HomeMy WebLinkAboutX2019-1641 - PermitsCity of Newport Beach - Building Division
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COMB Permit: X2019-1641
s� ^� " 100 Civic Center Drive, Newport Beach, CA 92660
X 2 0 1 9 1 6 4 1
Project No
t, Permit Counter Phone (949)644-3288
0
Inspection Requests Phone (949)644-3255
e�,r&A�,b Combination Type - SFP
Issued Date: 05/22/2019
Inspection Area : 4
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 6:00 a.m. to 6:00 P.m. No work on Sundays or Holidays
Job Address: 1946 PORT TRINITY PL NB
Description: SFR REROOF TIO SHAKE AND REPLACE WI BORAL SAXONY
600 SLATE TILE 5.7 LBS CLASS ".B" 30 SQS
Legal Desc.i N TR 7031 LOT 5
Owner: STEWART MICHAEL M Contractor:
REYES SINGLE PLY ROOFING MASTERS CORP Architect:•:•
°
Address: 1946 PORT TRINITY PIL Address:
16461 HARVEY DRIVE Address:
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•."
• •' ° B
NEWPORT BEACH, CA 92660
FONTANACA
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Phone: - Phone:
909-258-2857
Phone:
State Lic:
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.Applicant: REYES SINGLE PLY ROOFING MASTERS CORP Con State Lic
908008
Engineer.
e• •
.i a
Address: 16461. HARVEY DRIVE Lic Expire:
1213112019
Address:
o • • •�
° e e o 0
FONTANA CA Bus Lic:
BT30063462
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e e o 0 0
Phone: 909-258-2857 Lic Exp Date:
03131/2020
Phone:
State Lia
° ° •,°
Code Edit: 2016 Worker's Compensation Insurance
Designer.
°
••.O o`�
Type of Construction. V -B Carrier:
EMPLOYEE SVC GROUP Address:
Occupancy Group: R3/U Policy No:
WC581 646
m0p0p°
•e000c
Added/New sq.ft. Bldg: 0 Expire:
tL(31 \
Phone:
° °®
°•000`
.Added /New sq. ft. Garage: 0
�
°
eooe
No of Stories:. 1. Building Setbacks:
Rear: I
Special Conditions:,
No of Units: 1
Front: /
Bldg Height: 0.
Left:./.,
Bldg Sprinklers:
Right: /
Flood Zone: Use Zone: Parking Spaces:
0 Fire Hazard Zone: N
Construction Valuation: $15.500.00
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
i
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
P/W 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'.
$0.00 Fee Due at Permit Issuance : $325.00
PROCESSED BY: `l1u -
PUBLIC WORKS APPROVAL:
-
-
ZONING APPROVAL:
-
PLAN CHECK BY:.
GRADING APPROVAL:
" APPROVAL TO ISSUE:l
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 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).
❑ I, 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).
❑ 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).
❑ 1 am exempt Ifrom licensure under the Contractors' State License Law for the following reason:
By. my signature U041 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)
'sip J a slructure tMgtl'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 CQcn is -available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
81g nature of Ptopesty owner or Authorized Agent Date
LfGEIOSED CONTRACTOR'S DECLARATION
I hereby affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 )sf ivision 3 of the Business and P fessions Code, and (cense i in full force
afl(�gffect. OwSe Class License No Date Contractor Signal e �CJ ✓1 C3
&QRKERS' C014FENSATION DECLARATION
ygRltlIG: FAIL81100 CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE H DRED THOUSAND DOLLARS ($'100,000), IN ADDITION TO THE
COS FF OF COMPENSATIO , DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
:V'r¢by affirm under penalty of perjury one of the following declarations:
;�,I*have an8°viliRfnaintain 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
3e rmance pf thework for which this permit is issued. Policy No.
have and 44Aaintain 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
nsul,ance carrier and policy number are:
Policy Number
Date
is of Agent Phone rF
certify that, in the pe rmance 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 worker compensation laws of California, and agre
if I should become bjethe the
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. L f`
ature of Applicant C'0 C if un s z te_ 0�
:LARATION REG DING ONS UCTION LENDING AGENCY
Eby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 367, Civil Code).
ter's Name Lender's Address
Ty 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 count ordinances and state laws relating to building construction.
I authorize representatives of this city or county tq/g,OtaMe above-idenjq� d property for inspection purposes.
_ r
DATEI BY / I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED OEPA
PERMIT EXTENDED LJAQMD
PERMITFINAL ASBESTOS N IFICATION IS NOTAPPLICABLE TO
CERTIFICATE O
OCCUPANCYISSUED ,D t SIGNATUR D O� 0 Ca T
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