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Home My WebLink AboutX2018-3471 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-3471 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 s 3 4 7 1 Project No Permit Counter Phone (949)644-3288 " Inspection Requests Phone (949)644-3255 Issued Date yA ux* Combination Type - BLDG Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 284 CHESTERFIELD INS Description: MFR -GO OVER 1 (E) LAYER FLAT ROOF WI 1 LAYER SINGLE -PLY 34 SQ *UNITS 284.298' Legal Desc.: TR 11604 LOT 1 UNIT 162 OF PROJECT LOCATED ON AP 442.291-40 TOGETHER Owner: BAYRIDGE HOA Address: 1855 W KATELLA AV #340 ORANGE CA 92867 Phone: Applicant: ROOFING STANDARDS INC Address: 930 LAWRENCE ST PLACENTIA CA 92870 Phone: 714-993-9715 Code Edit : 2016 Type of Construction: V-B Occupancy Group: R2 Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories. 2 No of Units . 8 Bldg Height' 0 Contractor: ROOFING STANDARDS INC Address: 930 LAWRENCE ST PLACENTIA CA 92870 Phone: 714-993-9715 Con State Lic: 741302 Lic Expire: 0613112019 Bus Lic: BT30064618 Lic Exp Date: 09/30/2019 Worker's Compensation Insurance Carrier: CA INSURANCE Policy No: 4683206601 Expire: 11101/2018 Building Setbacks Rear: I Front: I Left: I Riaht: / Architect Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: r%�r x oivy PiMil it ors: Flood Zone: Use Zone: - Parkinq Spaces: 0 Fire Hazard Zone Construction Valuation: $23,500.00 Building Permit Fee: $324.00 Excise Tax: $0.00 Planning Department - $0.00 Fire Department Fire Inspection: $0.00 Plan Check Fee: $0.00 Additional Fee : $0.00 $0.00 Plan check Fee: Fair Share : $0.00 Fire Plan Rev $0.00 Overtime Plan Ck: $0.00 $0.00 Grading Bonds Fee: Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Injestigatw Fee: Record ivianagement : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm General Service $0.00 $0.00 Energy Cumpliar,cs. $0.00 Grading PC Fee: $0.00 Public Works Department - Park Dedication : $0.00 Refund Deposit $0.00 CA Seisr,iic Safety: $0.00 WQ Insp. Fee: $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 CisaJ:sd Access: $0.00 Fszj',.ijus Mat. $0.00 Electrical W $0.00 San Dist: $0.00 $0.00 Euilding Green Fee: $1.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 - Plumbing %: $0.00 TOTAL FEE : $325.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $325.00 PUBLIC WORKS APPROVAL: rmvLaaOCV ... ZONING 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 icensure 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 L) all of or (_) 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 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). ❑ 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 this permit, I cannot legall) 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:hftp://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 700 ),off ivis1 n of the Business and Professions Cook and my license is in full force and effect. License Class License No DateIs Contractor Signal WORKERS' COMPENSATION DECLARATION �� NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AN CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN EY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 thi Xormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Expiration Date of Agent certify that, in the performance of the work r 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 ' I t, if I should become subject to the wort s�ompensation revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. G nature of Applicant CLARATION REGARDING CONSTRUCTION LENDING AGENCY (J� Ireby 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, 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 provided is correct. I agree to comply with all applicable city and county ordinances and Apte laws relating to building construction. I authorize representatives of this city or county to enter th I led property for inspection purposes. ! n nature of Property Owner or Authorized Agent I Print Propertv Owner's or Authorized Agent's Name / ^X\/ / l/r ✓zr /Z if T ACTION PERMIT EXPIRED PERMITC4NCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AGING RULE SUBMITTED TO LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION