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HomeMy WebLinkAboutX2020-0787 - Permits�fi11 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 Permit Counter Phone (949)644-3288 > Inspection Requests Phone (949)644-3255 Combination Type - SFP 7 8 7 II COMB Permit: X2020-0787 Project No Issued Date :0312512020 Inspection Area : 2 HO PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID 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: 407 ALSO AVE NB Description: SFR -TIO COMP SHINGLES. INSTL NEW SHEATHING. INSTIL 36 SQ COMP SHINGLES Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BLK 27 LOT 23 Owner: FOSTER MARC L Contractor: R H ROOFING INC Architect: - Address: 407 ALSO AVE Address: 2020 SUSAN #R Address: NEWPORT BEACH, CA 92663 SANTA ANA, CA 92704 Phone: Phone: 714-381-1870 Phone: State Lic: Applicant: R H ROOFING INC Con State Lic: 1007845 Engineer: Address: 702 S MOHAWK DR Lic Expire: 1013112021 Address: SANTA ANA CA 92704 Bus Lic: ST30053038 Phone: 714-381-1870 Lic Exp Date: 11130/2020 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V - Carrier: SECURITY NAIL INS CO Address: Occupancy Group: R31U Policy No: CWC719491028 INSPECTOR Added /New sq.ft. Bldg: 0 Expire: 01101/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: see canceled IPermit No of Units : 1 Front: I COMB20.0089 Bldg Height: 0 Left: / det garage on x2020-0$640 Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $30.000.00 Building Permit Fee: $324.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee: ($326.00) Plan check Fee: $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 - Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication: $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee: $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $0.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Feb o< o c oca oc oco ,. cs. � caL ccc $0.00 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: by afflrm under penalty at perjury that I am exempt from the Contractors' StateLicense law for the reason(s) indicated below by the checkmark(s) I have pieced next tothe :applicable Ilem(s) '031.5, Business and Professions Code: Any cityor county that requires a permit to construct alter, improve; demolish, or repair any. structure, prior to Its Issuance,. also requires the applicant for. I to file a signed statement that he or she Is licensedpursuantto theprovisions of the Contractors'_ State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business 26C ns Code) or that he or she Is exempt from licensum and the: basis for the alleged exemptlon..Any violation . of Section 7031.5 by any applicantfor a permit subjects theapplicantto a civil penalty or than Ove hundred dollars ($500). I, as owner of the property, or my employees withwages as their: sole compensation, will do t_) all of or:(, portions of the work, and the structure isnot Intended orglfered for sale (Section 7044, siness and Professions Code: The Contractors' State License Law does not apply to an: owner of property who; throughemployees' or personaleffort, builds or Improves the property, provided that the uavements are not intended or offered for sale. ,If, however, the building or improvement. is sold within one:year of completion,: the:Owner-Builderwilf have the burden ofinoving that it was not built or waved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors toconstruct the project (Section 7044;. Business and Professions Code: The -:Contractors' State License Law does not dy town owner of property who builds or Improves thereon; and who Contracts for the with a' licensed Contractor pursuantto; the Contractors' State License Law). I am exempt fromiicensum under fila Contractors': State License Law for thefolinwjng.resson: my signature below I acknowledge that; except formy personal residence In which I must have resided for at least one year prior to completion of the Improvements covered -bythis,pennit;. l cannot leg a structure that I have built as an owner-builder'd it has •not been constructed In its entsetyby licensed contractors., I understand that copy of I appllcable'law, Section 7044 of the Business and fassiona Code, is available upon request when this: application Is submitted or at the. following Web site:hdo:Jlwww.iealnfo.ca:aovlcalew.htrnL. amen under penalty of perjury that I am licensed under provisions of Chapter (cammencing,with Salllon 00) ofplyfslon 3 ofthe :t. License Class C'7,q� - License No- Ili)wib44 - ate^- tl° 1.1020. Co ?R$' COMPENSATION DECLARATION: is in full: force. CRIMINAL PENALTIES AND. CIVIL PINES UP TO ONE HUNDRED THOUSAND. DOLLARS (S10,0001, IN ADDITION by affirm under penalty of perjury one of the follnvimg:oeciaralions: hive and will maintain a certificate of consent toself-insure for workers' compensation, issued by the Director of Industrial Relations as provided forby Sectlon'.3700 of the Labor Code; for rmance ofthe work for whichthispermitis issued:. PolicyNo. rve' and will maintain workers compensation Insurance, as required by Section 3700 of the Labor Code. for the ;performance :of the work for which. this permit Ts issued. nce. carrier and policy number are: r `JFx1e N A;o.. _, ln%urunu f''d. Policy Number. CWC'11449.1TD7 4,. Expiation Date 01 (01 / Z0Z1 of Agent Phone4 - CIi6ob)'CU.6- 5562 certify -that, In the performance of the work torwhlch.this .permit Is Issued, I Shall not employany person in any manner so as to become subject to the workers' compensation: laws of California, and agre IF Ishould become subjec/t�ta the workem"compensation provisions ofT3ectlon 3700 of the t:ebor Code; I snali.fortfiwlth comply witnthaee�.provlafons. Iature ofAppllcanl� �- Idiutyi-I/G2 Cete:07�'?_5/2R'L6 1LA6TION REO 1N6 CONSTRUCTION tENDINO AGENCY aby afbrm under penalty of perjury Ihel there Iso consbucllon lending agency far the partormence.af the work for which Ih s partnitis issued (Section 3Q87,:Civil Code). foFS Name LentleYS Address Ty. signature below, I. certifyto eechbf rhe -following: I am the property owner orauthonzed to octan the property owner's behalf.. I have mad this application and the information I have provided Is correct I agree to comply with all applicable city and county ordinances and state lawsrelating to building construction. I authorize representatives of thls,clty or.caunty to enter the apove-Idenllfledproperty foranspectloapurposes. ACTION DATE :By' DECLARATION OF COMPLIANCE Wrr I. CODE OR FEDERAL FOR -OFFICE USE .0NLY :REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ` 1401 PERMIT EXPIRED I SUBMITTED' ASBESTOS NOTIFICATION TO ••• e •• • • ••i .•• •• ••• •e• ••• �•• ••• • •• • • ' PERMITCANCELLEO UEPA ••• PERMITEXTENDE 04QMD • PERMIT FINAL ASSESTOS.NOTIFICATIONIS'.NOTAPPLICABLE TO CERMICATE OF n Z�4 PROPQSEDpE IDN OCCUPANCYISSUE 511GNIlTUalh .� "' r3 e s o• e• e e a a ••• •• e •• • o • • e •• ••• ••