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Home My WebLink AboutX2018-3608 - Permits1rO4A City of Newport Beach - Building Division '- '- 100 Civic Center Drive, Newport Beach, CA 92660 2187 N BATAVIA Permit Counter Phone (949)644-3288 --- Inspection Requests Phone (949)644-3255 Plan Check Fee: $0.00 Combination Type - CIP IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-3608 x 2 0 1 8 3 6 9 8 Project No : Issued Date : 1112912018 Inspection Area : 7 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: 4063 BIRCH ST NI3 - Description: COMM TIO (E) 32 SQ @ MANSARD, INSTALL METAL ROOFING, CLASS 'B' MIN. Legal Desc.: N TR 3201 LOT 44 Owner: IRVINE FOUR LLC Address: 11766 WILSHIRE BLVD #820 LOS ANGLES CA 90025 Phone Applicant: MEDINA BEN Address: 2187 N BATAVIA ORANGE CA 82665 Phone: 818-735-7876 Code Edit : 2016 Type of Construction: Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X 11 Construction Valuation: $87.500.00 Contractor: SAN MARINO ROOF CO INC Architect: Address: 2187 N BATAVIA Address: Fire Department ORANGE CA 92665 Plan Check Fee: $0.00 Phone: 714.974-3070 Phone: State Lie: Con State Lie: 249559 Engineer: Lie Expire: 07/31/2020 Address: Bus Lie: BT30008923 $0.00 Lie Exp Date: 04/30/2019 Phone: State Lie: Worker's Compensation Insurance Carrier: REDWOOD FIRE Policy No: SAWC827135 Expire: 07101/2019 Building Setbacks Rear: / Front: / Left: / Right: / Designer: Address: Phone: Special Conditions: NOT OVER CONDITIONED SPACED Building Permit Fee: $1,029.00 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 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee: $4.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,033.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,033.00 o° PROCESSED BY: u PP° ULICWO°Rf" OV Lo : a . ZONING APPROVAL: o° -PLAN CECIFBY: , ° o ° GRADING APPROVAL: ;o pro APBROV°AL TO ISSUE: +•. ° Dao 000 0 ° oco 0o co ° o ccc 00` coo 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 a permit 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). ❑ I, 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 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). ❑ 1 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 legall) 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 the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectionof ivies 333�f the Business and Profe sib ons, nd my license is in full force and effect. License Class License No Date Contractor Signature \/ NORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have 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 )erjormance of the work for which this permit is issued. Policy No. have and willa Iain 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' rance carrier d 0 licv number ate. N fr) Date of Agent certify that, in the performance of the wor ermit is all not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre t, if I should become u jec sa Ion provisions of 00 of the Labor Code; I shall forthwith comply with those provisions nature of Applica D CLARATION R AR NSTRUCTION LENDING AG9NCY :reby affirm and r penalty of perjury that there is a construction len Ing 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 coJ�nty ordinances and st Ing construction. •, ! �j t i I authorize representatives of this city or co4Qj� to an a -I property for inspection purposes. signature of Property Owner or Authorized Agar/ \. Print Property Owner's or Authorized A ACTION DATE BY DEC N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED UI SUBMWrED EST%TNDTIFICATION T • + -' e . ° •• ••• • °• •• • • • • • ••• e •i• PERMITCANCELLED ER; • • i•• • • • • • PERMIT EMENDED • • • • • • Qm • PERMIT FINAL l�A,,-L'--A-__. ASBESTOS NOTIFIC IS CAOLE TO CERTIFICATEOF i4'��' PR OSED a ••• OCCUPANCYISSUED SIGNATURE. • • ° s ° • ••e