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Home My WebLink AboutX2018-3610 - Permitsrylro City of Newport Beach - Building Division c1` 100 Civic Center Drive, Newport Beach, CA 92660 _. Permit Counter Phone (949)644-3288 ' -- - Inspection Requests Phone (949)644-3255 rmu*cb Combination Type - CIP COMB Permit: X2018-3610 X 2 0 1 8 3 6 1 0 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: 4060 CAMPUS DR NB Description: COMM TIO (E) 32 SQ @ MANSARD, INSTALL METAL ROOFING, CLASS'S' MIN. Legal Desc.:,;�" >Tv Owner: IRVINE FOUR. LLC Contractor: SAN MARINO ROOF CO INC Architect: Address: 11766 WILSHIRE BLVD #820 Address: 2187 N BATAVIA Address: LOS ANGLES CA 90025 ORANGE CA 92665° Phone: Phone: 714.974.3070 Phone: State Lie: to Applicant: MEDINA BEN Con State Lie: 249559 Engineer: Address: 2187 N BATAVIA Lie Expire:.. 07/31/2020 Address: ORANGE CA 92665 Bus Lie: BT30008923 Phone: 818-735-7876 Lie Exp Date: 0 413 012 01 9 Phone: State Lie: e Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier: REDWOOD FIRE Address: Occupancy Group: B Policy No: SAWC827135 Added /New sq.ft. Bldg: 0 Expire: 07/01/2019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: NOT OVER CONDITIONED No of Units: 0 Front: / SPACE Bldg Height: 0 Left: / Bldg Sprinklers: Right: / - Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $87.500.00 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 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %m: $0.00 San Dist: $0.00 Building Green Fee ; $4100 -. Mechanical %m: $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 PROCESSED BY: COO omm mem m mm ° °. ° �c ° m e m m o PUVLIl:WOKS A6PROV°AL: o ° ZONING APPROVAL: ° °° ° cm mc. mm m `m o o mo •e m m • ° m PLAN CHECK BYP ° m °•° GRADING APPROVAL:m m - APPROVAL10 ISSUE:o G mmo a cm c mC m • m • • • m m e m e o o C 4 C 6 4. Em G C, C F' GGe VGm p,m m0 mGL GG OG p ° m E 06m mm 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 is 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 poly 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). J 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions 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 Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 f 'vvlsio he Business and Profs icenSo is-iniull force nd effect. License Class License No Date LG ontractor Signature YORKERS' COMPENSATION DECLARATION A.RNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE USAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 Vcerfo ance of the work for which this permit is issued. Policy No. I have and wi aintain 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 nsurance carr' r andln,olicy numbed carrier 1 y mber Expiration Date Name of Agen ` — Phone # ❑1 certify that, in the performance of th Ic this 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 sub' ct r ers' comp ion provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Signature of Applicant XD ZCt DECLARATION REGARIDING CONSTRU NDING AGENCY hereby affirm under penalty of pe ' at 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 ordinaa to UUIId III istruction. I authorize representatives of this city or count a e -Identified prope spection purposes. i Signature of Property Owner or Authorized Ag Print Property Owner's or Authorized Agent's Na,,//10 ACTION DATE DECLARATION OF COM—I-4—NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED TOS M51FICATION TO • • ":- ••• ••• ••• ••• APPLICABLE TO CERTIFICATEOF ° PROPOSEDD OCCUPANCY ISSUED SIGNATLAE: • • • • • • _ ° � • •