HomeMy WebLinkAboutX2020-0787 - Permits�fi11 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0
Permit Counter Phone (949)644-3288
> Inspection Requests Phone (949)644-3255
Combination Type - SFP
7 8 7 II
COMB Permit: X2020-0787
Project No
Issued Date :0312512020
Inspection Area : 2
HO
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID
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: 407 ALSO AVE NB
Description: SFR -TIO COMP SHINGLES. INSTL NEW SHEATHING. INSTIL 36 SQ COMP SHINGLES
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BLK 27 LOT 23
Owner: FOSTER MARC L Contractor:
R H ROOFING INC
Architect:
-
Address: 407 ALSO AVE Address:
2020 SUSAN #R
Address:
NEWPORT BEACH, CA 92663
SANTA ANA, CA 92704
Phone: Phone:
714-381-1870
Phone:
State Lic:
Applicant: R H ROOFING INC Con State Lic:
1007845
Engineer:
Address: 702 S MOHAWK DR Lic Expire:
1013112021
Address:
SANTA ANA CA 92704 Bus Lic:
ST30053038
Phone: 714-381-1870 Lic Exp Date:
11130/2020
Phone:
State Lic:
Code Edit : 2019 Worker's Compensation Insurance
Designer:
Type of Construction: V - Carrier:
SECURITY NAIL INS CO
Address:
Occupancy Group: R31U Policy No:
CWC719491028
INSPECTOR
Added /New sq.ft. Bldg: 0 Expire:
01101/2021
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks
Rear: /
Special Conditions:
see canceled IPermit
No of Units : 1
Front: I
COMB20.0089
Bldg Height: 0
Left: /
det garage on x2020-0$640
Bldg Sprinklers:
Right: I
Flood Zone: Use Zone: Parking Spaces: 0
Fire Hazard Zone
: N
Construction Valuation: $30.000.00
Building Permit Fee: $324.00 Excise Tax:
$0.00 Planning Department-
Fire Department
Plan Check Fee: $0.00 Additional Fee: ($326.00) 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
PM Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00 Electrical %:
$0.00 San Dist:
$0.00
Building Green Fee: $2.00 Mechanical %:
$0.00 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $0.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Feb
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$0.00 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
by afflrm under penalty at perjury that I am exempt from the Contractors' StateLicense law for the reason(s) indicated below by the checkmark(s) I have pieced next tothe :applicable Ilem(s)
'031.5, Business and Professions Code: Any cityor county that requires a permit to construct alter, improve; demolish, or repair any. structure, prior to Its Issuance,. also requires the applicant for.
I to file a signed statement that he or she Is licensedpursuantto theprovisions of the Contractors'_ State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business 26C
ns Code) or that he or she Is exempt from licensum and the: basis for the alleged exemptlon..Any violation . of Section 7031.5 by any applicantfor a permit subjects theapplicantto a civil penalty or
than Ove hundred dollars ($500).
I, as owner of the property, or my employees withwages as their: sole compensation, will do t_) all of or:(, portions of the work, and the structure isnot Intended orglfered for sale (Section 7044,
siness and Professions Code: The Contractors' State License Law does not apply to an: owner of property who; throughemployees' or personaleffort, builds or Improves the property, provided that the
uavements are not intended or offered for sale. ,If, however, the building or improvement. is sold within one:year of completion,: the:Owner-Builderwilf have the burden ofinoving that it was not built or
waved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors toconstruct the project (Section 7044;. Business and Professions Code: The -:Contractors' State License Law does not
dy town owner of property who builds or Improves thereon; and who Contracts for the with a' licensed Contractor pursuantto; the Contractors' State License Law).
I am exempt fromiicensum under fila Contractors': State License Law for thefolinwjng.resson:
my signature below I acknowledge that; except formy personal residence In which I must have resided for at least one year prior to completion of the Improvements covered -bythis,pennit;. l cannot leg
a structure that I have built as an owner-builder'd it has •not been constructed In its entsetyby licensed contractors., I understand that copy of I appllcable'law, Section 7044 of the Business and
fassiona Code, is available upon request when this: application Is submitted or at the. following Web site:hdo:Jlwww.iealnfo.ca:aovlcalew.htrnL.
amen under penalty of perjury that I am licensed under provisions of Chapter (cammencing,with Salllon 00) ofplyfslon 3 ofthe
:t. License Class C'7,q� - License No- Ili)wib44 - ate^- tl° 1.1020. Co
?R$' COMPENSATION DECLARATION:
is in full: force.
CRIMINAL PENALTIES AND. CIVIL PINES UP TO ONE HUNDRED THOUSAND. DOLLARS (S10,0001, IN ADDITION
by affirm under penalty of perjury one of the follnvimg:oeciaralions:
hive and will maintain a certificate of consent toself-insure for workers' compensation, issued by the Director of Industrial Relations as provided forby Sectlon'.3700 of the Labor Code; for
rmance ofthe work for whichthispermitis issued:. PolicyNo.
rve' 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 Ts issued.
nce. carrier and policy number are:
r `JFx1e N A;o.. _, ln%urunu f''d. Policy Number. CWC'11449.1TD7 4,. Expiation Date 01 (01 / Z0Z1
of Agent Phone4 - CIi6ob)'CU.6- 5562
certify -that, In the performance of the work torwhlch.this .permit Is Issued, I Shall not employany person in any manner so as to become subject to the workers' compensation: laws of California, and agre
IF Ishould become subjec/t�ta the workem"compensation provisions ofT3ectlon 3700 of the t:ebor Code; I snali.fortfiwlth comply witnthaee�.provlafons.
Iature ofAppllcanl� �- Idiutyi-I/G2 Cete:07�'?_5/2R'L6
1LA6TION REO 1N6 CONSTRUCTION tENDINO AGENCY
aby afbrm under penalty of perjury Ihel there Iso consbucllon lending agency far the partormence.af the work for which Ih s partnitis issued (Section 3Q87,:Civil Code).
foFS Name LentleYS Address
Ty. signature below, I. certifyto eechbf rhe -following:
I am the property owner orauthonzed to octan the property owner's behalf..
I have mad this application and the information I have provided Is correct
I agree to comply with all applicable city and county ordinances and state lawsrelating to building construction.
I authorize representatives of thls,clty or.caunty to enter the apove-Idenllfledproperty foranspectloapurposes.
ACTION
DATE
:By' DECLARATION OF COMPLIANCE Wrr I. CODE OR FEDERAL
FOR -OFFICE USE .0NLY
:REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
`
1401
PERMIT EXPIRED
I SUBMITTED' ASBESTOS NOTIFICATION TO
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