HomeMy WebLinkAboutX2019-3262 - Permitsa
City of Newport Beach - Building Division II�IIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-3262
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 2 6 2 project No:
Permit Counter Phone (949)644-3286
Inspection Requests Phone (949)644-3255
Combination Type - SFP Issued Date: 10114/2019
.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
Jab Address: 1721 TRADEWINDS LN NB
Description: SFR INSTALL 33 SCI OVER (E) 1 LAYER, REMOVEIREPLACE 1. SQ OF B.U.R, CLASS'B'MIN.
Legal Desc.: N TR 3082 LOT 20 -
Owner LE ANDREW :
Contractor
CALIFORNIA ROOF LIFE CO INC
Architect
Address: 1601KINGS RD
Address
8941 MINT AVENUE
Address:`
Rear: I
NEWPORT BEACH, CA 92663
Special Conditions:
WESTMINSTER CA 92683
No of Units: 1
Phone:
Phone
714-847-7663
Phone::
State Lie: V
Applicant CALIFORNIA ROOF LIFE CO INC
Con State Lie:
509623
Engineer:
Address 8941 MINT AVENUE
Lie Expire:
0413012021.
Address:
- WESTMINSTER CA 92683
Bus Lie:
BT30058654
-
-
Phone 714-847-7663.
Lie Exp Date:
0413012020 -
Phone:
State Lic:. V
Code Edit. 2016
Worker's Compensation Insurance
Designer:
Construction Valuation: $9.215.50
Type of Construction: VIB
Carrier:
STATE COMP INS FUND
Address:
-
Occupancy Group: R3IU
Policy No:
9086375
Excise Tax:
$0.00
Added /New sq.ft. Bldg 0
Expire:
0110112020
Phone:
Added /New sq. ft. Garage:. 0
No of Stories: - 1
- Building Setbacks
Rear: I
Special Conditions:
No of Units: 1
Front: l
Bldg Height: 0
Left:
Bldg Sprinklers:
Right: /
-
-
Flood Zone: X
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $9.215.50
-
Building Permit Fee: $324.00
Excise Tax:
$0.00
planning Department -
fire Department
Plan Check Fee: $0.00
'Additional Fee:
$0.00
Plan check Feet
$0.00
.Fire Inspection:
$0.00
Overtime Plan Ckr $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 %:
$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
: $0.00
Fee Due at Permit Issuance ;
$325.00
PROCESSED BY:
ZONING APPROVAL:.
GRADING APPROVAL:
Vf foo
PY' BLIC 1VORMAPPROVAL:
FQLfAN CIfCKFBN:
APPROVAL TO ISSUE:
C G L
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
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 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
n 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
ipply 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:l 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 Chapter 9 (commencing with Section 70) of iv'sion 3 of the Business and Pr fess s -2o my license is in full force
Ind effect. License Class License No Dat " Contractor Signat
VORKERS' COMPENSATION DECLARATION
1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED D DOLLARS ($100,000), IN ADDITION TO THE
:OST OF COMPENSATION,. DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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
TT1rmance of the work for which this permit is issued. Policy No.
have and willi iptain 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
isurance carriered p licy number 0.
farrier \ 1 n n l ti//{''^�� er Expiration Date
lame of Agent Phone #
11 certify that, in the performance of the wor 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
sat, if I should become subjept to thew rs'Z07Pensation pL a�ction-3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Appllcant_X� II
IECLARATION R AR NG CONS LENDING AGENCY
ell, /646y//
hereby 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)
ender's Name Lender's Address
ly 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. ISL
I agree to comply with all applicable city and county ordinances an state laws relating to building construction.
I authorize representatives. of this city or county o enter the 'f' d props inspection purposes.
signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's Name
4CTION DATE BY f DEC COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGU NS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
LII 5UBM ITTED
PERMITCANCELLED
OEPA
PERMIT EXTENDED
OAQMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
7/ ry12a
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