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HomeMy WebLinkAboutX2020-0152 - Permits�a1u/ City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0152 sary ;, 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 1 5 2 Project No F ti Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP Issued Date : 01/17/2020 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: 4 PARK PL NB Description: SFR REROOF T/O SLATE AND REPLACE W/ 2 -LAYERS G40 EAGLE BELAIR TILE ESR# 1900 9.8 LBS CLASS B 32 SQS �� � kTO R Legal Desc.: N TR 12673 LOT 4 INS6V_ Owner: TUTTLE JOHN HOWARD Contractor: HOYT ROOFS INC Architect: Address: 200 VIA LIDO Address: 1809 N ORANGETHORPE PK Address: NEWPORT BEACH, CA 92663 ANAHEIM CA 92801 Phone: Phone: 714.773.1820 Phone: State Lic: Applicant: HOYT ROOFS INC Address: 1809 N ORANGETHORPE PK Record Management: ANAHEIM CA 92801 Phone: 714.773-1820 Code Edit: 2019 Type of Construction: V -B Occupancy Group: R3IU 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: Flood Zone: Construction Valuation: $22.000.00 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: Con State Lic: 606111 Engineer: Lic Expire: 12131/2020 Address: Bus Lic: BT30001609 Grading Bonds Fee: Lic Exp Date: 1013112020 Phone: State Lic: Worker's Compensation Insurance Designer: Planning Department - Fire Inspection: Additional Fee : Carrier: ESG Address: Demolition Fee Grading Bonds Fee: $0.00 Policy No: WC1125805 General Service Grading PC Consultant: $0.00 0 �, Expire: 1 2/3112 0 20 Phone: $0.00 ®0o.co Building Setbacks Rear: I Special Conditions: PRE INSPECTION REQUIRED IND Insp. Fee: 0 Front: I $0.00 TO VERIFY WEIGHTOF 00 ° Left: I Electrical %: EXISTING ROOF San Dist: °D o e Right: / $0.00 NMUSD Fee: 0a° °O ° Use Zone: Parking Spaces: 0 Fire Hazard Zone : N 0 vow Excise Tax: $0.00 Planning Department - Fire Inspection: Additional Fee : $0.00 Plan check Fee: Demolition Fee Grading Bonds Fee: $0.00 Fair Share General Service Grading PC Consultant: $0.00 SJH Trans Grading Bond: Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - IND Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 90 O ( G O © O O V • $6°00 ocoocc • . c ° • •6n oo•u oo°o $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $325.00 _ PUBLIC WORKS APPROVAL: PLAN CHECK BY: V Uv APPROVAL TO ISSUE: / 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: 90 O ( G O © O O V • $6°00 ocoocc • . c ° • •6n oo•u oo°o $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $325.00 _ PUBLIC WORKS APPROVAL: PLAN CHECK BY: V Uv 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 is 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 of 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 U 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 nproved 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 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: iy 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, 1 cannot legal 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:/lwww. eginfo.ca.gov/calaw.html. 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 Chapter 9 (commencing with Sectio OQO of j ion 3 of the Business and Profe ions e, and my license' full force nd effect. License Class License No D e lI Contractor Signature YORKERS' COMPENSATION DECLARATION ING: 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 T OF COMPENSAVI®M, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :by affirm u`ndar+pcnalty of perjury one of the following declarations: Mi and I4i:"Pjdtain 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 rma nce of the work -for which this permit is issued. Policy No. 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' compensal i%e carrierAV nplcy number are: sL.' ' Policy Number Expiration Date Agent : .*`* 2NCETW; that, in thg perfor ance 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' c p sation laws of California, and agre heli, 04.0ould become su act orkers' compen o I s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / .. . . .. �Ltu/R�_r n 3lgnature of App�oan . LJ - ul� Dat '� V )6CLAF4TION RE ING CONSTRUCTION LENDING AGENCY heretryeaffirm urgde; p Ity 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 3y 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 Vrdmances and state laws relating to building construction. I authorize representatives of this city or county to ter t ve-identifi rty for inspection purposes. �,1 //— Signature of Property Owner or Authorized Agent =party Owner's or Authorized Agent's Nam i� / V�` ,v Dat /7 ` ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REG ULAIIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELLED SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL ISSUED ,yC h/%p SIGNAO OCERTIFICATE OF CCUPANCYTURE: ENO IFICATIONISNOT AP O