HomeMy WebLinkAboutX2020-2351 - PermitsCity of Newport Beach - Building Division
Q bo(HCivic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3286
rµ3 Inspection Requests Phone (949)644-3255
ux tw;' Combination Type - SFP
COMB Permit: X2020-2351
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Project No :
Issued Date : 1011412020
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/1512023 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: 3335 OCEAN BLVD NS
Description: SFRREMOVE/REPLACE TORCH DOWN AND ROCK (FLAT ROOF ONLY) CLASS B 13 SCIS
Legal Desc.: N TR 1257 1257 LO LOT 4
Owner:
LIVONI BARBARA
Address:
3335 OCEAN BLVD
WC475864209
NEWPORT BEACH, CA 92660
Phone:
909.982-7000
Applicant:
WEATHERGUARD COMPANY INC
Address:
10722 ARROW ROUTE STE 406
Bus Lic:
RANCHO CUCAMONGA CA 91730
Phone:
909-982-7000
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:
Contractor:
WEATHERGUARD COMPANY INC
Address:
10722 ARROW ROUTE STE 406
WC475864209
RANCHO CUCAMONGA CA 91730
Phone:
909.982-7000
Con State Lic:
921927
Lic Expire:
09/3012022
Bus Lic:
BT30068432
Lic Exp Date:
08131/2021
2019 Worker's Compensation Insurance
V -B Carrier:
EMPLOYEE SERVICE GROUP
R3/U Policy No:
WC475864209
0 Expire:
06/0112021
0
Grading Bonds Fee:
Building Setbacks
Rear: /
Grading PC Consultant
Front: /
$0.00
Left: I
Energy Compliance:
Right: I
Building Permit Fee:
$343.00
Excise Tax:
Plan Check Fee: $0.00
Plan check Fee
Additional Fee
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
Investigation Fee:
$0.00
Grading PC Consultant
Record Management :
$0.00
Grading Permit Fee:
Energy Compliance:
$0.00
Grading PC Fee:
CA Seismic Safety:
$0.00
WQ Insp. Fee:
Disabled Access:
$0.00
°
IWO
Hazardous Mat
$0.00
Electrical %:
Building Green Fee :
$1.00
Mechanical %:
Phone:
Plumbing %:
TOTAL FEE : $344.00
PROCESSED BY:
Special Conditions: LANDSLIDE AREA
om
ZONING APPROVAL:
-45 4
GRADING APPROVAL:
Fire Hazard Zone:N
V
cc
$0.00
Architect:
Plan check Fee
Fire Plan Rev
Address: -
Fair Share :
$0.00
Phone: State Lic:
SJH Trans :
General Service
$0.00
e••�
Engineer:
Public Works Department -
$0.00
Address:
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Phone: Slate Lic:
• 1��
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IWO
San Dist:
$0.00
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Designer:
Address:
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pO°1'�•
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Phone:
rw
Special Conditions: LANDSLIDE AREA
om
-45 4
o
oom000
Fire Hazard Zone:N
$0.00
Planning Department -
$0.00
$0.00
Plan check Fee
Fire Plan Rev
$0.00
Fair Share :
$0.00
$0.00
SJH Trans :
General Service
$0.00
In -lieu Housing Fee
$0.00
Public Works Department -
$0.00
Park Dedication :
$0.00
PM Plan Check:
$0.00
$0.00
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$344.00
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$344.00
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).
❑ I, 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
m 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 exempt from licensure under the Contractors' State License Law for the following reason:
By 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)
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED G&Mf4ACTOR'S DECLARATION
I herebb affirm under penalty of pe ury that I am licensed under provisions of Cha ter 9 (c mmencing with $ection 0 ) of Division 3 of the Business and Profes ns Cod 'aR license is in full force
and•effgct. Liged9l;'Qlass 3 `/ License No m 1 � 7% Z0 - / - Contractor Signature
4fOP.KERS' CtNPENSATION DECLARATION
NAR 1 G: FAILURE AD 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
COST OF COMPENSATION,OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
..•
Ldpreyyeffirm •under•p•enalty of perjury one of the following declarations:
and'rbill }naintain 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
e of the "N for which this permit is issued. Policy No.
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 is issued. My workers'
carriong%licy number are:
2r ro pl _ Policy Number 717 SFs6 Y Z Expiration Date
11C8?Agent --• Phones
••••
I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre
t, if I should beco a bject to the er 'compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. X
nature of Applicant Dat/X?—L 0/ - UCLARATION REGA DI CONSTRUCTION LENDING AGENCYlreby affirm under p natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,ode).
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 count nter th o -identified prope for inspection purposes.
nature of Prooertv Owner or Authorized ADent �� nt Property Owner's or Authorized Agent's Name Date
ACTION DATE
PERMIT EXPIRED
PERMIT CANCEL LED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGLBAfiIONS PART 61 OF TITLE 40 AND AQMD RULE
SUBMITTED ASBESTOS NOTIFICATION TO
IS NOT APPLICABLE TO
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