HomeMy WebLinkAboutX2018-3613 - Permits�n + City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII�IIIIIIIIIIIIIN
s n 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 0
644-3288
'"u ar Permit spectionuReq Requests Phonnter Phone e (949)644-3255
"e'�'irs«>ti�� Combination Type - SFP
3 6 1 3
COMB Permit: X2018-3613
Project No ;
Issued Date: 1112912018
Inspection Area : 8
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Record Management :
$0.00
Energy Compliance:
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
$0.00
Disabled Accessi
Job Address: 2CROOKED STICK DR NB
Hazardous Mat
$0.00
Building. Green Fee :.
$1.00
Description: SFR REROOF W/ CLS "B" WOOD, TIO (E) CLS "B" WOOD SHAKE (19 SQS)
NMUSD Fee:
$0.00
-
Legal Desc.: N TR 15391 LOT 66
-
Owner: PHILLIP CARL TALLEUR Contractor. HOYT ROOFS INC
Architect
" ;a �" k°°•- (° !�
Address: PO BOX 1369 Address: 1809 N ORANGETHORPE PK
Address:
ONTARIO CA 91762. ANAHEIM CA 92801
Phone: - Phone: 714.773-1820
Phone:
State Lie:
° • • m
Applicant: HOYT ROOFS INC Con State Lie: 606111
Engineer.
Address: 1809 N ORANGETHORPE PK Lie Expire: 12/31/2020
Address:
° ° m ° °
m • ° ,,, ;
ANAHEIM CA 92801 Bus Lica BT30001509
Rhone: 714-773-1820 Lie Exp Date: 11 /3 012 01 9
Phone:
State Lie:
.
° •:
Code Edit: 2016 Workers Compensation Insurance.
Designer:
•
......
Type of Construction: VB Carrier: REDWOOD -
Address:
°O"
Occupancy Group: R31U: Policy No: HOWC910462
Added /New sq.ft. Bldg: 0 Expire: 07124/2019
Phone:
Added /New sq. ft. Garage: 0
°�
No of Stories: 2 Building Setbacks Rear:/
Special Conditions:
'Or••:v
No of Units: 1 Front: l
Bldg Height: 0 Left: I
Bldg Sprinklers: _ _ Right I
Building Permit Fee: $324.00
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 Accessi
$0.00
Hazardous Mat
$0.00
Building. Green Fee :.
$1.00
II TOTAL FEE
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee :
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
$325.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$325.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicableIieH
(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 applican ;,,I
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 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
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).
IJ 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 legally
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 th plicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://vvww.leginfo.ca.gov/calaw.htmi.
Signature of?rbpe* Owner or Authorized Agent Date
LICENSED eDWRACTOR'S DECLARATION
IM4by affirmgndb; penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ecti r 700 Iv �g0 3 of the Business nd Profs ion de, and my 'cense is in full force
and €Ifect. aicense Class License No Da �///�I Contr na
V1(ORKERS' COMPENSATION DECLARATION
NARISING: FAILURE-r6%CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES PT NE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
gOST.OF COMPffN§4TJQN, DAMAGES AS PROVIDED FOR IN SECTION 370$ OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I ITecaby affirm ttnpecpenalty of perjury one of the following declarations:
G P `ISve anS 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,
pelorm_ance of the work for which this permit is issued. Policy No.
and vitt xga)&ain 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 pUlicy number are:
• • Policy Number Expiration Date
14 of Agent • • • • Phone #
certify that, in the performance -the work for which his 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 shouldecome sub' the workers�.eyfip-�p*ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with [hose provisions.
3reby affirm under penaltyequry that there is a construction lending agency for the performance of the work for which this permit is
idel's Name Lender's Address
my signature below, I certify to each of the following:
1 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 an above-identifi rty for inspection purposes.
—h—..f o.,..,em, n...n., „r A.hK. lI.a AnP=i i 1 �� Print Prooertv Owner's or Authorized ADen'
PERMITEXPIRED
PERMITFINAL y q
CERTIFICATEOF
OCCUPANCY ISSUED
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
IS NOTAPPLICABLE TO
, Civil Code).
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