HomeMy WebLinkAboutX2019-2198 - PermitsCity of Newport Beach - Building Division��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-2198
o 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 1 9 8
Permit Counter Phone (949)644-3280 Project NO
r1
Inspection Requests Phone (949)644-3255
Combination Type - SFP Issued Date : 07/1512019
Inspection Area : 3
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: 226 COLTON ST NS
Description: SFT TIO (E) 4.5 SQ, INSTALL COMP. SHINGLE, CLASS'B'
Legal Desc.: N TR 772 ELK 6 LOT 24
Owner:
LOHR RICHARDIKENDRA
Address:
226 COLTON ST
Plan Check Fee: $0.00
NEWPORT BEACH, CA 92663
Phone:
Investigation Fee:
Applicant:
OCEAN ROOFING
' Address:
1521 LOUISE ST
$0.00
SANTA ANA CA 92706
Phone:
714-997.0255
Code Edit : 2016
Type of Construction:
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories`. 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
OCEAN ROOFING
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
TOTAL FEE: $325.00
PROCESSED BY:
ZONING APPROVAL:
Contractor:
OCEAN ROOFING
Address:
1521 LOUISE ST
Fair Share
SANTA ANA CA 92706
Phone:
714.997-0255
Con State Lie:
976999
Lie Expire:
1 113 012 01 9
Bus Lie:
BT30066921
Lie Exp Date:
04130/2020
Worker's Compensation Insurance
Carrier:
STATE COMP
Policy No:
9142593
Expire:
07/22/2019
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: I
Front: I
Left: i
Right: /
king Spaces:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
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
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
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State Lia:
State Lie: e°°o eeaou
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Plan Check Fee: $0.00 Fee Due at Permit Issuance : $325.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: 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 APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: 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
the 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
Professions 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
not more than five hundred dollars ($500).
❑ 1, 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,
Business 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
improvements 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
im 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).
❑ 1 am exemRtflb"l1censure under the Contractors' State License Law for the following reason:
By my signature Iaslowl 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
salka alucture that 1 Gave 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
Professfons CoVl;,'is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi.
P Igpattlre of Property Owner or Authorized Agent Date
LICENSED CO*RACTOR'S DECLARATION
I perebyaffirm waderpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) of Division 3 of the Business and P dons C e, license is in full force
tricNi{ect. License Crass License No Date 7 ! f/ Contractor Signature
WORKERS' 1:6611FtENSATION DECLARATION
WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNGEO USAND DOLLARS t$100,00DI, IN ADDITION TO THE
COST OF COMPENSA'MON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
asaau
hherebyaffirm ander penalty of perjury one of the following declarations:
❑., 44'Ve 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,
De grgi'ance of oQ( for which this permit is issued. Policy No.
have and All 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' compensation
Date
of
certify that, in the performance of the wor or 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 agree
t, if I should become su ject to or s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7 /
nature of Applicant Date !��
CLARATION REG DI C TRUCTION LENDING AGENCY
ireby affirm under p nagyo 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' shelf.
I have read this application and the information I have pro ' ed ' orrect. -
I agree to comply with all applicable city and county Ord' a and state laws relating to building construction.
I authorize representatives of this city or county an/ r t bove-i -property for inspection purposes.
nature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION DATE I BY REGULATIONS PA T0MPLIANCE WITH CODE OF 610 TIITLE 40 AND AOMD RULE AL FOR OFFICE USE ONLY
I SUBMITTED ASBESTOS
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
APPLICABLE TO
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