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HomeMy WebLinkAboutX2019-3073 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII $0.00 COMB Permit: X2019-3073 .$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 Public Works Department- 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 0 7 3 $0.00 Project No: Permit Countea,"h.,-,a(949)644-3288 $0.00 San Dist : y, A+ Inspection Requests Phone (949)644-3255 $0.00 NMUSD Fee: ` "aXdrxrlw;b Combination Type - MFP $0.00 Issued Date : 09/2712019 Inspection Area : 3 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: 4719. RIVER AVE NB - Description: MFR - REROOF W/1 PLY TORCH DOWN 21 SQ CL"A" TIO EXTG Legal Desc.: R BK 32 PG 50 PAR BA - /� Owner LAIDLAW SCOTT D Contractor: GUARDIAN ROOFS Architect: Nap Address: 4719 RIVER AVE - Address: 1010 N. BATAVIA#F Address: It NEWPORT BEACH, CA 92663 ORANGE CA 92867 Phone' 9491278-1657 Phone 951-264-0006 Phone: State Lie. ° Applicant GUARDIAN ROOFS Con State Lie: 847279 Engineer: Address: 1010 N. BATAVIA #F Lie Expire: 09130/2020 Address: ORANGE CA 92867 Bus Lie: BT30054609 Phone. 951-264-0008 Lie Exp Date: 05/31/2020 Phone: IV()C State Lic: is%�/fie oo e ' Code Edit : 2019 Worker's Compensation Insurance. Designer: Yr,7 Type of Construction VB Carrier: STATE FUND Address: �T�O ° ° Occupancy Group: R3/U Policy No: 9077388 ^ Added /New sq.ft. Bldg: 0 Expire: 03/0112020 Added /New sq. ft. Garage: 0� Phone: ' •/aj /li(� m m m m a �a No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $324.00 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: $325.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Building Setbacks Rear: I Front: I Left: / Right: / .Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical W Plumbing %:_ Special Conditions: .$0.00 Planning Department- . $0.00 Plan check Fee :. $0.00 $0.00 Fair Share: $0.00 $0.00 SJH Trans: .'$0.00 In -lieu Housing Fee: $0.00 $0.00 Public Works Department- . $0.00 Park Dedication : $0.00 $0.00 PM Plan Check: $0.00 $0.00 San Dist : $0.00 $0.00 NMUSD Fee: $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $325.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $325.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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 tdsudnca, also requires the applicant for he 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 lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or mproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Ip ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall3 ;ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Proptill Oyvner or Authorized Agent Date JCEN$ED CONTRACTOR'S DECLARATION -hBnfiq�lffirm un tle rpe-halty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of the Business and Professionde, and my)' nse Is In full force and effect. License Gass License No Dat _ — Contractor, /S�i -„- - TORAI!RS' COMPENSATION DECLARATION 1ARNING: FAILURE M SEEr1RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10D,000), IN ADDITION TO THE Ptj OFCCCOMPEN6%I(11E, D�MAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. fierebP affirm upder Wpalty of perjury one of the following declarations: 71' have and !*]*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 �a of of thetA�ork for which this permit is issued. Policy No. cc• I lave and wj(I_rLlgiU3fln 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 are: y Policy Number �© 7/ :5 F Expiration Date of Agent ^•• 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' compensation laws of California, and agre , if I should become subjecf"e workers' compensatjon,provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant \ CLARATION REGARDING CONSTRUCT4PN LENDING AGENCY Date �� Z7-/9 I hereby affirm under penalty of perjury that ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 count ter the above= ntified property for inspection purposes. 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