HomeMy WebLinkAboutX2020-0221 - Permits�w10 City of Newport Beach - Building Division
COMB Permit: X2020-0221
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
*, 100 Civic Center Drive, Newport Beach, CA 92660
X 2 0 2 0 0 2 2 1
Project No
H, s':: Permit Counter Phone (949)644-3288
is. Inspection Requests Phone (949)644-3255
+xrrav�"' Combination Type - MFP
Issued Date : 0112412020
Inspection Area : 1
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: 3309 SEASHORE DR NB
Description: MFR T/O BUILT-UP ROOFING. REPLACE SHEATHING AS NEEDED. INSTALL 17
SQ TORCH DOWN
Legal Desc.: NEWPORT BEACH CITY ELK 33 LOT 9
Owner: KALAJIAN EDWARD Contractor:
LION ROOFING INC Architect:
Address: 13206 ADMIRAL AVE #J Address:
11402 JACALENE LANE Address:
MARINA DEL REY, CA 90292
GARDEN GROVE, CA 92840
Phone: Phone:
(714) 904-5188
Phone:
State Lic:
Applicant: LION ROOFING INC Con State Lie: 1018956
Engineer:
Lie Expire:
Address: 11402 GARDEN GROVE,
GARDEN GROVE, CA 92840 Bus Lie:
BT30065698
BT300656
Address:
y
NO CONSTRUCTION NOISE
Phone: (714) 904-5188 Lie Exp Date:
01/31/2021
Phone:
State Lie:
Code Edit : 2019 Worker's Compensation Insurance
Designer:
Type of Construction: V -B Carrier:
STATE COMP
Address:
Occupancy Group: R31U Policy No:
9167032
ON SATURDAYS
Added /New sq.ft. Bldg: 0 Expire:
09/2812020
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks
Rear: I
Special Conditions:
High density area
No of Units : 2
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone: Use Zone:
Parking Spaces:
0 Fire Hazard Zone :
N
Construction Valuation: $9,000.00
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 WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit $0.00
Disabled Access : $0.00
PAN Plan Check: $0.00
Grading Bond: $0.00
Hazardous Mat $0.00 Electrical W
$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 : $ 0
Plan Check Fee :
$0.00 Fee Due at Permit Issuance : $325.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
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 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).
❑ 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,
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
improved 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
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 legall,
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 70 0) of Division 3 of the Business and Professions Cod , and my If c, n e is in full force
and effect. License Class License No Dat Contractor Signature `��
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 LUSANDDLARSS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
f ance of the work for which this permit is issued. Policy No.
ha a 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' compensatioi
Jr
ce carrier and policy number are:
r Policy Number Expiration Date
ne of Agent. Phone #
certify that, in the performance of the work f ich 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
I, if I should become subject to he workers'ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date l &Z c,
CLARATION REG D NST U ENDING AGENCY
:reby affirm under penalty of r' that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ci it Code).
Ider'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 ordinan es and stat I ws relating to building construction.
I authorize representatives of this city or coun t enter the above -i n d -property for inspection purposes.
ii nature of Property Owner or Authorized Agent Print Property Owner's or Authorized A
ACTION DATE BY DE TI N OF COMPLIANCE WITH CODE OF FEDERAL FDR OFFICE USE ONLY
REG LATI S PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
SUBMITTED ASBESTOS NOTIFICATION TO
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