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HomeMy WebLinkAboutX2020-0364 - Permits*X20200364" COMB Permit: X2020-0364 Project No : Issued Date : 02/1012020 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: 554 GLORIETA NB Description: MFR REROOF (GARAGE ONLY) TIO ASPHALT AND REPLACE WI SINGLE PLY CLASS B 5 SCIS Legal Desc.: TR 6230 (L.L.84-214033) PAR 46 Owner: REYNOLD JULIE City of Newport Beach - Building Division c� 100 Civic Center Drive, Newport Beach, CA 92660 ';.^r.. Permit Counter Phone(949)644-3288 2054 CONTINENTAL AVE Inspection Requests Phone (949)644-3255 NEWPORT BEACH, CA 92660 Combination Type - MFP *X20200364" COMB Permit: X2020-0364 Project No : Issued Date : 02/1012020 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: 554 GLORIETA NB Description: MFR REROOF (GARAGE ONLY) TIO ASPHALT AND REPLACE WI SINGLE PLY CLASS B 5 SCIS Legal Desc.: TR 6230 (L.L.84-214033) PAR 46 Owner: REYNOLD JULIE Contractor: PREMIUM ROOFING SYSTEMS Architect: Address: 554 GLORIETA Address: 2054 CONTINENTAL AVE Address: NEWPORT BEACH, CA 92660 $5.000.00 COSTA MESA, CA 92627 Phone: 818-264-5549 Phone: 714-884-5108 Phone: Applicant: PREMIUM ROOFING SYSTEMS Con State Lic: 1042214 Engineer: Address: 2054 CONTINENTAL AVE Lie Expire: 07/3112020 Address: COSTA MESA, CA 92627 Bus Lie: BT30064792 Additional Fee : Phone: 714-884-5108 Lie Exp Date: 11/30/2020 Phone: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STATE COMP Address: Occupancy Group: U Policy No: 9233137 $0.00 Added /New sq.ft. Bldg: 0 Expire: 06/13/2020 Phone: Added /New sq. ft. Garage: 0 $0.00 Demolition Fee No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 2 In -lieu Housing Fee: Front: I $0.00 Bldg Height: 0 $0.00 Left: I $0.00 Bldg Sprinklers: $0.00 Right: I State Lie: State Lie: Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5.000.00 Building Permit Fee: $324.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 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 $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $325.00 Plan Check Fee : $325.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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). ❑ 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 legalli 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 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF 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: ❑ 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 IN Derformance of the work for which this permit is issued. Policy No. 01 have 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' compensatiol Insurance carrier and policy number are: Policy Number Expiration Date of Agent 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, and if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Date_ IECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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). 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. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. linnature of Prnnertv Owner or Authorized Anent Print ProDertv Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE 1403 EXPIRED I I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED VLJAQMD PERMITFINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF /� ❑ PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: Date co N N � d C 3 a � O Q Z >+ U '= E a a a a` J .. wo cc(Dy ca «m 7 a a y e � c _N N CH E ca .. N ..' 7 O O m CD EOm m N U >+ ` U(D) a`) O N 3 m U O co m O i E a)X N3cn a CU ao)a No cc p cO - E 'x 0 0N N 0 N O 0)a N (D 8 °C 'a 0 C � 7 N U) N L X p c_ ° E O ° co � �� U) coCLmoi.. 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