HomeMy WebLinkAboutX2019-3683 - Permitsry1+o$a City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3683
4 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 3 6 8 3
s , Project No
rte, �� ',y �, Permit Counter Phone (949)644-3286
Inspection Requests Phone (949)644-3255
'�'�crsaa�`� Combination Type - CIP
Issued Date : 11/18/2019
Inspection Area :% -j
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: 302 MARINE AVE NB
Description: COMM - PAINT APPLIED TO WESTERN COLLOID #720 ARC ELASTA HYDE (E) ROOF COVERING UL LISTED APPROVED BY CRRC (COOL ROOF)
Legal Desc.: BALBOA ISLAND SEC 4 LOT 2 BLK 14 E 75 FT
Owner:
COAST LINE RESOURCES LLC
Address:
302 MARINE AVE
Record Management:
NEWPORT BEACH, CA 92662
Phone:
$0.00
Applicant:
HIGHLAND COMMERCIAL ROOFING
Address:
5105 HEINTZ ST
Hazardous Mat
BALDWIN PARK CA 91706
Phone:
626-856-2076
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: B
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: N
Flood Zone: N
Building Permit Fee: $328.00
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: $329.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
HIGHLAND COMMERCIAL ROOFING
Address:
5105 HEINTZ ST
Plan check Fee :
BALDWIN PARK CA 91706
Phone:
626-856-2076
Con State Lie:
632551
Lie Expire:
1213112019
Bus Lic:
BT30065840
Lie Exp Date:
01/31/2020
Worker's Compensation Insurance
Carrier: STARR INDEMNITY
Policy No: 1000001322
Expire: 12/01/2019
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: /
>arkino Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
12
-111V0 0 State Lie:
" Nx�
0, State 10
Special Conditions:
Fire Hazard Zone : N
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Planning Department-
Fire Department
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
SJH Trans :
$0.00
Demolition Fee
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
Public Works Department -
General Service
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
P/W Plan Check: .,x$0.00
Grading Bond:
$0.00
San Dist: $0.00
NMUSD Fee: $0.00
$0.00
$0.00
$0.00 Fee
Due at Permit Issuance :
$329.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
zn
APPROVAL TO ISSUE:
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) 1 have placed next to the applicable item(s)
action 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 the 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 penalty of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
)rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
(roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
fly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of Pro*;4"iner or Authorized Agent Date
:EN$ED CONTRACTOR'S DECLARATION
telly -affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) f Div ion f the Business and Professii �e� aJ�d my,Iipen�se is in full force
1 effect. License CClass License No Date M — Contractor Signature / 7�LY ^'/ /,//""1
)gKERS' COMPENSATION DECLARATION
MING: FAILURE v0 SECBRE 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
V OP pOMPENSA'rfOTJ OMAGEs AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
:rd* affirm urLdel;penalty of perjury one of the following declarations:
I have and vmill 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 IN
$?Rance of the work for which this permit is issued. Policy No.
Iavf and wjlt gialplain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
ance carrier and policy number are:
Policy Number
of Agent•!••
certify that, in the performance of the work for which this
. if I should become subject to the workers' compensatio
of
Date
is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
.ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date /! —If—
CLARATION REGA$DING CONE TRUCTION/LENDING AGENCY '
�reby 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
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'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 county t nter the above -identified property for inspection purposes.
C-2-1mature of Prooertv Owner or Authorized ADent % r _._Print Property Owner's or Authorized Agent's Namg� 0
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY D DECLARATION OF IREGULATIONS PA PART OF TIITLE 40 AND AQMD RULECE WITH CODE OF FOR OFFICE USE ONLY
SIGNATURE:
NOTAPPLICABHE TO
Civil Code).
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