HomeMy WebLinkAboutX2019-2528 - Permits„ City of Newport Beach - Building Division
o 100 Civic Center Drive, Newport Beach, CA 92660
'_ =z Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
'rLrr��tl�' Combination Type - SFP
iiiiiiigiiiiii II
COMB Permit: X2019-2528
Project No :
Issued Date: 0810912019
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 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 2724 OCEAN BLVD NB
Description:. SFR - T/O WOOD SHAKE, INST SHARKSKIN UNDERLAYMENT W/ALUMINUM SL100.STRIP PANEL ROOFING ICC-AC166 43 SCS CLASS "A" INSPECTOR ' �n�nT®�
Legal Desc.: RESUB OF CORONA DEL MAR BLV 33 LOTS 1 2&3 i10V1 r v t
Owner:
MOLA VINCE
Address:
3857 BIRCH ST
Overtime Plan Ck:
NEWPORT BEACH CA 92660
.Phone:
714-924-3137.
Applicant:.
LAROCQUE BETTER ROOFS INC
Address:.
9077 ARROW RTE #100
CA Seismic Safety:
RANCHO CUCAMONGA CA 91730
Phone: 909-476-2699
Code Edit : 2016
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $43.000.01
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
455773
..Building Green Fee :
.00
TOTA
FEE: $326.
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
LAROCQUE BETTER ROOFS INC
Architect:
Fire Inspection:
Address:
9077 ARROW RTE #100
Address:
Demolition Fee
In -lieu Housing Fee:
RANCHO CUCAMONGA CA 91730
Public Works Department-
••••
Phone:
909-476.2699
Phone:
°
State
Con State Lie:
455773
Engineer:
�Liie: p- I ' '7°-....
l�' (''
NO CONSTRUC y1PPI N�
Lie Expire:
0413012020
Address:
01 °
Bus Lic
BT30066066
Lie Exp Date:
02129/2020
Phone:
State Lie: ° • • • • __ ® o
Worker's Compensation insurance
Designer:
ON THE WEEKEN®eO0° o
C
Carrier:
REDWOOD FIRE
Address:
E e • e
Policy No:
LAWC012200
9G0° °c-000
Expire:
0210112020
Phone:
e o
Building Setbacks
Rear: /
Special Conditions:
NO SATURDAY CONSTRUCTION
Front: I
o • °,
PERMITTED ° ° • . o
Left: /
`soca. oaoo
Right: /
Use Zone: Parkino Soaces: 0
Fire Hazard Zone :
N -
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0,00
$0.00
$0.00
Plan Check Fee
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 Feer
$0.00
$326.00 Fee
PUBLIC WORKS AP(R
PLAN CHECK BY:
APPROVAL TO ISSUE:
Issuance
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
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:.
Issuance
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
OWNER -BUILDER DECLARATION.
I hereby affirm under penalty of perjurythat 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
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 (_) all of or (_) 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
m roved for the purpose of sale).
1, as owner of the property, am' excl'dsively 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 legally
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
rrofessions Code; Is available upon request when this application is submitted or at the following Web site:htt //www.le info.ca. ov/calaw.htmi.
P q PP 9 P� 9� 9
ygnaturP, of Proptill Owner or Authorized Agent Date
,9BE14gED CQNIWTOR'S DECLARATION
hereby affirm untler•panalty of penr�u,ry that am licensed under provisionq of Q ter 9 (,commencing with Section 7000 3 f e Business and Profess' ns de, nd my licen n full.
Jeffeat. License Class 12 ri '� License No L/ S .�% l 7, Date contractor Signature]
VORISERS' COINPEVSATION DECLARATION
t14RHING:fAILURE TOSEBURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
:OST LVCOMPENSA(QN, D#MAGES'AS PROVIDED FOR IN SECTION 0700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
h0rt5? gff1rm uMJ.efppnalty of perjury one of the following declarations: -
+•have and will rnaintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN
fia$ce of tha workfor which this permit is issued. Policy No.
g*.and will maint9in workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ncrscarrier and policy number are:
• • • • Policy Number Expiration Date
of Agent Phone #
issued. My workers'
JI certify that, in the perlonnance a work for which this permit is iss , I sh II not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre,
tat, if I should become sub' o the w rkers' compensation provisio n 3700 of bor Code, I shall forthwith comply with those provisions. GGjj
ignature of Applicant - Dat �� / r�
IECLARATION REG C 10 LENDING AGENCY
hereby affirm under p natty 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
y 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 0 as and(.sta a s relating to building construction.
I authorize representatives of this city or cpunty to ter the bove-ide d propertyA inspection purposes. o(—
REGULATIONS
%
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
PERMIT EXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
FOR OFFICE USE ONLY