HomeMy WebLinkAboutX2020-0118 - Permits�6t'I'o4 City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
Combination Type -MFP
IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0118
x 2 0 2 0 0 1 1 8 Project No :
Issued Date : 0111412020
Inspection Area : 4
Applicant: CERTIFIED ROOFING SPECIALISTS
Address: 9281 LARKSPUR DR
WESTMINSTER CA 92683
Phone: 714-323-7481
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R3/11
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation: $25.000.00
Building Permit Fee: $324.00
Plan Check Fee: $0.00
Overtime Plan Ck:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Investigation Fee:
$0.00
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:
47 HARBOR RIDGE DR NB
$0.00
Description:
MFR REROOF W/CLS" A" SAXONY SLATE ESR#1647 (5.7 PSF), TIO TILE (35 SQS)
Disabled Access:
Legal Desc.:
TR 9858 LOT 10 UNIT 87 OF PROJECT LOCATED ON AP 461-131-39 TOGETHER
$0.00
Owner:
HUNTER EDWIN Contractor: CERTIFIED ROOFING SPECIALISTS Architect:
INSPECTOR
NMUSD Fee:
Address:
262 WHITE HORSE TRL Address: 9281 LARKSPUR DR Address:
Left: I
Right: I
PALM DESERT CA 92211 WESTMINSTER CA 92683
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Phone:
Phone: 714-323-7481 Phone:
State Lic: m ..... o m
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Applicant: CERTIFIED ROOFING SPECIALISTS
Address: 9281 LARKSPUR DR
WESTMINSTER CA 92683
Phone: 714-323-7481
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R3/11
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation: $25.000.00
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:
956843
Lic Expire:
01/31/2021
Bus Lic:
BT30053068
Lic Exp Date:
11/30/2020
Worker's Compensation Insurance
Carrier:
STATE COMP. INS
Policy No:
1949902
Expire:
1210112020
Building Setbacks
Rear: I
NMUSD Fee:
Front: I
Left: I
Right: I
Use Zone: Parkino Spaces: 0
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Engineer
Address:
Phone:
Designer
Address:
Phone:
Special Conditions:
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:
Fair Share:
Fire Plan Rev
SJH Trans :
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
State Lic:
Plan Check Fee : $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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$0.00
$325.00
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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:
Plan Check Fee : $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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$0.00
$0.00
$0.00
$325.00
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(S) I have placed next to the applicable items)
!ction 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
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
,fessions 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
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,
ainess 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
)rovements 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
)roved 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
)ly 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 frp"ljpensure under the Contractors' State License Law for the following reason:
my signature below, 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)
a structure that t dove 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
T441 hs Codi ig aytlable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
patul of Property ONner or Authorized Agent Date
:EVpf:D CONTRACTOR'S DECLARATION
reby affirm underppewalty ofp e,.rju�ry_th�? t _I am licensed under provisions of ChaptP�r 9 commencing with Section 700 9) of Division 3 of the Business an Professio e, arjd m e in full farce
iaffect. LicenseAts �4-17f�--7 5- C -?1q License No C156D4 DaV01 Contractor Sl Lure
AIRS' CON RENSATION DECLARATION
ENING: FAILURE TO rRO tE 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 THE
M(1 FCOMPENSATIJN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Ir§bysffirm under pgrjalty of perjury one of the following declarations:
I have and will Ailain 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
l h%Zce of the Ill for which this permit is issued. Policy No.
'e and will arailrtain 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
Trance carrier and Dolicv number are: .
of Agent
Policy Number 9 y 990x. Expiration Date
Phone #
/a Dao
certify that, in the 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
if I should become ssuub/jj t to theme worl r��,e6/'r�/pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iature _ licant'///7 i'//�7� PnSsl� n<t�^' Da �! A LZ0
.....................1. I
ereby affirm udder 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).
Idler's Name Lender's Address
By 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.
I agree to comply with all applicable city and county ordinances and state laws raja4g to building construction.
I authorize representatives of this city or county to ant abov -idle pr a for inspection purposes. M 1LV'c II6 6�I u e O I I Ld
Signature of PropertyOwner or Authori gent y'mt Property Owner's or Authorized is Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITEXTENDED LIAQMD
PERMITFINAL GsWBJSTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF R P ED DE%/9J�..
OCCUPANCY ISSUED SIG URE: