HomeMy WebLinkAboutX2018-2933 - Permitstinar NeWpPr.t°Beach - Building Division
a' p00 C OF Center Drive mNewgort;Beach, CA 92660
° PgrmitGrount®r Fihofiie 1949)(144.3268
Inspection I%q,e s Pflerle (649)644-3255
`�a�rsatr�' Combination Type - SFP
iiiiiiiiii9 ��� Project No
DPermit : X2018-2933
Issued Date: 1010112018
Code Edit : 2016
Type of Construction: V -B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $16.000.00
Building Permit Fee: $324.00
Plan Check Fee: $0.00
Overtime Plan Ck:
°
Investigation Fee:
Inspection Area : 8
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
® ® ° ° ° ® • `°
PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
$0.00
ConstPucts"Hou4r5:.Mbp1!1ay
-Friday 7:00 a.m, to 6:30 p.m. and Saturday from 8:00
a.m. to 6:00 No work on Sundays or Holidays
Job Address:
1631 ORCHARD DR NB
NMUSD Fee:
p.m.
Description:
SFR REROOF TIO COMP SHINGLES AND REPLACE W1 COMP SHINGLES 32 SOS CLASS "B"
Legal Desc.:
$0.00
Owner:
BEAVERS R WESLEY
Contractor: ALLSTAR ROOFING CO
Architect:
Address:
1631 ORCHARD DR
Address: 6468 ELMHURST AVE
Address:
NEWPORT BEACH, CA 92663
ALTA LOMA CA 91737
Phone:
714-448-6181
Phone: 909-945-3173
Phone: State Lic:
Applicant:
SKORUPSKI GERALD
Con State Lic: 448361
Engineer:
Address:
6468 ELMHURST AVE
Lic Expire: 1 113 012 01 9
Address:
ALTA LOMA, CA 91737
Bus Lic: BT30064628
Phone:
909-945-3173
Lic Exp Date: 1 013112 01 9
Phone: State Lic:
Code Edit : 2016
Type of Construction: V -B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $16.000.00
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:
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 1932844
Expire: 1 0/0112 01 9
Building Setbacks
Use Zone:
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: /
Left: /
Right: /
Parkino Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Designer:
Address:
Phone:
Special Conditions:
t%�,
ii MOIR
Planning Department -
Fire Department
Plan check Fee
$0.00
Fair Share :
$0.00
SJH Trans :
Fire Plan Rev
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
$0.00 Fee Due at Permit Issuance : $325.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: 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
$0.00 Fee Due at Permit Issuance : $325.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark($) Chavgblscea next to tyhe appQcable 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, priot tgiV.is9uPtce,also mqulm4he apQlicant 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 ($500). . . , • , ,'. :.
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is fiptlnterir%dar offeretl fOr s91e:(SQctiojl 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort,Rwpds Ir improvgs the psoperty, prof ii$gd 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 Rave the burdefl Of pro0ing that it was not built or
improved 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.govicalaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I amq1Icensed under provisions of Chapter 9 (c mmencing with Se ti 70 ) of ivi ion 3 of the Business and Pr as ion m I' ?fse is in full force
and effect. License Class G— 3 ! License No ���� 6 / Da E Contractor Signatu
VVORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penally of perjury one of the following declarations:
❑ I have-dnd will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
rmance of the work for which this permit is issued. Policy No.
h ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi
nce camel auu prnicy uuu mo, eic.
Policy Number / 932 Iy4 —2d g Expiration Date /$/ / % In
of Agent Phone #
certify that, in the performance of wo for w Ich 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
I, if I should become subject to th /rlyr�s' c ensatio rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant )e l 1/ r at 011 � a,
CLARATION REGg4tu NG CONSTRUCTION &NDING hGENCY
ereby affirm under penalty of perjurythat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder'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 ordinanc s and state laws rel ting to building construction.
I authorize representatives of this city or county t% r the o�'�`Ide ed p e�ty for inspection purposes.
nature of Property Owner or Authorized Age" b / % ! 0 Print Property Owner's or Authorized Agent's Nam z r. . %dR uz I Date
ACTION
PERMIT CANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCVISSUED
BY VI DECLARATIONbF REGULATIONS PART 61O F TIITLE 40 AND AQMD RULECE WITH CODE OF RAL I FOR OFFICE USE ONLY
SUBMITTED ASBESTOS NOTIFICATION
PROPOSED
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