HomeMy WebLinkAboutX2019-2611 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
r., Permit Counter Phone (949)644-3288
5 Inspection Requests Phone (949)644-3255
Combination Type - BLDG
PERMITS EXPIRE 180 DAYS AFI
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m,
Job Address: 441 VIA LIDO NORD NB w„a,
Description: SFR -ROOF REPAIR. TERMITE DAMAGE/FACIA REPAIR, LIKE FOR LIKE
Legal Desc.: N TR 907 LOT 670
Owner:. BROWN RICHARD W itrr$"ctor: IRC OFIt
Address: 441 VIA LIDO NORD ddress: 40S G
NEWPORT BEACH, CA 92660 SAN
Phone: �I Phon �83`
Applicant: IRC ROOFING ,,,w f�f Con State lf1c z.a 7718
IIIIX ILII0 IIII�III�IIIDIII
COMB Permit: X2019-2611
Project No:
W dad{ .000��rrt,%iykbo P.M. No rk $u
oY�rJo`o N/Q%tyeONS
rp'f'Architect:
Ins �Q
SS Address:
Wl ' Phone: L� SI
Engineer: ON THE
Address. 1440 S GRAND Lic EC:rg: 813 02 Address: '✓
SANTA ANA CA92706° �� .Bus Lrw?r,'47095
Phone 714 835-0135." !xP�$1 to}v3% 0313112017+'x*' Phone: ® SI
y �
Code Edit - 201601 Yom° e Wor ftensation s '�n ` r Nom. Designe¢x-,
Type of Construction: -B d'" .,i carrier e(P:jNS Add s dl
Occupancy Group: IU `u ,''` Policy o R� 16'' ` r otic
Added /New sq ft. Bldg: 0 Ex ire `: ,"#6l �0 0PMne:����
Added /New sq ft. Garage: 0 s,' �,�, �.n
No of Stories: 2 „r i�.� l�dln Se Rear: Rear: I ,(,fzpAlal Conditions:
No of Units : 1 a»" '.r ,/:a: Y� Front I y�', • c'
Bldg Height: 0tQ }, q Y` Left Io
Bldg Sprinklers:
Date : 0 812 0/2 01 9
tion Area : 1
or Holidays
UOTION NOISE
0
Me
uonsrrucuon vaivanon: a uuu. u
Building Permit Fee: $324.00 Excise Tax ,„, . • $� Qo Plannl epartme� q, �" .Fire Department
Plan Check Fee: $0.00
A
dditional q ""� ��r'OI7 n check Flea! �,�' $0.0p Fire Inspection: $0.00
Overtime Plan Ck. $0.00Boryds+ree k -c "' $0.00 Fair Sha�'e'' °^" $0.00 Fire Plan Rev $0.00
Investigation Fee: $0.00C Oon��t@a'tj: $0.00 SJFy�an ""' $0.00 Demolition Fee
Record Management: $0.00 �ermit F e: $0.0 lie}Is' using Fee: $0.00 Building Dept Adm $0.00
Energy Compliance: $0.00 PC Fee: ,$(J.00 Pylaltd Works Department - General Service $0.00
CA Seismic Safety: $0.00 . Fee: �/ $0.00 /,r,.r'L' Park Dedication : $0.00 Refund Deposit $0.00
Disabled Access: $0.00 i PAN Plan Check : $0:00 Grading Bond: $0.00
Hazardous Mat $0.00 4°ad;.+- � "$0 00 San Dist: $0.00
Building Green Fee : $1.00 d�al %: % .,$b 00 NMUSD Fee: $0.00 $0.00
g %: $0.00 $o.ao
TOTAL FEE: $325.0' o Plan Check Fee: $0.00 Fee Due at Permit Issuance : $325.00
PROCESSED BY: PUBLIC WORKS APPROVAL:
e z s e e e
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
X00 co.. ° s C 0 00cc1°o
.A . ,
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 an ru re, prior to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chap m an g with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Sectio by any ap ca for a permit subjects the applicant to a civil penally of
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all o ® portions of the work, and the struct e i lot intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owne perty who, thrpu h employees' or personal ort uilds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improv" sold within on impletion, the wr(Ma e ill' lave the burden of proving that it was not built or
improved for the purpose of sale). -nw" ,y a� ^�O /U GG ..
`1 11
❑ I, as owner of the property, am exclusively contracting with lice ontractors to construct the Project (Se do C9 B mess and Professions odet The Contractors' State License Law does not
apply to an owner of property who builds or improves ther who contracts for t�projects with a,IjceRP6actor pursuant to the Co ctor Stade License Law).
❑ 1 am exempt from licensure under the Con tate License Law for e�wing reason: V O
By my signature below I acknowledgee ,- gapt for y per net r 'de c� in which I s ve resided for at lea ne�yAerfior to completion of the provements covered by this permit, I cannot Iegalll
sell a structure that I have buil owned de 1 it ars! en construc d 1 Ire y licensed cQRt 1 understand that a copy of the ap licable law, Section 7044 of the Business and
Professions Code, is i e upon req h n plication is s b aN to W slRb-htrp://www.leginfo.ca.gov/calaw.htmi.
Signature of Pr Owner or Authorized. gen Date
LICENSED C NTRkft��a?$ D RATION
I hereby affirm u er p oTiperjury that I 'ens er 'h 1 " s pter 9 (commenc' ith Section 7000 f Division 3 of the Business and ofe C de„ d m s rce
and effect. Lice a Class er Date Contractor Signal
WORKERS' CO PEN CL TI
NANNING: FAILURE TO ECUR ORKERS MPEN OVERAGE IS UNLA L,%D AL BJ AN EM TO CRIMINAL ENALTIES AND CIVIL FINa$ U Q^ HUNDRE THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATI ,DAM E6 AS PR' ED FOR IN SECTION 7706 R D S O 'S FEES. yyy ���\S SS
hereby affirm under enalt ne of the fol w' d ar i
❑.I have and will m fain acertific of c - an as ur r wor rs' compensation, issued b hepS�oYoP s R\ ations as provided for Section 3700 of the Labor Code, for th
7irformance of the wor for whi it is I PO y �•:.d' ��( d l
h ve and will mSint n wo are m�' sati ance, as required by Section 3700 o the L or e3 for bwWr�oFIN>Jnce of the work for p mit is issued. My workers' compensatioi
nsu ce carrier and poli nu er re:2 O U
;a, +• Policy Number n 1 Ion
'Jame of Agent Phpn�
:11 certify that, in the perfor nce of the work: rrs s
'vL c it i,s @@d, I shall not employ any person in anner sp tyle e sub' aork
wers' compensation laws of California, and agre
:hat, if I should become subje t h orbs' r v' 'te Section 3700 of the Labor d , shall forthwith d ly with rovisions. ) c/�
Signature of Applicant _ teGL.Q-
)reby affirm under penalty ofpllrjur
Ider's Name ®®
my signature below, I certify toy
I am the property owner or auth Ir
I have read this application and
I agree to comply with all spplicat
I authorize representatives of this
nature of ProDertv Owner or Autho
ACTION. I DATE
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
that there is a construction len ' g'a@Ten cy for the pe �e�e�rk for which this permit is issued (Section 3097, Civil
Len ergs iA Awned
of tY�epfollowin /
t4Q',aCt'on the property own s beh l€, ""O
Information I h_aavv vide rect.
city adontyG Don ces and state laws relating to building construction.
jty>foupyenter the above -identified property for inspection purposes. l I t
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PROPOSED
NOTIFICATION IS NOt3MPLICABLE TO
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