULE
NOTIFICATION IS NOT APPLICABLE TO
FOR OFFICE USE ONLY
3097, Civil Code).
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