HomeMy WebLinkAboutX2019-2797 - Permits1vt> City of Newport Beach - Building Division
+� 100 Civic Center Drive, Newport Beach, CA 92660
r, Permit Counter Phone (949)644-3288
v , Inspection Requests Phone (949)644-3255
Combination Type - SFP
COMB Permit: X2019-2797
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
Project No:
Issued Date : 0910912019
Inspection Area : 8
Phone: 949-697-9753
Applicant: PACIFIC COAST ROOFING INC
Address: 418 W JONQUIL RD
SANTA ANA CA 92706
Phone: 949-795-1190
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Phone: 949-795-1190 Phone:
Con State Lie:
- PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Lie Expire:
04/3012020
Bus Lie:
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 Sund r Holidays
08/31/2020
Job Address:
2601 BUNYA ST NB
Rear: /
$0.00
Description:
SFR- REROOF WICOMP SHINGLE CL"A" 30 SQ, TO.0 SHAKE & INSTALL PLYWOOD
Left: /
$1.00
Legal Desc.:
N TR 4893 LOT 63
^
Owner:
Address:
MARKEL JR. THOMAS O Contractor: PACIFIC COAST ROOFING INC Architect:
2601 BUNYA ST Address: 418 W JONQUIL RD Address:
1
WQ Insp. Fee:
NEWPORT BEACH, CA 92660 SANTA ANA CA 92706
Park Dedication :
$0.00
Phone: 949-697-9753
Applicant: PACIFIC COAST ROOFING INC
Address: 418 W JONQUIL RD
SANTA ANA CA 92706
Phone: 949-795-1190
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Phone: 949-795-1190 Phone:
Con State Lie:
1037854
Lie Expire:
04/3012020
Bus Lie:
BT30068600
Lie Exp Date:
08/31/2020
2016 Worker's Compensation Insurance
VB Carrier:
STATE COMP. INS
R3IU Policy No:
9228280
0 Expire:
03/21/2020
0
CA Seismic Safety:
Building Setbacks
Rear: /
$0.00
Front: I
$0.00
Left: /
$1.00
Right: I
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:
GRADING APPROVAL:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Excise Tax:
$0.00
Planning Department -
Fire Inspection:
Additional Fee :
$0.00
Plan check Fee
Demolition Fee
Grading Bonds Fee:
$0.00
Fair Share:
General Service
Grading PC Consultant :
$0.00
SJH Trans :
Grading Bond:
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PM Plan Check:
$0.00
Electrical %:
$0.00
.San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing �/ $0.00
State Lie:
State Lie:
moea
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
y
General Service
:mom.
Refund Deposit,
Grading Bond:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $325.00
PUBLIC WORKS APPROVAL:
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)
!ction 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
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 ttjp Business and
Ifessions 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 penally of
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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
ainess 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
)rovements 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
)roved for the purpose of sale).
1, 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
Ay 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
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,
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
Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature of Propii j), Owner or Authorized Agent Date
TENSED CQIITI 4CTOR'S DECLARATION
ra;4 affirm VVer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70Q0� of visi ry,�,3 of the Business and Profess'I�r ns e, and m ens - is in full force
I effect. LiBense (lass License No Date: %y Contractor Signature 'i ' ��
)IIKERS' CQMPENSATION DECLARATION
INTNG: FAILURFF j'Q� 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
IT4OF COMPENSdYfON. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Kaby affirm 5AV penalty of perjury one of the following declarations:
'1*4ave anfi WIN 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
P
of if work for which this permit is issued. Policy No.
d 7yi11 maintain 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
gier and policy number are:
'nar Policy Number Expiration Date
of AcI t--_
certify that, in the performance of
if I should become subject tolhe
of
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date_ /% — f —
CLARATION REGARDING MNS?RU&N LENDING AGENCY r
.T�tO
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
lder's Name Lender's Address
my signature below, 1 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 ordin a e laws relating to building construction.
I authorize representatives of this city or county t abov ntifie property for inspection purposes.
nature of Prooertv Owner or Authorized Acent Print Property Owner's or Authorized Agent's Name 16
ACTION
PERMITEXPIRED
PERMITCANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE I BY
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
TO
TO
FOR OFFICE USE ONLY
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