HomeMy WebLinkAboutX2018-2606 - PermitsCity of Newport Beach - Building Division *X20182606* COMB Permit: X2018-2606
a I`. 100 Civic Center Drive, Newport Beach, CA 92660 Project NO
�; Permit Counter Phone (949)644-3288
u. Inspection Requests Phone (949)644-3255
�"x+CxFnv��' Combination Type - SFP Issued Date: 0813012018
0
Inspection Area : 5
II TOTAL FEE: $305.00 - Plan Check Fee:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
$0.00 Fee Due at Permit Issuance : $305.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: _
APPROVAL TO ISSUE: �/��
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: 324 MARIGOLD AVE NI3
• e e.
Description: SFR REROOF FLAT ROOF W/ B.U.R. 17 SCIS
_
e• •., °
Legal Desc.: CORONA DEL MAR BLK 240 LOT 26
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Owner: GOLDSTEIN DINA
Contractor:
STAR COURSE ROOFING CO
Architect:
ee e
Address: 324 MARIGOLD AVE
Address:
18627 BROOKHURST ST #524
Address:
'
• ° °
NEWPORT BEACH, CA 92625
FOUNTAIN VALLEY, CA 92708
e
Phone: 714-483.3420
Phone:
714-231-7682
Phone:
State Lie:
°O °•
e' °
Applicant: STAR COURSE ROOFING CO
Con State Lie:
532778
Engineer:
e e • e, °
e e ° ° °
Address: 18627 BROOKHURST ST #524
Lie Expire:
06/30/2020
Address:
e
FOUNTAIN VALLEY, CA 92708
Bus Lie:
BT30064331
.
• e ° °
Phone: 714-231-7682
Lie Exp Date:
08/3112019
Phone:
State Lie:
a • e o o ®
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°
Code Edit: 2016
Workers Compensation Insurance
Designer:
• e .
° e • ° ° °
Type of Construction: V -B
Carrier:
STATE COMP
Address:
° ° . °° °
° ° •, ° °
Occupancy Group: R3/U
Policy No:
9005389
Added /New sq.ft. Bldg: 0
Expire:
02/1612019
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions:
_
No of Units : 1
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone: Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $9.000.00
Building Permit Fee: $304.00
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
PM/ 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
II TOTAL FEE: $305.00 - Plan Check Fee:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
$0.00 Fee Due at Permit Issuance : $305.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: _
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 items)
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 ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
:iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
roved fot t wgypose of sale).
I, as o1war of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Ily to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
-I am 0edipi from licensure under the Contractors' State License Law for the following reason:
my signatuga below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegallt
a structure th$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 of the Business and
fessions:Code is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature oPProperty Owner or Authorized Agent Date
r.ENSED WW..RACTOR'S DECLARATION n
Roby affirrMtfrfAr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 o Divis' n 3 of the Business andTDREDTHOUSAND
andygt( en ri ull force
i -effect. License Class License No Date Contractor SignT/
)WERS' %9:49ENSATION DECLARATION
'.NIISG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM AL PENALTIES AND CIVIL FINES UP TO ONE HU DOLLARS 1$100,000), IN ADDITION TO THE
TAF COMPEN3ANON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
caby affirm'Witler 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.
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
Date
T e of Agent Phone if
certify that, in the performance of the work for which this permit i issued, I shall not employ any person in any manner so as to become subject to the workers' ompensation laws of California, and agre
I, if I should become s Eject to a workers;�omp ation provis' of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r
nature of Applicant. 1FJ� /970v, CLARATION REG ING CONSTRUCTION LENDING AGENCY
:reby affirm under enalty of perjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3l 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 ounty ordinances and state laws relating to building construction.
I authorize representatives of this city or co my to eAter th4 above--AenlMd propeejg for inspection purposes. /i� 1 •� t _� C-yjn_r Irl
Owner or AL
Print ProDertv Owner's or Authorized
ACTION DATE qr/ bECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY o /
/ REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
rtrtrvu� nrvn` /
CERTIFICATEOF Q 3�
OCCUPANCY ISSUED v
NOTIFICATION TO
IS NOT
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