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Home My WebLink AboutX2019-1949 - Permits1 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1949 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 9 4 99 Project NO H . Permit Counter Phone (949)644-3288 0 Inspection Requests Phone (949)644-3255. "., * `. Combination Type - SFP Issued Date: 06/2112019 grr 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: 3819 SANDUNE LN NB Description: SFR - T/O WOOD SHAKE, APPLY 2-LYR 30# FELT W/BORAL SAXONY 600 TILE 5.9 PSF ESR-1647 CLASS "A" (GARAGE) 10 SQS Legal Desc.: N TR 6425 LOT 71 ^;,0„ 1 iRus' - Owner: REGISTAR RICHARD Contractor:. ESTRADA ROOF Architect • • Address: 10 DELMAR ST Address: 26 S HURON DR Address: .... SAN FRANCISCO CA 94117 SANTA ANA CA 92704 .... m m•• • • o Phone: 415-787-2247 Phone: 714.824-0332 Phone: State Lic: m m ' Applicant: ESTRADA ROOF Con State Lic: 1033624 Engineer. ° `• • n Address: ' - 26 S HURON DR Lic Expire: 12/3112019 Address: "`° ° • • ° SANTA ANA CA 92704 Bus Lic: ' BT30067834" ` ° ° " • ° °• - Phone: 714-824-0332 Lic Exp Date: : 06/30/2020 Phone: State Lic • • ' Code Edit: 2016 Workers Compensation Insurance Designer °••°B-. Type of Construction: VB Carrier: STATE COMP Address: .... Occupancy Group: U Policy No: 9221583 Added/New sq.ft. Bldg: 0 Expire: - 1111812019 Phone: ` •,.•a> Added/New sq. ft. Garage: 0. n o°'° °°••°° No of Stories: 1 Building Setbacks Rear: / Special Conditions: °O°• No of Units :. 0 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: i construction vamation: ab.buu.uu Building Permit Fee: $184.00 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 PAN Plan Check : $0.00 Grading Bond; $0.00 Hazardous Mat4TAL 0 Electrical %: $0.00 San Dist: $0.00 Building Green F0Mechanical W $0.00 NMUSD Feer $0.00 $0.00 Plumbing %: $0.00 $0.00 $185.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $185.00 PROCESSED BY: PUBLIC WORKS PPROVAL: ZONING APPROVAL: PLAN. CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that) 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) action 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 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 Ifessions 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 ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ainess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the )rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or )roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not )ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt frW"4censure under the Contractors' State License Law for the following reason: my signature bglI I lacknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal, a structure thalff ave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and les Codii,'iZ Vallable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. patude of Proiferty-Owner or Authorized Agent - Date 9ED CONTRACTOR'S DECLARATION yebX affirm under,ppenalt )p�perjury that I am licensed under provisions f Cj�a ter 9 coI}�mencing with Section 7 0)-e Gis'on 3 of the Business and Profession Code, ayd license is in full force 1 raffGot Licen$t$ Clags(yi�i C/ License No �D `4i LI Date 7 14. Contractor Signatur Y ? ERS' COMPENSATION DECLARATION INING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS ($100,000), IN ADDITION TO THE h°OF COMPENSATI9N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. frQtI f effirm under penalty of perjury one of the following declarations: �I "haveS and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th FaFmS$ce of thilyaork for which this permit is issued. Policy No. and will5-R '+tarn workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which t is permit is issued. My workers' compensatio arrier and olicy umber are: G ,y G Policy Number 9�Z' �� Expiration Date !I (�/moo ([ Agent Phone # certify that, in the performance 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 workers' compensation laws of California, and agre if I should become subject to/)he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date 7 e, Z2 CLARATION REGADING w6NSTRUCTION LENDING AGENCY 7— =.reby affirm under pdnalty>ff perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 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 ordirfflnces and. state laws relating to building construction. I authorize representatives of this city or count)Vto r ie above-i�enf i property for inspection purposes. of PrODertv Owner or Authorized Aae ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED DATE BY 7 q Iq PROPOSED OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AQMD RULE NOTIFICATION TO 15 NOT APPLICABLE TO mer's or Authorized Aa FOR OFFICE USE ONLY Civil Code).