HomeMy WebLinkAboutX2018-2060 - PermitsW7 �, City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
'+ Permit Counter Phone (949)644-3286
"+. Inspection Requests Phone (949)644-3255
rw Combination Type - MFP
COMB Permit: X2018-2060
IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII II
Project No:
Issued Date: 07/0912018
Inspection Area : B
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: 521 VENTAJA NB
Description: MFR REROOF W/ STANDARD RED "S" US TILE (ESR#1047) (8 PSF), (22 SQ) TIO SAME TILE -(INSPECTION VERIFICATION REQ) F4*� CTOR
LegalDesc.: NTR6905LOT26 INII
Owner: JOYCE ANTHONY Contractor: UNDER COVER HOME IMPROVEMT Architect:
Address: 521 VENTAJA Address: 19562 DITMAR LANE Address:
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R21U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units: 6
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
11 Construction Valuation: $1
Building Permit Fee: $304.00
Plan Check Fee: $0.00
Overtime Plan Ck:
NEWPORT BEACH, CA 92660
Phone:
$0.00
Applicant:
UNDER COVER HOME IMPROVEMT
Address:
19562 DITMAR LANE
CA Seismic Safety:
HUNTINGTON BEACH CA 92646
Phone:
714-593-9840
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R21U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units: 6
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
11 Construction Valuation: $1
Building Permit Fee: $304.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $305.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
HUNTINGTON BEACH CA 92646
Phone: 714-593-9840 Phone:
Con State Lie:
687961
Lie Expire:
02/2812019
Bus Lie:
BT30062506
Lie Exp Date:
03/31/2019
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9040625
Expire: 01101/2019
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical %:
Plumbing %:
Rear: /
Front: I
Left: /
Right: /
�arkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
- Special Conditions:
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
State Lie:
State Lie:
0000
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
°
momm
General Service
0000
Refund Deposit
• o•
Grading Bond:
0000
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$0.00
$0.00
$0.00
$0.00
--
$0.00
$0.00
$0.00
$0.00
$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 item(s)
lection 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 appligant 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 anu
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).
] 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,
usiness 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
oy*f%-tAe,purpose ofsale). :.
J I, as ownerof the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState 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).
91 am exempt from licensure under the Contractors' State License Law for the following reason:
y 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
all 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.
ignature of Property Owner or Authorized Agent Date
JCENSED CONTRACTOR'S DECLARATION
hereby affirm under penaltyof perjury that I am licensed under provisions of Chapter 9 (commencing with Se ti n 700 'Ton -3 of the BusinessI Profes ons Code, and my license is in full force
nd effect. Licepyg Class License No - Contract
IORKERS" COMPENSATION DECLARATION
ARNING: FAILURE TQ $6CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO TH
MM14 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Tereby affirm under penalty of perjury one of the following declarations:
] 4 have and Vill, Qlaintain 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 tl
=yrf�oimance d thework for which this permit is issued. Policy No.
�6ve and w96maietain 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' compensailk
eurance carrRLeIbLooiicy number are:
Agent
.y
certify that, inn thethe liertormance of the work for which this permit is issued, I shall not employ any person in any manner so asto become subject to the workers' comp nsa on laws of California, and agrer
f,1t•IShould become o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nat • ••
natur p
CLA EGAR N CO TRUCTION LENDING AGENCY <77
Ireby affirm under penalty o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 county or finances and state laws relating to building construction.
I authorize representatives of this city or county to e r above -identified property for inspection purposes.
nature of PrODertv Owner or onzed Aqent Print Property Owner's or Authorized Pgent's Nary D e
Policy Number ��✓�bJ-�^�� Expiration Date
Phone #
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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