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Home My WebLink AboutX2020-2995 - Permits: lty of Newport Beach - Building Division *X20202995* COMB Permit: X2020-2995 100 Civic Center Drive, Newport Beach, CA 92660 Project No Vl�144-',Uk Permit Counter Phone (949)644-3288Inspection Requests Phone (949)644-3255 Combination Type - MFP Issued Date: 12122/2020 Inspection Area : 4 Type of Construction: VA Occupancy Group: R21U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Building Permit Fee: $343.00 Plan Check Fee: $0.00 Overtime Plan Ck: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1212312023 OR PERMIT WILL BE INVALID Investigation Fee: 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: 1 PARK NEWPORT DR NB St: 1 FI: 1 Unit: 1300 Energy Compliance: Description: MFR PARTIAL REROOF ABOVE UNIT 1300 W/CLS"A" CAP SHEET, TO CAP SHEET (13 SQS) $0.00 Legal Desc.: N TR 6947 LOT 8 Hazardous Mat Owner: PARK NEWPORT LAND LTD Contractor: ADCO SOUTH ROOFING AND WATERPROOFING Architect: �8 SPEC I A k INSPEC VV Address: 201 FILBERT ST STE #700 Address: 1896 N MAIN STREET Address: $0.00 SAN FRANCISCO, CA 94133 ORANGE, CA 92865 Phone: Phone: 714-543-7663 Phone: State Lie: • Applicant: ADCO SOUTH ROOFING AND WATERPROOFING Con State Lie: 1061654 Engineer: o mmemom Address: 1896 N MAIN STREET Lie Expire: 1213112021 Address: m e m m ORANGE, CA 92865 Bus Lie: BT30073516 •m • •moo Phone: 714-543-7663 Lie Exp Date: 1113012021 Phone: ° State Lie: Code Edit 2019 Worker's Compensation Insurance Designer • o m Type of Construction: VA Occupancy Group: R21U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Building Permit Fee: $343.00 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 : $2.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Carrier: REDWOOD FIRE & CASUALTY Policy No: ADWC133952 Expire: 02/0512021 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: I Left: I Right: / 'arkina SDaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: 0 Address: Phone: Special Conditions: Fire Hazard Zone : N 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 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $345.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: m 0 • m e mm m °••000 m0eoe oe0000 ° o 0 0 0 0m0omo o m 0000 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: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $345.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: m 0 • m e mm m °••000 m0eoe oe0000 ° o 0 0 0 0m0omo o m 0000 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat 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 applicagle item(s) Otion 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 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 Ifessions 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 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, 6iness 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 )rovements 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 )roved for the purpose of sale). 1, 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 )ly 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: 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 legaIh I 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 acopy of the applicable law, Section 7044 of the Business and Ifessions Code, is available upon request when this application is submitted orat the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date :ENSEDCONTRACTOR'S DECLARATION 3reby affi" LRcier penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ion 70 0 of Division 3 of the Business d Profe s ,y.�1+,�a, and rel lice se iso full force I affect. LjcenggClass License No 6 ontractor ture ! 4, SAKERg1CAMi3ENSATION DECLARATION INING: FAILURF.TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE IT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. upby afflov unalerp realty of perjury one of the following declarations: .).leave 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 kjmance of if ew4rk for which this permit is issued. Policy No. .have 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' compensatiol Uance carried andpolicy number are: Tier- Policy Number Expiration Date me-ofAgent ... Phone# 2'eftify that, irrfht performance of the work for which 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 shoulQbecome subjer¢ to the workers' gompegsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions._ )reby affirm under pAalty 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) 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 Tdinances and state laws relating to building construction. I authorize representatives of this city r my ter th above -i ent"ed. property for inspection purposes. / _{1 _ p nature of PmnertV Owner or Authorize�t / —. � ate.. I!' ' --� Print Propertv Owner's or Authorized /INPJ S Namf 14 ACTION DATE BY 1 DECUMATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONYr III REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 EXPIRED I I I V I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED I UAQMD PERMIT FINAL ( s. C ;� I12 STO NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF (l GCJ ..f— OSED EMYLIT�ON / �— OCCUPANCYISSUED SIGN •C d fd '5 so Ld N ®� SE FA o_9mylo m cep wo V®.t coj _ vii eWi ego �aCiy Waw c�