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Home My WebLink AboutX2018-3099 - Permits1� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 '._ Inspection Requests Phone (949)644-3255 Combination Type - MFP 11111 COMB Permit: X2018-3099 x 2 0 1 8 3 0 s s Project No : 1005-2017 Issued Date: 10/12/2018 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 8:00 a.m. to 6:00 p.m. No work on Sundays Or Holidays Job Address: 11 LA ROCHELLE NB Description: MFR REROOF R/R 9 SQS FLAT ROOF $ REMOVE SHAKE ROOFING REPLACE W/ BORAL SLATE TILE ESR# 1647 5.7 LBS CLASS "B" 41 SQS Legal Desc.: TR 9858 LOT 12 UNIT 70 OF PROJECT LOCATED ON AP 461-131-39 TOGETHER Owner: Address: Phone: Applicant: Address: Phone: KNITTER M J Contractor: GREATER PACIFIC ROOFING INC Architect: 1401 DOVE ST #240 Address: 1580 E EDINGER AVE UNIT F Address: NEWPORT BEACH CA 92660 Bus Lie: SANTA ANA CA 92705 m m 949-752-1177 Phone: 949-836-1966 Phone: State Lie: GREATER PACIFIC ROOFING INC Con State Lie: 621368 Engineer: 1580 E EDINGER AVE UNIT F Lie Expire: 06/30/2019 Address: SANTA ANA CA 92705 Bus Lie: ST30063584 m m 949-836-1966. Lie Exp Date: 06130/2019 Phone: State Lie: Code Edit : 2016 Type of Construction: V -B Occupancy Group: R3/1.1 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Construction 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 Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $2.00 TOTAL FEE: $326.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Designer: Carrier: CALIFORNIA INSURANCE Address: Policy No: 4600150101 Expire: 06/01/2019 Building Setbacks Rear: / Front: / Left: I Right: I 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 Phone: Special Conditions: Planning Department - Fire Department Plan check Fee: $0.00 Fair Share $0.00 SJH Trans Fire Plan Rev. In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 0 mm, 0 mo mmo $0.00 Fee Due at Permit Issuance : $326.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE:C) V \ m .m PIP soeoc , n ,T 10 iJ Wr-t�o r Q�j ?',=4yoor mmmoc � o mmoo Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev. $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $326.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE:C) V \ m .m PIP soeoc , n ,T 10 iJ Wr-t�o r Q�j ?',=4yoor mmmoc � o mmoo 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 apermit 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 ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Im roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ap ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am @u»pt from licensure under the Contractors' State License Law for the following reason: By my signature. below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally pp9 a structof"A41:I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and PrOfessions.Gode, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date UCENSED,CONKTRACTOR'S DECLARATION I lipreby affM91'Ih or penalty of perjury that �m licensed under provisions of Chapter 9 (commencing with Section 70 0) of Division 3 of the Business and P fessi Code, and my license is in full force %g1affect. l iceV9 Class L` -.$ License No 19 2 Date Contractor Signal e VV�QgQ,,,��R*KERS',QOMPENSATION DECLARATION Cb TOOF CO ILURI SECURE TION, DAMAGES AS WORKERS'COMPENSATION FOR IN SECTION OVEGE IOU THE UNLAWFUL, AND SHALL SU13JECT AN EMPLOYER ATTORNEY'S TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE H DRIED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE S. 171ef&y affirrji;vislwbpenalty of perjury one of the following declarations: oO*I,Ilave and wiy,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 erf ormance pith work forwhich this permit is issued. Policy No. KK^ I have 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' compensatiol rcarrier and policy number are, „arner A/9 i Policy Number fid —VbLSo Expiration to Name of Agent C Phone 131 certify that, in the perfor ance he for hich this permit is issued, I shall not employ any person in any manner so as to become subject to the worke ' compensation laws of California, and agre that, if I should become su ject to e w Is' pensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant te_/ O %2 —e DECLARATION REGA DI G ST CTION ENDING AG CY hereby affirm Under nalty of perjury that there is a constru Ion lending agency for the performance of the work for which this permit is issued (Section 3 97, Civil Code). Lender's Name Lender's Address By my signature b w, 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 f have pr vided is correct. I agree to comply with all applicable city and county o inances and state laws relating to building construction. I authorize representatives of this city or county to a er the above -identified property for inspection purposes. / Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na a /�G/ Date ACTION DATE BYDECLARATION F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY B�ULATIO PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I U I SUaWIVED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED QMD ' PERMITFINAL ASBES SN TIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF �(' Y� Y� P PO OCCUPANCYISSUED SIG TURF: