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Home My WebLink AboutX2018-3469 - Permits%rov City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-3469 04 r 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 8 3 4 6 9 Project No: Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date: 1111512018 Combination Type - BLDG �111 a Ill'i � 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: 234 HARTFORD DR NB Description: MFR -GO OVER 1 (E) LAYER FLAT ROOF WI 1 LAYER SINGLE -PLY 29 SQ "UNITS 234-248` Legal Desc.: TR 11604 LOT 6 UNIT 136 OF PROJECT LOCATED ON AP 442-291-40 TOGETHER Owner: BAYRIDGE HOA Address: 1855 W KATELLA AV 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 Lln"s : . ` 8 Bldg',Heioht: 0 Bldg Sprinklers: Construction Bwluiny Permit Fee: '$324.00 Plan CI.Lck Fee: $0.00 Ove:timE Plan Ck: $0.00 Investir2tion Fee: $0.00 Rdcnid f4anagemenf: $0.00 Energy Compliance: $0.00 CP. SLi.1.13 Safety-. $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $325.00 PROCESSED BY: ZONING APPROVAL: Contractor: ROOFING STANDARDS INC Address: 930 LAWRENCE ST PLACENTIA CA 92870 Phone: 714-993-9715 Con State Lic: 741302 Lic Expire: 05/31/2019 Bus Lic: BT30064518 Lic Exp Date: 0913012019 Worker's Compensation Insurance Carrier: CA INSURANCE Policy No: 4683206601 Expire: 11101/2018 Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I Architect Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Phone: rgr*k'T *:� �y Special Conditions: l w 6a �a $0.00 Planning Department - Fire Department $0.00 Plan check Fee: $0.00 Fire Inspection: $0.00 $0.00 Fair Sham : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $325.00 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 is 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors State License Law does not pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 ivi ' 3 of the Business and PC,ote$sion odmv license is in full force nd effect. License Class License No Cat 1 5 Contractor Signatu e VORKERS' COMPENSATION DECLARATION IARNING: 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 ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 the ormance of the work for which this permit is issued. Policy No. 71 ve 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' compensation Is ante carrier and policy number are: rri" Policy Number Expiration Date lame of Agent Phone # ]I certify that, in the performance 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, lard agree iat, if I should become subject to the r ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ( I I . I ' Signature of ApplicantnJ, DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby 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). ' Lenders Name Lender's Address —�. By 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 an state laws relating to building construction. authorize representatives of this city or county to enter bo Iden 'fled property for inspection purposes. /� i nature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's S,9 •�t 1 f' 1 L Vi' /-1 Date ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QM D PERMIT FINAL p ( %00cl 0 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF A. e.1 PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: