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Home My WebLink AboutX2019-0597 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-0597 ' 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 0 5 9 7 Project No rA+� Permit Counter Phone (949)644-3288 - ci Inspection Requests Phone (949)644-3256 Combination Type - MFP Issued Date :02125/2019 Inspection Area : 8 PERMITS EXPIRE 180DAYS 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:. 2609 VISTA ORNADA NB - - Description: MFR REROOF REMOVE CLAY TILE TO REPLACE SHEATHING AND REINSTALL EMSTING.TILE CLASS B. 15: SGS :Legal Desc:i N TR 7082 LOT 2 Owner. STEMLER PHILIP Contractor: LUIS MENDOZA ROOFING Architect - Address:. .2609 VISTA ORNADA Address: 2323 IN 12TH ST Address: NEWPORT BEACH, CA.92660 - SANTA ANA CA .92703 - - e ° • o Phone: Phone:. 714-785.3545 Phone: State Lie: Applicant: LUIS MENDOZA ROOFING Con State Lie: 872859: Engineer. ee ooeooc o ` ° : • . o Address: 2323 W 12TH ST Lie Expire: 08/3112019 Address: SANTA ANA CA 92703 Bus LicBT30039447 •e, o Phone: 714-785.3545 Lie Exp Date:,. 05/31/2019 Phone: State Lie: o e•e; 'b ° °o Code Edit: 3016 Worker's Compensation Insurance Designer e o �"-�"w#. • eI o type of Construction: V -B Carrier. STATE COMP Address: Occupancy Group: R31U Policy No: 9011200 ao o i.00 Added/New sq.ft. Bldg:. 0 Expire: 0 412 012 01 9 Phone: • e�` T"eomoo Added/New sq. it. Garage:- 0 Daae. "�yy a o No of Stories: 2 Building Setbacks Rear: I Special Conditions: o 00 `p _� a� •doo No of Units: 4 Front: I Bldg Height: 0 Left:'I ncoo Bldg Sprinklers: Right: 7 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $11.800.00 Building Permit Feer $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 - CASeismic 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 `/o: $0.00. .$0.00 TOTAL FEE : $325.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance ; $325.00' - PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: - APPROVAL TO ISSUE: ��-=i 1 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(sj (Section 7031.5, Business and Professions Code: Any city or county that requires apermit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applical t 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 penaltX of not more than five hundred dollars ($500). i. ❑ 1, 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 or �im roved 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). ❑ 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 Iegall sell a structureAl"4 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 Ob�e,ijIvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.htmi. Signature of Properw•Owner or Authorized Agent Date WFOSED 90N'Tf3ACTOR'S DECLARATION I•hereby affirm urider penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Divi i n 3 of the Business and Proles on ode, and my license is in. full force arM efRct. Licedsa Class License No Date Contractor Signature OI;KERS' CZDMRENSATION DECLARATION AN [lid; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDR D THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OS11`` OF COMPE"k-VIOR,.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - %166y affirm ander-penalty of perjury one of the following declarations: •.• I tlaye 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 th •eriormance ofJJ%v19i2 for which this permit is issued. Policy No. boyo 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' compensatio irissqda carriejUd policy number are: Carrier ��•• Policy Number Expiration Date Name of Agent Phone # I certify that, in the pert once 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' co pensation laws of California, and agre that, if I should become s bject t0 th workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / C Signature of Applicant Dat 2/L✓l�h. DECLARATION REG DINGOONSTRUCXON LENDING AGENCY I hereby affirm underVenally 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). Lender's Name Lender's Address Bymy 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 coun ordinances and state laws. relating to building construction I authorize representatives of this city or county enty'"-��a above -identified property for inspection. purposes 1 Z �: __...._ _. r,.___..., .,....._. _a ......:_..w n:._... ✓ / r it/• o.,.,. o.....va„ n,.,- /L o " S ON " vim,, ACTION DATE BY CERTIFIC47EOF �' (O• C / p,Q OCCUPANCYISSUED (N REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS SIGNATURE: IS NOT APPLICABLE TO FOR OFFICE USE ONLY / `— X p I C I O cal ' Q) � � m p c x z LID x o W 0M W m V O O A Q Ornm 03 aVF O�Zo Lco m �; OzPZwo co A] n to O JLU o LU (nti Z W o H c G � W U o o � U o V% @ +@' p '00 N t d O O Y O N @ lc N @ �� ELL ON N 00 C .@+ O N y o N U CL N O N N N Y Cn Go) R U -wOc a T A N ` O U o @@ o �E°' 3 �� aNi'x °'3�°, a @Nc map o �� c or a ° c� c E•K 3a O c cJ '00 (V .D U N 01 N N -° O t C ? ami ui a>@ `oEc �� O O N N N N L X c°� 7 O 0 co co _°co = 3cQo dcw c �o *k E O N O N •- j N O O- @p_ d O W @ c U c U "O C 3 �O @ N C "' h J O c 0 N N 01 c@ N E m O U@— O E N ° N 0 O C e m ca 0@Oi U oo co �3 _a ca a�3 xy c E° o`° E@ r c0 C m. @ M a) N C@J '� O° a)'� N 7 N p w Y ��•° o 0oc E 6 N@@ @ o O '� O C N O r .T+ -° V O N@ N Em@ rL. 1" fEA O N c c@ N> N N N w O= L N 0 CL a1 U @ N y C U O O "@O a L Y C -5 w N '� E d O c -O U d o N " C °' c �rn �°� d Q ��m N o �flcc ow °;m CT r- U °� t o E— c _M ° uL u �z CO u a EL_ca •� O '@O O .Q O N @w= N @ �� V N .O ww Ow ° ° N "•' cO .L N N E -L a 0 d y U NNN i° U -`U g c m Q m E o@ uEi t v� ow L' N ) M C@@ r N CA � @ U 'C •O v .p $ o -o c It 3 �° 3 Y c o• > w d m E a cua N •-_0 OCD )m 0 `m @ N N E C- of o @� N.SW m U m0E am ::w3° rnCm vu 3 o om ��c y Qoo �N ao>t ��p ma ° ° O U cc @ate k mm`° cLi a°~ �m etc U Z -C N +@, -O'c O� •Q rl y r n N w 0@ O V C O o U N N N c U) O y` O p— N d y d @ O N O CL U L N N K O N N .D @ g•O` IL a a H.c U dU m nN2 = as in z=°