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Home My WebLink AboutX2019-2264 - Permitsv City of Newport Beach Building Division IIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2264 a4 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 2 6 4 Project. No: H + Permit Counter Phone (949)644-3288 - 'S Inspection Requests Phone (949)644-3255. Combination Type- CIP Issued Date: Area : 2019 Inspection Area 7 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: 1330 BISON AVE NB - Description: COMM TIO CAPSHEET, INST NEW 114' PROTECTION BOARD & SILEA SARNAFIL COOL ROOF ESR -1157 CRRC 0674-0003 CLASS "A" 163 SCIS Legal Desc.: PM 326.48 PAR 1 POR OF PAR Owner: IRVINE CO Address: .:.550 NEWPORT CENTER DR Record Management: NEWPORT BEACH, CA 92660 Phone: $0.00 Applicant: TSP ROOF SYSTEMS INC Address: 34 MAUCHLY DRIVE UNIT A Hazardous Mat IRVINE, CA 92618 Phone: 949-379-3221 Code Edit: 2016 Type of Construction: V -B -SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee:$1,228.00 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 : $5.00 TOTAL FEE: $1,233.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: TSP ROOF SYSTEMS INC Architect: Address: 34 MAUCHLY DRIVE UNIT A Address: SJH Trans IRVINE, CA 92618 In -lieu Housing Fee: Phone: 949-379-3221 Phone: Con State Lie: 971765 Engineer: Lie Expire: 0413012020 Address: Bus Lie: BT30067494 $0.00 Lie Exp Date: 0513112020 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP Address: Policy No: 9248208 0 e Expire: 0313112020 Phone: 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: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 Special Conditions: Fire Hazard Planning Department - Fire Department Plan check Fee $0.00. Fair Sharer os0eoc. SJH Trans o 0 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 INSP GTOR Fire Department State Lie. $0.00. 000 0 os0eoc. • c o 0 00 $0.00 Demolition Fee o c 0 a s 0 $0.00 00 0 State Lie: $0.00 Refund Deposit $0.00 c c. o oomcn $0.00 00000 a; $0.00 emsaco 0 e c o 0 qJ' eoe0co 0 00 0 0 o e ncco a000 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,233.00 PUBLIC WORKS APPROVAL: 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 : $1,233.00 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) 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 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 permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). 1, as owner of the property, am exclusivelycontracting with licensed Contractors to construct the project .(Section .7044, Business and Professions Code: The Contractors' State License Law does not Ipply 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). J I 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 legalh ;ell a structure Df 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 Co e, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 3ignatyre of Pr8i3'eriy Owner or Authorized Agent Date 0012311SED N,OTPMCTOR'S DECLARATION hereby affirrril&derpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70( ) of Divis'on 3 of the Business and Profess' sCie a Rd In license is in full force irtd effect. License Class License No Date Contractor Signature l YORKERS' 9QfaeVNSATION DECLARATION MiRNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNDR 0 THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OSf OF COMPEN$11TION,.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. fie"affirm,U j$r rimalty of perjury one of the following declarations: !�Mve 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 9 8r%rice of We work for which this permit is issued. Policy No. kkI havg and will mai8tain 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 s arias carrienend policy number are: .arrler Policy Number Expiration Date Jame of Agent Hnoneu :1I certify that, in the perf�,jed, for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c mpensation laws of California, and agre hat, if I should becomes' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / 3ignature of Applicant - Date -7 [ l l )ECLARATION REG DING 'CONSTRUCTION LENDING AGENCY hereby affirm and ally 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 property owner's behalf. /d -T c 1 have read this application and the information I hav provided' ortect. �--1/ I agree to comply with all applicable city and county rdioa es d state laws relating to building construction. I authorize representatives of this city or county for t ove-identified property for inspection purposes. / 3ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name /ate ACTION DATE B DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED QMD PERMIT FINAL SBESTO NOTIFI IPS NOT APPLICABLE TO CERTIFICATEOF R 10 OCCUPANCY ISSUED S16NA U ��