HomeMy WebLinkAboutX2019-3540 - Permitsof Newport Beach- Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
COMB Permit: X2019-3540
'.100 Civic Center Drive, Newport Beach, CA 92660
x 2 0 1 9 -
3 5 4 0
Project No
aPermit Counter Phone (949)6443288
S£sInspection
4E%
Requests Phone (949)644 3255
t1r Combination Type - MFP
Issued Date: NI05/201s
,x
Inspection Area : 2
PERMITS EXPIRE
180 DA VS 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 an Sundays or Holidays
Job Address: 107 SAPPHIRE AVE NB
Description: MFR - T/O WOOD SHAKE, INSTALL CLASS "B" CEDAR SHAKE W/CLASS "A" ASSEMBLY 12 SCIS ESR
#2573 -
-
Legal Desc.: BALBOA ISLAND SEC BLK 3 LOT 7
Owner. GRIME GREGORY & IRMA Contractor.
MC CORMACK ROOFING ENERGY
Architect:
INSPECTOR
Address:. - 107 SAPPHIRE AVE Address:
1260 N HANCOCK #106
Address:
NEWPORT BEACH, CA 92662
ANAHEIM CA 92807
Phone. ' 949-275-5131 - Phone.
.714.777-4040
Phone:
State Lie:
Applicant: MC CORMACK ROOFING ENERGY Con State Lie:
-. 643700 :
- .Engineer.
Address: 1260 N HANCOCK #108 Lie Expire
ANAHEIM CA 92807 Bus Lie:
06/30/2020
BT30064748
Address:
P�, �y R8
ION WR °
g' CONSTRUCTION6�P occo
Phone. 714-777-4040 Lie Exp Date:.
10/31/2020.
Phone:
State Lic m' ° °
Code Edit: 2016 Worker's Compensation Insurance
Designer.
Type of Construction: -VB Carrier:
EMPLOYEE SVC GRP
Address:Occupancy
Group: R31U Policy No:
p9^�L�IC ®. �� C�(
E EE[Xrrg'
Added /New sq ft Bldg: 0 Expire
2 39020009108
Phone:
ON THE
Added/New sq. ft. Garage: 0
°°° o o°O°
No of Stories: 2 Building Setbacks
Rear: l
Special Conditions:
NOISE REDUCTION ZONE
No of Units : 2
Front: /
o
Bldg Height 0
Left: /
°°°°°° °
Bldg Sprinklers:
Right: /
Flood Zone: Use Zone: Parking Spaces: 0
Fire Hazard Zone
N
Construction Valuation: $7.000.00
�� W
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 Feer
.$0.00 Fair Share.:
$0.00.
Fire Plan Rev $0.00
Investigation Fee:. - $0.00 - Grading PC Consultant :.
$0.00 BJH 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 trical %:
$0.00 San Dist :
$0.00
Building Green Fee :. $1.00 Mee nice[ 0%1a:
$0.00 NMUSD Fee:
$0.00
$0.00
Plum
ing %:.:
..$0.00
-
$0.00
TOTALFEE $$325.00 Plan
Check Fee : $0.00
Fe ue
rmit Issuance : $325.00
PROCESSED BY:
ZONING APPROVAL: :.
GRADING APPROVAL:
PUBLIC WORKS A PROVAL:
PLAN CHECK BY:
APPROVAL TO ISS
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 itemaT
(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 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
Professions 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 Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm tMfr}*nalty of p juryry tjiat I am licensed under provisions o ter 9 ommencing with Section 7 0 f Ivision of the Business and Pr as ' n o e, and m I'cen fu I•
and effect.. Licapse CLass �h4 License No 227 9 D ite�� Contractor Signature
VIfORKERS' C®MPONSATION DECLARATION ��
NARNIRG- FAILURE TQ SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH DOLLARS ($700,000), IN ADDITION TO THE
FOifffg COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
4ere4y affirm under penalty of perjuryone of the following declarations:
. •...
a� I Nteve and yyjlj rripintain 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 thl
i ance of4he,work for which this permit is issued. Policy No.
• I'rrayu,and will plaintain 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' compensatior
Policy Number Vdcob �-1UJi0 Q Expiration Date 101'51' j�l
3I certify that, in•tke 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
tat, if I should become t to kers' compensatr isio s o Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Dat J
IECLARATION REG ONS UCTION LENDING AGENCY
hereby affirm underenalty o rju 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 peLender'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 owners 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
I authorize representatives of this city or county enter above -identified
ACTION
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE I BY
to building construction.
purposes.
lertv Owner's or Authorized Agent's Name
WITH CODE OF FEDERAL, I FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
IS NOT
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