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HomeMy WebLinkAboutX2021-2017 - Permits.�1Y4 City of Newport Beach - Building Division .g� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 �... , Inspection Requests Phone (949)644-3255 Combination Type -SFP COMB Permit: X2021-2017 IIIIIIIIIIIII0IIIIIIIIII�IIIIIIIIIIIIIIIII II Project No: Issued Date : 08/03/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0810312024 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: 1522 CORNWALL LN NB Description: SFR TIO (E) 36 SQ, INSTALL COMP. SHINGLE, CLASS 'B'MIN. Legal Desc.: N TR 1896 LOT 8 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: O O O O O PJBtIC WOI' K$ APPROVAL: PLAN CHECK BY: coG o m�ARP'kO I!TO ISSUE: Ra cc c e c o o o a Z Owner: HRA RENTALS LLC Contractor: SUPERIOR METAL ROOFING Architect: Address: PO BOX 15926 Address: 360 E IST ST #701 Address: Cn NEWPORT BEACH CA 92659 TUSTIN CA 92780 Phone: Phone: 866-783.4400 Phone: State Lic: Applicant: SUPERIOR METAL ROOFING Con State Lic: 865713 Engineer: �y Address: 360 E IST ST #701 Lic Expire: 10/31/2021 Address: TUSTIN CA 92780 Bus Lic: BT30062175 Phone: 866-783-4400 Lic Exp Date: 01/31/2022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: STATE FUND Address: a„® -'✓11 Occupancy Group: R3/U Policy No: 1957583 0 Added /New sq.ft. Bldg: 0 Expire: 01/01/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $22,000.00 Building Permit Fee: $351.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 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 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNd Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $352.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $352.00 O(lO ROC 0 O O O PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: O O O O O PJBtIC WOI' K$ APPROVAL: PLAN CHECK BY: coG o m�ARP'kO I!TO ISSUE: Ra cc c e c o o o a 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 le 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 of more than five hundred dollars ($500). 7 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, Iusiness 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 nproved 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 poly 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). I am exempt from licensure under the Contractors' State License Law for the following reason: Iy 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 ell 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 'rofessions 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 Date .ICENSED CONTRACTOR'S DECLARATION �� hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) io 3 of the Business and Prof ssio `dde'' d i ylic se is in full force nd effect. License Class License No DatSMI= ctor Signature VORKERS' COMPENSATION DECLARATION II IARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have 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 erf ance of the work for which this permit is issued. Policy No. �I have and will mi�Rn n workers' com ensation 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 Isurance carrier and`golic number ar :: ie of Agent i certify that, in the I if I should becom Iature of Applicant Date lance of the W's his permit is I shall not employ any person in any manner so as to become subject to the workers' compensati71as of7C11fornia, and agre :ct tot rketion provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. 3 COVISTRUJCTION LENDING AGENCY 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, CIVII Code). Ender's Name Lender's Address Iy my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's be�Aff. I have read this application and the information I have provided is correct. agree to comply with all applicable city and co nt rdi a state laws relating to building construction. I authorize representatives of this city or county end So ppperty for inspection purposes. �/ (n �. 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