HomeMy WebLinkAboutX2021-0813 - Permitsz"tea? City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0813
1 V Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 8 1 3 Project No
4 emut Counter Phone (949)644-3288
u .,. v Inspection Requests Phone(949)644-3255 NO CONSTRUCTION
NOISE Issued Date: 0410712021
Combination Type - MFP FF VV I V f-1lJ l✓ I t V NOISE O C. _
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0410712024 OR PERMIT WILL BE INVALID
Construction Hours: Monday- Friday 7.00 a.m. to 6:30 p.m. ar 4�fuitaiaaffrorrr�a00a9.`�.Hao 6:00 p.m. No work on Sundays or Holidays
Job Address: 205 42ND ST NB
Description: MFR T/O (E) 20 SQ, INSTALL COMP. SHINGLE, CLASS'B'MIN.
Legal Desc.: CANAL SECTION BILK 142 LOT 12
Owner: DTM PROPERTIES LLC
Address: 2461 NORSE AVE
COSTA MESA CA 92627
Phone:
Applicant:
SUPERIOR METAL ROOFING
Address:
360 E 1ST ST #701
TUSTIN CA 92780
Phone:
866-783-4400
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 : 2
Bldg Height: 0
Bldg Sprinklers: N
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
TOTAL FEE: $344.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
SUPERIOR METAL ROOFING
Architect:
Address:
360 E 1ST ST #701
Address:
TUSTIN CA 92780
Phone:
866-783-4400
Phone:
State Lic:
Con State Lic:
865713
Engineer:
Lic Expire:
10131/2021
Address:
Bus Lic:
BT30062175
Lic Exp Date:
01131/2022
Phone:
State Lic:
Worker's Compensation Insurance
Designer:
Carrier:
STATE FUND
Address:
Policy No:
1957583
Expire:
01/0112022
Phone:
Building Setbacks
Rear: /
Special Conditions:
LIQUEFACTION AREA &
Front: /
HIGH DENSITY
Left: 1
Right: 1
Use Zone: Parking Spaces:
0
Fire Hazard Zone :
N
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee
: $0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department
-
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
Plan Check Fee:
$0.00
Fee Due at
Permit Issuance :
$344.00
`
'U,BUC WORKS APPROVAL:
PLAN CHECK BY:
At'PRO'V&TO ISSUE:
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 apr licable 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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
im 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
apply 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:
By 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 legally
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 Nisi n 3 of the Business and Pr fe io o I n Is in full force
land effect. License Class license No Date � Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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 ($1100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37DG OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
Triance of the work for which this permit is issued. Policy No.
have and will rp�Intain 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'
rance carrier arld dolicv numh67'dr re: n
Date
of Agent
JI certify that, in the perfo ance ofthe war r Ich 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
iat, if I should beco e u ect to th o pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant Dat
)ECLARATION REG DING CO S RUCTION LENDING AGENCY
hereby affirm under rally 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).
ender's Name Lender's Address
ly 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.
1 agree to comply with all applicable city and county ordinances and state laws relating to building construction.
1 authorize representatives of this city or coun t enter the above -identified property for inspectionpurposes.
P tY P P Y P
.innate ve of Prnnerfu (Tuner nr Au}hnrieed Anenf t Print Prnnerfv (Tuner'c nr Aufhnrieeri AnenYe Nome
ACTION
PERMITEXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE I BY
S- �_u J2
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
TO
TO
FOR OFFICE USE ONLY
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