The URL can be used to link to this page

Home My WebLink AboutX2021-1470 - PermitsCity of Newport Beach - Building Division a'+ 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 .. p,.. Inspection Requests Phone (949)644-3255 Combination Type - BLDG IIIIII�IIIIIIIIIIII�III�IIIIIIII�IIIIIIII� II COMB Permit: X2021-1470 x 2 0 2 1 1 4 7 e Project No: Issued Date : 06/09/2021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/09/2024 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: 301 CORAL AVE NB Description: SFR T/O SHAKE ROOF. REPLC WOOD SHEATHING AS NEEDED. INSTIL 15# FELT. INSTALL 17 SQ COMP SHINGLES Legal Desc.: BALBOA ISLAND SEC 3 LOT 34 BILK 15 AND LOT 35 BILKIS Owner: COHEN ROBYN S Address: 301 CORAL AVE NEWPORT BEACH, CA 92662 Phone: Applicant: J D CLARK ROOFING Address: 15569 ROLLING RIDGE DR CHIL HILLS CA 91709 Phone: 909-636-9057 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3/U 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: 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 : $1.00 Contractor: J D CLARK ROOFING Address: 15569 ROLLING RIDGE DR CHIL HILLS CA 91709 Phone: 909-636-9057 Con State Lie: 416967 Lie Expire: 01131/2022 Bus Lie: BT30047826 Lie Exp Date: 07/31/2021 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9073636 Expire: 0611812021 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: / Left: / Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 II TOTAL FEE: $344.00 Plan Check Fee are asa e e o PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: 0 Architect: Address: Phone: p State Lie: ay Engineer: ® Cot Address: Sraiu(�TJ®AV Phone: State Lye` f q r®/�� Designer: Address: ON S'q rCJ/ � Phone: R®^ �'! Y%s Special Conditions: HIGH DENSITY Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 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: $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 LJ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of i Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comf improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor ❑ 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) sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I ur Professions Code, is available upon request when this application is submitted or at the following Web site:http://Www.legin Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7090) o and effect. License Class License No Date _&/� COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL DST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affir Inder penalty of perjury one of the following declarations: work, and the structure is not intended or offered for sale (Section 7044, ployees' or personal effort, builds or improves the property, provided that the on, the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). prior to completion of the improvements covered by this permit, I cannot stand that a copy of the applicable law, Section 7044 of the Business and Date 13 of the Business and Pro ssions � d my license is in full force Contractor Signature CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE J I h e and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director o Industrial Relations as provided for by Section 3700 of the Labor Code, for mance of the work for which this permit is issued. Policy No. 71 hive 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' Isur ce carrierandpolic�7nrumber, 1. t" 7 v Policy Number Expiration Date lame of Agent n Phone # certify that, in the performance of , if I should become subje/cctJ�aH//!FT��f�� latureof Aoolicant rr`.Le'_ 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith, comply with those provisions. hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for ender's Name Lenders Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property ownZenfifie, I have read this application and the information I have providedct I agree to comply with all applicable city and county ordman laws relating to building construction. I authorize representatives of this city or county ter property for inspection purposes. lionature of Prooerty Owner or Authorized AD ent Print Pmuerty Owner's ACTION DECLARATION OF WITH CODE OFDATE BY I REGULATIONS PPAT061 OF TITLE 40 AND AQMD RULE AL FOR Date this permit is issued (Section 3097, Civil Code). ONLY Date PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO •�S • �', + •• • ' d' • "' 4�.•r •••• ` PERMITCANCELLED EPA � •� «•°iy• r M 4 ••• • •• •••�• * * 4 • • + : ' • s • • •�• •• --- PERMIT EXTENDED QMD PERMIT FINAL tAASBESTO5 NOTIFIIO OT LICABLE TO CERTIFICATEOF ROPOSED DE of nO • OCCUPANCY ISSUED , A lot1/" , SIGNATURE: ••• s•: �'� . •• •«• • e`'�� v� ss• • •�• a i D °° �' °si • e• T �� • e•� s eo °j•