HomeMy WebLinkAboutX2018-1154 - PermitsCity of Newport Beach - Building Division
b4 100 Civic Center Drive, Newport Beach, CA 92660
H ' Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
'cw�,rrav`' Combination Type - SFP
COMB Permit: X2018-1154
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
Project No :
Issued Date : 04/23/2018
Inspection Area : 5
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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address:
513 MARIGOLD AVE NB
Investigation Fee:
$0.00
Description:.
SFR DET. GAGARE TIO (E) 8 SQ, INSTALL
COMP. SHINGLE, MIN.
CLASS B
Legal Desc.:
CORONA DEL MAR BLK 539 LOT 13
Disabled Access :
$0.00
Owner:
AHMADI
Contractor:
ROYAL ROOF CO
Address:
19 MUIR BEACH CIR
Address:
1144 N ARMANDO STREET
CORONA DEL MAR, CA 92625
ANAHEIM CA 92806
Phone:
Phone:
714-764-1100
Applicant:
ROYAL ROOF CO
Con State Lic:
289222
Address:
1144 N ARMANDO STREET
Lic Expire:
0 713112 01 9
ANAHEIM CA 92806
Bus Lic:
BT30055801
Phone:
714-764-1100
Lic Exp Date:
0413012019
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added/New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
$2.760.00
Building Permit Fee: $304.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE : $305.00
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier: MIDWEST EMPLOYERS CO.
Policy No: BNUWC0140276
Expire: 05/01/2018
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant:
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: I
Left: I
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Architect
Address:
Phone: State Lic:
Engineer:
Address:
Phone: State Lic:
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Fire Department
Plan check Fee:
Fire Inspection:
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance
Eos a c o
a
u o o` oee o
-PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: E + -APPROVAL TO ISSUE:
e c o a e
c u u
o� e ac
cco cc ec o � uoa eu�
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$305.00
of
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee: $0.00 Fee Due at Permit Issuance
Eos a c o
a
u o o` oee o
-PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: E + -APPROVAL TO ISSUE:
e c o a e
c u u
o� e ac
cco cc ec o � uoa eu�
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$305.00
of
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).
❑ 1, 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,
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).
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
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 lega111
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 Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f Divisl n 3 f the Business andPfo ess s CyLfe, and my license is in full force
and effect. - License Class License No Date Contractor Signattl7e�_` / !
INORKERS' COMPENSATION DECLARATION
NARNING: 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
7egormance of the work for which this permit is issued. Policy No.
have and will main in'workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol
rance carrier and po Wynber are:
"ier 30licy Expiration Date
1e of AgentPhone #
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compen$ation laws of California, and agree
if I should become ^ ut t to th compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 '
latureofApp licansS�/ /- Date 1
hereby affirm under penalty of 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
ly 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or cou a g/y[�ee above -identified property for inspection purposes. , `��y t''�'
innature of PrnnedV Owner or Authorized Aaen l / \ 1. Print Prooertv Owner's or Authorized AGent's Nam �v "��.ct AVY � �r7aSE y
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY r V
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED L.IISUBMITTED ASBESTOS NOTIFICATIO T
PERMITCANCELLED EPA •
PERMITEXTENDED OMD • • �••
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
NOTAPPLICABLE TO
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