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HomeMy WebLinkAboutX2020-1026 - Permits�y�sva City of Newport Beach - Building Division *X20201026* COMB Permit: X2020-1026 r t+ 100 Civic Center Drive, Nawpprtt Beach, CA 92660 Project No: E �', v Permit Counter Phone (949)644-3288 s ° Inspection Requests Phone (949)644-3255 t4i„n+fi' Combination Type - CIP Issued Date : 04/23/2020 Inspection Area : 7 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: 355 PLACENTIA AVE NB Description: COMM REROOF W/MALARKEY VISTA ICC1561 CL"A" 40 SQ, TEAR OFF ASPHALT SHINGLES Legal Desc.: P M 154-01 PAR 1 UNIT 5 OF PROJ LOC ON AP 425-111-06 TOGETHER n �� Owner: SAIL PROPERTIES Contractor: TOP NOTCH ROOF CO INC Architect: Address: 315 3RD ST, UNIT D Address: 6771 WARNER AVENUE #3749 Address: - HUNTINGTON BEACH CA 92648 HUNTINGTON BCH CA 92605 C� ` Phone: 714/9604441 Phone: 714.746-9999 Phone: State Lie: �••• ®^ Applicant: TOP NOTCH ROOF CO INC Con State Lie: 696973 Engineer: ° ° ° • • °/�// ° Address: 6771 WARNER AVENUE#3749 Lie Expire: 10/31/2020 Address: a°.. •.°•.� HUNTINGTON BCH CA 92605 Bus Lie: BT30071672 - e • ®• Phone: 714-746-9999 Lie Exp Date: 04130/2021 Phone: State Lie: ° • • • ° •• o Code Edit: 2019 Worker's Compensation Insurance Designer: o°• •. • ° Type of Construction: V-A- SPR Carrier: STATE COMP Address: ° ° • ° ° • ° o Occupancy Group: B Policy No: 1675130 Added /New sq.ft. Bldg: 0 Expire: 01/0112021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 3 Building Setbacks Rear: I Special Conditions: . • • m ° : ° o No of Units : 0 Front: I ° • ° ° Bldg Height: 0 Left: / • •• •••®°� Bldg Sprinklers: Y Right: / °°O°°• •°°°°° Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N eee• Construction Valuation: $13.000.00 Building Permit Fee: $280.00 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 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W 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 : $281.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $281.00 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION' ' I hereby amort under penalty of perjury that I am exempt from the: Contractors' State License Law for the resson(s) indicated below by the chackmark(s) i have placed next to the applicable items) %lion 7031.6, Business and Professions Code: Any city or county that requlms.a permit to construct, alter, Improve,.demollsh, or repair any structure, pdor to its Issuance; alsorequires the applicant for rmlt to file a Coned statement that he or she Is licensed ursuant io thevlslo f th C 1 d 'Slat -LI -Law Cha ter'91—mmencln wffh Section 70001ofDhrislon 3 of the Business and - - I n e p pro ns o e on n oe. cense ( p 9 Nessions Code) or thathe 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 appllcaM toe civil penalty Of :mom: than fivehundred. dollars($500). 1, as owner of Me property, or my employees with wages as their sale compensation. will do V all of or (,.) portions: of the work, and the structure rs not Intended or offered for sale (Section 7044, One s; and ProfeaslonsCode: The Contractors' State License Law does not apply to an owner of property who, through employees' orpenonal effort, bulkle or Improves thepfoperty; provided that the movements am not intended cr offeted 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 not built or pved for the purpose of sale).. - 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7041; Business and: profession -:Code: no Conbacton' State License Law does not fly to an owner of property who builds or Improves thereon and who contracts for the projects with a licensed Contractor. pursuant to tiro Contractors' State License Lew). I am exempt from Ocensure under the -Contractors' State: License Low for the: following reason; - - - - my signature below I acknowledge that, except for my personal residence in which I must have resided: for at least one,year pdarto completion of the Improvements covered by this permit I cannot lega01 I a structure that I have built as an owner -builder If it has not been constructed In Its eqUrety by licensed contractors. I: understand that a copy of the applicable law, Section 7044 of the Business and deselons Code, Is available upon request when this application issubmitted or at the ng Web she:httpJ/www.leginfo.00.gov(calaw�7/ .htmf. ."' / nature. ofPropaUgmerorAuthorizedAgent - Date z-'3�'�'d SENSED COpfTMTOR'S DECLARATION mbvmm m under penally of perjury that 1 am licensed under provistons of Chaglei9 {c�nmencIng with Section 7000) of D' sic 3 p{the Business and Professions Code, andd:gtY e is in full force revert: Lieen'sebless'_ C License No �ci(e-ori_ Date 4 2d CoMnctorsignatur j/,�,_ )RKERSI COIAAMSATION DECLARATION _ ?FAILURE TO SECURE WORID:RS' COMPENSklION COVERAGE to UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO. CRIMINAL PENALTIES AND CML FlNEE UP TO ONE HUNDRED THOUSAND DOLLARS (S10Q,OD0). W.ADDmON TO ME ROF COMPENSAInOK" AGES AS PROVIDED FOR IN SECMN 3M OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES., - -- - seeyefflmt under penallyof perjury one of the -following declarations: - - - ��Igve and ��nnll.maiptain a certificate of consent. to. selflnsure:for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 37D0 -of the Labor Cade, for it" ce of itre work for which this permit is issued. Policy No.: and watt Maintain workers': compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit le Issued. My workers' compensatla moa carrier pn pdicy num am: Tiers� Policy Number Expiration Date-.�Zl_. heyKAgent .... s - -.: :..-. Phone tF- certify that, In4Pl4 performance of the work farwhlch this permit is Issued, I shell not employ any person In any mannerso as to became subject to the workers' compensation laws of California, and agre 4 Hi should become subject to the workers' compensation provisions af_SecUgp 3700 of the Labor Code,-tshall forthwith comply with those provisions. �/ natureofApPRcerd ... - - Date- •-f�-z'3 el CLARATIONREGARDING CONSTRUCTION LENDING.AGENC - - - tretry surra under penalty of perjury that them Is a construction lending agency for the performance of the work forwhich this permit Is issued (Section 3097,:1 tier's Name Lenders Address - my signature below,. I certify to each of the following: - I am the property owner or authorizedtoact on the property ownses behag. I have read this application and: the Information I hen provided Is correct - I agree to oomplywith all applicable city and county ordinances- tate.laws-misting to building construction. - Iauthorize- representatives of this city or county, mar the IdsntRladproperty for Inspection purposes. -- nature ofPro a Owner orAuthorized :Anent - PrintProperty Owners orAuthorized A ent'sName 7 TION DATE BY:. DECLARAUCINOfCOMPLIANCEWITHCODEOFFEDERAL FOR OFFICE'. 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