HomeMy WebLinkAboutX2022-1844 - Permitss r�, City of Newport Beach - Building Division
d 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP
"X2022-1844'
COMB Permit: X2022-1844
Project No :
Issued Date : 07/06/2022
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 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: 370 VISTA BAYA NB
Description: SFR REROOF W/ COMPOSITION SHINGLES (20) SQUARES.
Legal Desc.: N TR 2609 LOT 6
Owner:
MEEKER RICHARD & KELLEY
Address:
370 VISTA BAYA
NEWPORT BEACH, CA 92660
Phone:
949-677-1070
Applicant:
HARRY MARK
Address:
3949 ALADDIN
HUNTINGTON BEACH CA 92649
Phone:
949-322-6727
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: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Flood Zone: X
Valuation:
Building Permit Fee: $351.00
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
TOTAL FEE: $353.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
HARRY MARK CONSTRUCTION
Address:
3949 ALADDIN
HUNTINGTON BEACH CA 92649
Phone:
949-322-6727
Con State Lie:
815146
Lie Expire:
04130/2024
Bus Lie:
BT30048921
Lie Exp Date:
10/31/2022
Worker's Compensation Insurance
Carrier: SIRIUS AMERICA INSURANCE CO
Policy No: 87553
Expire: 0111012023
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical W
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
Parking Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lie:
State Lie:
Special Conditions: SUB -CONTRACTOR AGMT:
COASTAL WATERPROOFING IN
#1019726
0 Fire
Planning Department -
Plan check Fee
Fair Share :
SJH Trans :
In -lieu Housing Fee:
Public Works Department --
Park Dedication :
$0.00
PfW 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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit issuance: $353.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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)
ction 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
fessions 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 U all of or U portior
iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thr(
rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section'
ly to an owne �fproperty who builds or improves thereon, and who contracts for the projects with a licensed Cont
I am exempf 4Wjitensure under the Contractors' State License Law for the following reason:
ml signature below acknowledge that, except for my personal residence in which I must have resided for at least
a structure ttat,.! ave built as an owner -builder if it has not been constructed in its entirety by licensed contractor.
fes�ions Code,, is available upon request when this application is submitted or at the following Web site:http://wwv(
Itatgrl§ of Property Owner or Authorized Agent
;Eli CONTRACTOR'S DECLARATION
,re�byaeffirm undoRpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7(
eirect. LicertM lass License No Date's
) 9ii COA REFISATION DECLARATION
•rr
WINO: FAILURE T0: SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL FEES.
;It CE IOMPENSA,TION,rD� MACES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES.
�rebyluffirm utig rrp(Talty of perjury one of the following declarations:
I hal and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire(
fbriltance of t1v orK 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
uance carrier and policy number are:
Policy Number
ie of Agent
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any
, if I should become subject�pe)/sation provisions of Section 3700 of the �abor Code, I shall
ignature of Applicant v
DECLARATION REG DING CO ENDING A
hereby affirm under penalty of perjury th the r is a constr r the pe Trance of the work I
Ender's Name Lte r' Address
y 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to en_terPe above -id tified property for inspection purposes.
Unnaf ,re of Pronertv Owner or Authorized Agent X /"V-� � Print Property Ownei
ACTION DATE I By DECLARATION OFCOM
REGULATIONS PART 61
CERTIFICATE
/� / , Z� I / 5 G NATURE:
WITH CODE OF FEDEI
40 AND AQMD RULE
NOTIFICATION
APPLICABLE TO
of the work, and the structure Is not Intended or offered for sale (Section 7044,
3h employees' or personal effort, builds or improves the property, provided that the
�moletion, the Owner -Builder will have the burden of proving that it was not built or
Business and Professions Code: The Contractors' State License Law does not
pursuant to the Contractors' State License Law).
ne year prior to completion of the Improvements coverea oy uus pe
I understand that a copy of the applicable law, Section 7044 of the
Date
I cannot
less and
3 of the Business and Profe ons Q_ de,d/ny license is in fuel force
o�Contractor Signature X �s-�F/r -- 4-
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN
of Industrial Relations as provided for by Section 3700 of the Labor Code, for
performance of the work for which this permit is issued. My workers'
Date
so as to become subject to the workers' compensation laws of California, and agre
n comply with those provisions. K
OMS
h this permit is issued (Section 3097, Civil Code).
Authorized Aq
FOR OFFICE USE ONLY
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