HomeMy WebLinkAboutX2019-2147 - PermitsI City of Newport Beach- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
F 'a r5 Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
'ruefrax`� Combination Type - SFP
��������� II Project No: DPermit : X2019-2147
Issued Date: 0 711 012 01 9
Inspection Area : 4
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: 2606 WAVECREST DR NB
Description: SFR -TIO SHAKE ROOF, INST 1/2" PLY, SYNTHETIC UNDERLAY & PRESIDENTIAL COMP 28 SQS CLASS "A"
Legal Desc.:. N TR 6113 LOT 22
Owner:
NY KEELY
Address:
2606 WAVECREST DR
Record Management:
CORONA DEL MAR, CA 92625
Phone
$0.00
Applicant:
HURTADO CHRIS
Address:
360 E 1ST ST #701
Hazardous Mat
TUSTIN CA 92780
Phone:
866-783-4400
Code Edit : 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: _ 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Valuation:
Building Permit Fee: $324.00
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 :
$1.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
SUPERIOR ROOFING SYSTEMS
Address:
360 E 1ST ST #701
Fair Share:
TUSTIN CA 92780
Phone:
866-7834400
Con State Lie:
865713
Lie Expire:
1013112019.
Bus Lic:
BT30049544
Lie Exp Date:
01/31/2020 _
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 1957583
Expire: 01/01/2020
Building Setbacks
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
$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:
Special Conditions:
Planning Department-
a o
Plan check Fee
o c o
Fair Share:
e• o
SJH Trans:
Fire Plan Rev
In -lieu Housing Fee:
9
Public Works Department -
Park Dedication :
$0.00
PMI Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
fl
State Lie:'it"t- F
eeee
e e
e000
0 0
oeo a ooeocn
e o e
96
.State Lie:
a o
0
o c o
Fire Inspection:
e• o
o q
Fire Plan Rev
OL edfm
9
Demolition Fee
m e o
ca•
0L p
o- o
eamoo
0f 0®
e
eco�o
a
Grading Bond:
aomeoo
�
a e c
eeseoo
e o
a
$0.00
coeoao
ma
e
0
�ec�e
ooeo
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $325.00
PUBLIC WORKS
PLAN CHECK BY: \
APPROVAL TO ISSUE:
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
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $325.00
PUBLIC WORKS
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 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
he 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
3rofessions 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
iot 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,
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
m 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
apply 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).
3 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 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
professions Code, is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.htmi.
Signature of Proygly Owner or Authorized Agent Date
LICENSED OgUILMCTOR'S DECLARATION
herebg affirm u ndgr�penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 f Di isio 3 f the Business and Profgss�'D R Cnd and my license is in full force
AtI effact. License Class License No Date O Contractor Signature
NORISERS' 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 OAF COMPEri4iA'�IQPj, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
�he%f affirm under pbnalty of perjury one of the following declarations:
•.
al,heve and•will m.aintain 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
/0 a of tfle'work for which this permit is issued. Policy No.
t and wiU mairLtain 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
osura e c rrier•andpolicyvumber are:
• . c3 >
ler - S'FR'V%� Policy Number (� � J Expiration Date ®/ /
4me JAgent•" • Phone#
31 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
hat, if I should become subject to the workers' comp provision of Se on 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant - D •�J r —� l
IECLARATION REG DING CONST Y
hereby affirm under enalty 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
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the properly 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 ordinan ata a laws relating to building construction.
I authorize representatives of this city or cou to ant a ab -identified property for inspection purposes.
3ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 11
I SUBMITTED ASBESTOS
PERMIT EXTENDED LXQMD
PERMITFINAL iWASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF q ko�Olt V% PROPOSED DEMOLy'RI�V�
OCCUPANCY ISSUED I SIGNATURE: 1