HomeMy WebLinkAboutX2019-1948 - Permitsmow, City of Newport Beach -Building Division
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Permit: X2019-1948
x� 100 Civic Center Drive, Newport Beach, CA 92660
X
2 9 1 1 9 4 8
Project No
N Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
Combination Type - SFP
Issued Date i 0612112019
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 - T10.WOOD SHAKE, APPLY
2-LYR 30# FELT WIBORAL SAXONY 600 TILE
5.9 PSF ESR-1647 CLASS "A" (HOUSE) 30 SGS
Legal Desc.: N TR 6425 LOT 71
[ 6"
v "�`' "�"•
Owner: REGISTAR RICHARD
Contractor: ESTRADA ROOF Architect:
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• ° Y � � ,
Address: 10 DELMAR ST
Address: 26 S HURON DR Address:
SAN FRANCISCO CA 94117
SANTA ANA CA 92704
emmm •mosoo
Phone: 415.787-2247
Phone: 714-824-0332
- Phone:
State Lie:
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Applicant: ESTRADA ROOF
Con State Lie: 1033624
Engineer:
• • °
Address: 26 S HURON DR
Lie Expire:. 1213112019
Address:
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SANTA ANA CA 92704
Bus Lie: BT30067834
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Phone: 714-824-0332
Lie Exp Date: 0613012020
Phone:
State Lie:
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Code Edit : 2016 -
Worker's Compensation Insurance
Designer:
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Type of Construction: VB
Carrier: STATE COMP
Address:
Occupancy Group: R3
Policy No: 9221583
Added /New sq.ft. Bldg: 0
Expire: 11/1812019
Phone:
Added/New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks Rear: /
Special Conditions:
....
No of Units: 1
Front: I
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $19.500.00
Building Permit Feer $324.00
Excise Tax: $0.00
Planning Department-
Fire Department
Plan Check Fee: $0.00
Additional Fee i $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 Mat $0.00
Electrical %: $0.00
San Dist: $0.00
Building Green Fee
Mechanical %: $0.00
NMUSD Fee: $0.00
$0.00
Plumbing %: $0.00
$0.00
TOTAFEE : $325.00
Plan Check Fee:
$0.00 Fee u Permit Issuance :
$325.00
PROCESSED BY:
PUBLIC WORKS PPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
'
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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)
Iction 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
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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness 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).
1, 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).
1 am exempt fw"Jicensure under the Contractors' State License Law for the following reason:
my signature Up1pLvJl-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,
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
versions Codelis available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
patine of ProperVOwner or Authorized Agent Date
:EVMD CONTRACTOR'S DECLARATION
reff affirm under malty of perjury that I am licensed under provisions of tel 9 (c�J�Imencing with Sectio 7 oyDivi ion 3 of the Business and Profess' ode, and li a se is in full force
f effect. License Class �:— 5 i License No �,D YT, Z I Dat r'/ar Contract or Signature �•�
?VMRS' CgKlPEJSATION DECLARATION
rNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH15USAND DOLLARS ($100,000), IN ADDITION TO THE
WVCOMPENSATIQN, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
!rel!lf 4ffirm unger pegalty of perjury one of the following declarations:
1 have and will mairtain 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
iormarce of the workfor which this permit is issued. Policy No.
ha a and will"Iltain 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' compensation
)ra ce gorner and p
ner/
Policy Number?M Expiration CI
JI certify that, in the performance f 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
hat, if I should become subject to a workers' men tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant Date hz P ZG(
)ECLARATION REGA DING NSTRUCTION LENDING AGENCY
hereby affirm under p nalty f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-ender's Name Lender's Address
3y 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter th above-ide tified progerty for inspection purposes.] u
3i nature of Property Owner or Authorized A en a J Print Property Owner's or Authorized Agent's Nam Da fP
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
SUBMITTED ASBESTOS NOTIFICATION TO
CERTI) ION FICATE OF 7 I t �f/ 1POSED EMOONIO)CABLE TO
OCCUPANCYISSUED
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