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Home My WebLink AboutX2021-2150 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2150 G 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 1 6 0 Project No h,, n Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date: 08/13/2021 Combination Type - MFP Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0811312024 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: 1 PARK NEWPORT DR NB Description: MFR T/O (E) BUR FLAT ROOF & REPLACE W/ BUR FLAT ROOF 22 SQ, CL"B" (UNIT 1880 -PENTHOUSE) Legal Desc.: N TR 6947 LOT 8 Owner: PARK NEWPORT LAND LTD Contractor: R D M WEATHERPROOFING Architect: Address: 201 FILBERT ST #700 Address: PO BOX 130 Address: SAN FRANCISCO, CA 94133 BEDIAS TX 77831 Phone: Phone: 714-404-8739 Phone: State Lie: Applicant: R D M WEATHERPROOFING Con State Lie: 724244 Engineer: Address: PO BOX 130 Lie Expire: 06130/2022 Address: BEDIAS TX 77831 Bus Lie: BT0302449 Phone: 714-404.8739 Lie Exp Date: 02/28/2022 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: STATE COMP Address: Occupancy Group: R2/U Policy No: 9210506 Added /New sq.ft. Bldg: 0 Expire: 05/15/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 4 Building Setbacks Rear: / Special Conditions: No of Units : 0 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: N Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $55 093.00 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: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev 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 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service CA Seismic Safety: $0.00 WQ Insp. Fee: $0,00 Park Dedication : $0.00 Refund Deposit Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $3.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $354.00 PROCESSED BY: ZONING APPROVAL: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $354.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL 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 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, 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, 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 cr improved 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 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 Iegall� 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.govlcaiaw.html. Signature of Froperty Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm urder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of isi of the Business and Prof sio de, nd Inse is in full force and effect. License Class License No Date Contractor Signature WJPKERS' COMPENSATION DECLARATION NARNING: FAILUPF T^_ F=.URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DCdARS ($100,000), IN ADDITION TO THE C09T Or COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm inderpenalty 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 Trance of the work for which this permit is issued. Policy No. and will rr.air,tain 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' carrier and policy number are: ne of Agent certify that, in the p, if I should become nature of Applicanv Policy Number Date 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 �e ww rrkers' ompensation provision action 3700 of the Labor Code, I shall forthwith comply with those provisions. �/ I rL C : Date n -0- Ll :reby affirm under pem"y of perpiry 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 providIg is correct. e I agree to comply with all applicable city and county I authorize representatives of this city or county to e ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE I BY 10•1q• n s and state laws relating to building construction. v - d e '111 tion purposes. I�Irint Pro rty Owner's or Authorized A n,tION OFk.OMPUANCE WITH CODE OF FEDERAJ FOR OFFICE USE ONLY TIONS PAIIJT 61 OF TITLE 40 AND AgMD RULE 1403 1 SUBMITTED ASBESTOS NOTIFICATION TO IS NOT