HomeMy WebLinkAboutX2020-0156 - Permitswl City of Newport Beach - Building Division
F 100 Civic Center Drive, Newport Beach, CA 92660
h T" Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
r"'trs�rm„; Combination Type - SFP
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0156
X 2 0 2 0 0 1 5 6 Project No :
Issued Date : 01/17/2020
Inspection Area : 4
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 Sunday'Ar Holidays
Job Address: 2105 YACHT DAPHNE NB
Description: RES REROOF W/BORAL DURALITE CL" A" ICC 1647 38 SQ TIO HARDI SHAKE
Legal Desc.: N TR 9047 LOT 39
Owner:
BEITSCHER C
Address:
2105 YACHT DAPHNE
Record Management:
NEWPORT BEACH, CA 92660
Phone:
$0.00
Applicant:
PARAGON ROOFING INC
Address:
16542 POTTER CIRCLE
Hazardous Mat
HUNTINGTON BEACH CA 92647
Phone:
714.393-1950
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
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:
GRADING APPROVAL:
Contractor:
PARAGON ROOFING INC
Address:
16542 POTTER CIRCLE
Fair Share :
HUNTINGTON BEACH CA 92647
Phone:
714.393.1950
Con State Lic:
726753
Lic Expire:
09/3012020
Bus Lic:
BT30065352
Lic Exp Date:
12/3112020
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9034847
Expire: 03119/2020
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: /
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
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Fire Department
Plan check Fee:
Fire Inspection:
Fair Share :
Fire Plan Rev
SJH Trans :
Demolition Fee
In -lieu Housing Fee
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PMI Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
State Lic:
State Lic:
Plan Check Fee : $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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:
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$325.00
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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
)rofessions 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
iot 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 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
nprovements 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
reproved 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
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).
1 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 legalll
yell 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
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Da
-ICENSED CON.TPACTOR'S DECLARATION
hereby affirm untlp, lQValty of,perjuI am licensed under provisions of Chapter 9 cMmencing with Section 7000) o Divis1 3 of the Business and Prg ns od y leen in full force
inti effect! License Class C – 5 License No i2. �� 1 44 Date Contractor Signehufe
VORKERS' COMIDEnSATION DECLARATIONION
I/JMgG?TILURE TO ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN DITION TO THE
:GIST 5G MPENSATIO , DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
heieby,affirm unil$r pOlty of perjury one of the following declarations:
I have and will mein. Sin 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 thi
erfouwance of thfor which this permit is issued. Policy No.
and will;Dintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which thislpermit 0. issued. My workers' compensatior
Policy Number �6 �z � —" �� Expiration Date
/11T�Vi r Phone #
certify that, in the pertormanc oft work fppTtlI which this er It is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation
if I should become subA�t t th orkersc mMsatJofi_pAvislons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of Applicant -
of California, and
I hereby 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, Civil Code). I
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the prope owner's behalf.
I have read this application and the information I have ov' ed is correct.
1 agree to comply with all applicable city and coun in ces a stat la s relating to building construction.
I authorize representatives of this city or county er e a ent' ' property for inspection purposes.
Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name t Date
ACTION DATE BY DECLARATION OF COMPLNCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 630 TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
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