HomeMy WebLinkAboutX2020-0142 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0142
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 1 4 2 Project No:
Permit Counter Phone (949)644-3288
ry Inspection Requests Phone (949)644-3255
c'rtrr«ae`R" Combination Type - SFP Issued Date : 01/1612020
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: 216 VIA ITHACA NB
Description: SFR RE -ROOF LOWER ELEVATION. TIO (E) TILE ROOF. 12 PSF. INSTL 40# FELT. INSTL 14 SQ LIGHTWEIGHT TILE EAGLELITE 9.7 PSF
Legal Desc.: TR 907 LOT 733 ALL -EX NELY112- THEREOF(AND NELY112 LOT 734
Owner: GRUVER FRANK J Contractor: SANDOR JENEI EURO ROOFING CO Architect:
Address: 216 VIA ITHACA Address: 21552 MONTBURY DR Address:
NEWPORT BEACH, CA 92663 LAKE FOREST CA 92630
Phone: Phone: 949-726-8439 Phone: ��� to Lic: 0
Applicant: SANDOR JENEI EURO ROOFING CO Con State Lic: 975564 Engineer: AoV 4`�
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Address: 21552 MONTBURY DR Lic Expire: 0813112020 Address:®
LAKE FOREST CA 92630 Bus Lic: BT30070681
Phone: 949-726-8439 Lic Exp Date: 01/3112021 Phone: State Lic: per,
Code Edit :
Type of Construction:
2019
V-13
Worker's Compensation Insurance
Carrier: STATE COMP INS
Designer:
Address:
��� ��a `��
Occupancy Group:
R3/U
Policy No:
1868060
Added /New sq.ft. Bldg:
0
Expire:
12101/2020
Phone:
Added /New sq. ft. Garage: 0
No of Stories:
2
Building Setbacks
Rear: /
Special Conditions:
HIGH DENSITY AREA
No of Units :
1
Front: I
Pre -inspection required
Bldg Height:
0
Left: I
to verify tile weight
Bldg Sprinklers:
Right: I
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
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat
$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:
$325.00
Fee Due at
Permit Issuance :
$0.00
PROCESSED BY:
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PUBLIC WORKS APPROVAL:
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ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: _ _ E ° ° APPROVAL TO ISSUE:
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OWNER -BUILDER DEC
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
ie 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 Cade) 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).
7 1, 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,
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
roved for the purpose of sale).
.l 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
pply 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:
ly 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)
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,htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Ch pter 9 (commencing with Section 0 0) of Division 3 of the Business and Professions ode, mrd my license is in full force
nd effect. License Class ® __qi License No q'7 esj 7 4 Da f v Contractor Signatp /
IIORKERS' COMPENSATION DECLARATION lam`
ARNING: 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
OST 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:
311 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
3ery' rmance of the work for which this permit is issued. Policy No.
�I ave 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
nce carrier and policy number are:
arrier .rn 4Z,_J_ Policy Number ln$060 Expiration Date
Agent
I 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 agree
t, if I should become ^su'bject to ntth��e workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant I A �l�+'�-e- Dat 1—fib
CLARATION REGA I G�KO C� N LENDING AGENCY
:reby 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).
lder'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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or counttyfo enter the ntified property for inspection purposes.
nature of Prooertv Owner or Authorized ADentl V ,_Q _ ove-IdePrint Property Owner's or Authorized Agent's Name .�^-Q ./-�+%I Date
ACTION DATE BY DECLARAWON OF COMPLIANCE WITH CODE OF II REGULATIONS PPART 61 OF TITLE 40 AND AQMD RULEFEDEFOR OFFICE USE ONLY
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