HomeMy WebLinkAboutX2022-0582 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-058
o't 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 5 8 z Project No:
Permit Counter Phone 949)644-3288
v ip Inspection Requests Phone (949)644-3255
Combination Type - SFP Issued Date :
Inspection Arearea :2022
5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY-02128/2025 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:
149 SHORECLIFF RD NB
Description:
SFR REROOF T/O SHAKE ROOF
AND REPLACE W/ CEDAR SHINGLES
OVER 729 CAP SHEET CLASS A 51 SQS
Legal Desc.:
N TR 1116 LOT 111
I A I
COAST ROOFING INC Architect:
Owner:
JOHNSON JEREMY D TR
Contractor:
NEWPORT
Address:
149 SHORECLIFF RD
Address:
120 TUSTIN AVENUE #C-1084 Address:
> ,
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92663
Phone:
Phone:
949--355-6074 Phone:
State Lic:
Applicant:
NEWPORT COAST ROOFING INC
Con State Lic:
1052517 Engineer:
,
Address:
120 TUSTIN AVENUE #C-1084
Lic Expire:
0413012023 Address:
,
NEWPORT BEACH, CA 92663
Bus Lic:
BT30066998
Phone:
949--355-6074
Lic Exp Date:
04/30/2022 Phone:
State Lic:
Code Edit :
2019
Worker's Compensation Insurance Designer:
^
Type of Construction:
V-B
Carrier:
STATE COMP INS FUND Address:
Occupancy Group: R3/U
Policy No:
9249162
Added /New sq.ft. Bldg: 0
Expire:
04/1712022 Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
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 :
$5.00
TOTAL FEE: $356.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
'arkinq Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Special Conditions:
0
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
Zone : N
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 : $356.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
1 a'
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 portions of the work, and the structure is not intended or offered for sate (Section 7044,
;iness and Professions Cade: 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 .t was not built or
roved 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
ply 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:
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
Sall a stnucture th&t 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
Frofa.,ai�ns Code, is Evoilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
L ILIENEED CONTRACTOR'S DECLARATION
I -hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 9it o(t%i�f the Business and Pr s
and effact. License Clcss License No Date °�' ll.... Contractor Signat
KERS' COMPENSATION DECLARATION /
ING: FAILURE TG SECJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
1-COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
rmit, I cannot
Business and
in full force
DOLLARS ($100,000), IN ADDITION TO THE
I haoe and will Ina:main 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
'a.nu.nce of the work for which this permit is issued. Policy No.
have and will mainkain 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'
trice carrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the performance for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensa on law of California, and agre
It, if I should become gubjgaYro the worKPrs%.-�++=rrsavon pleyisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n/ �f
(nature of Applic c�R-`jj� A Dat� ` Z,
!CLARATION REGA9RD CONSTRUCTION LENDING AGENCY
ereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civl Code).
nder'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 cou9ty ordinances aDdAtate laws relating to building construction.
I authorize representatives of this city or cou ty enter ov= Rtified-property for inspection purposes. 1 J� ^� � ay �� r� 2�y1n
(nature of PrODertv Owner or Authorized Aoent Print Prooertv Owner's or Authorized ADent's Name J /TI �. AYf Date,
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY V REGULATIONS ART COMPLOF TIIANTCE LE WITH
AND DE OF FED
ERAL FOR OFFICE USE ONLY
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