The URL can be used to link to this page

Home My WebLink AboutX2018-3101 - Permits/ City of Newport Beach - Building Division IIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-3101 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 3 1 0 1 Project No : 1135-2017 E Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP Issued Date: 10112/2018 Inspection Area : 5 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: 182 SHORECLIFF RD NB `'°�-' • e Description: SFR REROOF TIO CLAY TILE AND REPLACE Wl METAL ROOFING CLASS "A" 18 SOS. Legal Desc.: N TR 1116 LOT 100 - :. ° ° e • o ® °q.° m••eac Owner: HOHMANN DAVID Contractor: NEWPORT ROOFING INC Architect: • ® c ° Address: 182 SHORECLIFF RD Address: 120 TUSTIN AVE #C Address: e CORONA DEL MAR, CA92660 NEWPORT BEACH CA 92663 - °i ie••Fa • ° ° Phone: Phone: 949.645.0104 Phone: State Lie: Applicant: NEWPORT ROOFING INC Con State Lic: 524454 Engineer. Address: 120 TUSTIN AVE #C Lic Expire: 09/29/2020 Address: NEWPORT BEACH CA 92663 Bus Lic: BT00008506 Phone: 949-645-0104 Lic Exp Date: 10/31/2018 Phone: State Lic: e. e e m , ° • o • o Code Edit: 2016 Worker's Compensation Insurance Designer. • • • m • • m o 0 Type of Construction: V -B Carrier: STATE COMP Address: Occupancy Group: R31U Policy No: 9161897 Added /New sq.ft. Bldg: 0 Expire: 07101/2019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units: 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $35.000.00 Building Permit Fee: $324.00 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 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical /0: $0.00 San Dist: $0.00 Building Green Fee: $2.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $326.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $326.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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) action 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 ifessions 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 U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, driess 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). •e• I• I, as owner of tlfe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not dtto an own%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 exe6pt4rbm licensure under the Contractors' State License Law for the following reason: Fq 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 legally e 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 �tessions @act&.. Wavailable upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. `Vure of PropertKK Owner or Authorized Agent Date rPNSEDOONMUICTOR'S DECLARATION reby affirm LTlder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Di isiof the Business and Professiol (;09 -,and Fin rl Is in full force j effect. Licetlse Class License No Date /L Contractor Signature SRj(ERS'.< QMFtENSATION DECLARATION tNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNDRE HOUSANO DOLLARS ($100,000), IN ADDITION TO THE Rbt COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :My affirm'undsl•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 the formance of the work for which this permit is issued. Policy No. have 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' ranee carrier and policy number are: Policy Number Date ie of Agent Phone # certify that, in the perfo I ance of the work for w ' this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' if I should su lect to the workersnsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. my signature below, I certify to each of the following: I am the property owner or authorized to act on the I have read this application and the information I I agree to comply with all applicable city and cou I authorize representatives of this city or county tic owner's behalf. led is correct. ordinances an tate laws relating to building construction. 7 rthe a e -id ified property for inspection purposes. Print Procertv Owner's or Authorized laws of California, and ACTION DATE BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY / / - ✓ REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE (/ 1403 PERMIT EXPIRED PERMIT FINAL CERT/FICATE OF OCCUPANCY ISSUED I SUBMITTED ASBESTOS NOTIFICATION TO IS NOTKPPLICABLE TO 2