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Home My WebLink AboutX2019-2107 - PermitsW1f}� City of Newport Beach - Building DivisionI�IIIIIIIIIII��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2107 a �+ 100 Civic Center Drive, Newport Beach, CA 92660 X 2 e" Project No H e Permit Counter Phone (949)644-3288 r1 er Inspection Requests. Phone (949)644-3255 Combination Type- MFP Issued Date : 07/0812019 Inspection Area: 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. W61 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: �ReBAYWOOD DR NB Description:. MFR (BLDG 25) PARTIAL REROOF TIO EXISTING SHINGLES AND REPLACE W/ CERTAINTEED SHINGLES 20 SQS CLASS B e ... e ° Legal DeeC.:. oeee e o I S n • o Owner: BAYS APARTMENT NEWORT LLC Contractor: SUPERIOR ROOFING COMPANY Architect: V'tea' ECTV ° ° ° Address: < 550 NEWPORT CENTER DR .Address: 160 SOUTH LINDEN .Address:. o ° NEWPORT BEACH,CA 926607 RIALTO CA 92376 .... Phone:. 949-720-5697 Phone: 800-761-6272 Phone: State Lie: ° Applicant: SUPERIOR ROOFING COMPANY Con State Lie: 284880 Engineer.. -Address: 160 SOUTH LINDEN Lie Expire: 12/31/2019 Address: • ° • ° RIALTO CA 92376 Bus Lie: BT30062662. Phone: 800-761-6272 - Lie Exp Date:... 0313112020 Phone: State Lie, e . ...... Code Edit: 2016 Workers Compensation Insurance Designer: o oe.oeo Type of Construction: V-B Carrier: EMPLOYEE SERVICE GRP Address: `. Occupancy Groupi. R21U Policy No: WC112579600 Added /New sq.ft. Bldg: 0 ' Expire: 12/31/2019 Phone: Added /New sq. ft. Garage: 0 No of Stories` 2 : Building Setbacks Rear. I Special Conditions: UNITS 461-464 No of Units : 4 Front: / Bldg Height:. 0 Left: / Bldg Sprinklers:.. Right: / - Flood Zone:. Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $12.000.00 Building Permit Fee: $324.00 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 WO 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 Mate $0.00 Electrical %: $0.00 San Dist: $0.00. Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %:. $0.00 $0.00 TOTAL FEE : $325.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $325.00 PROCESSED BY: /�� L39✓`v - � PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVALTOISSUE:: 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 le 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 Irofessions 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 (_) all of or (_) 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 n roved for the wrggse of sale). 1, as owner %tj/e pfoperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not y t�. own -r ofp-oparty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I I am°exempt¢em licensure.. under the Contractors' State License Law for the following reason: t).my eivature 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 legalli X11 OaAructure thail 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 Irpfes%Dns CodeV, is'2vpilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. tignature of Property Owner or Authorized Agent i Date .ICENSED CONTRACTOR'S DECLARATION Veeeby®ffirm under Wr alty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of ivision 3 of the Business and Profs ion ode, d mLliaso is in full force �fiU''bMct. License Class License No Date Contractor Signature PC)XKGRS' COMPENSATION DECLARATION .. rARNING:�FAILURE.TO..SEC.URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5700,00D), IN ADDITION TO THE ea*SNOOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ]TDB OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm and erg salty of perjury one of the following declarations: I 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 e ormance of the work for which this permit is issued. Policy No. 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 Isurance carrier and policy number are: :arrier_- Policy Number Expiration Date me Of Agent rnulm n certify that, in the perfo ante 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' c pensation laws of California, and agre t, if I should becomes ject to th ers' compens ion provisions of Se n 3700 of the Labor Code, I shall forthwith comply with those provisions. p nature of Applicant Dat _ 7--8 ./ Q CLARATION REGA DIN CONSTRUCTION LENDING AGENCY rreby affirm under nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , 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 cou ordina ices and state laws relating to building construction. I authorize representatives of this city or county e e abpv/ Identified pro for inspection purposes. LAP—p ,pnature of Prooertv Owner or Authorized Agent /tel Print Property Owner's or Authorized Agent's Name I"�� at -7- e L ACTION DATE BY / r DECLARATION OF COMPLIA'RCE WITH CODE OF FEDERAL ' REGULATIONS PART 61 OF TITLE 40ANDAQMD RULE FOR OFFICE USE ONLY PEFMITEXP/RED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED Q:qQMD PERMITFINAL CERTIFIC4TE OCCUPANCY ISSUED OCCUPANCYISF �1 ` yVV7/) ?5ASBESTOSIS NOTAPPLICABLE TO PR OSED D�NIO�kJ,[6N SIGNATOR