HomeMy WebLinkAboutX2020-2575 - Permitsc1 City of Newport Beach - Building Division
r 100 Civic Center Drive, Newport Beach, CA 92660
r4. Permit Counter Phone (949)644-3288
u, y Inspection Requests Phone (949)644-3255
Combination Type - MFP
IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII�I� II COMB Permit: X2020-2575
x 2 6 2 9 2 5 7 5 Project No :
Issued Date :1110412020
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 1110512023 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: 1814 W OCEAN FRONT NB
Description: MFR REROOF W/CLS"A" TORCH DOWN, TIO HOT MOPPED CAPSHEET (21 SQS)
Legal Desc.: NEWPORT BEACH SEC B BLK 18 LOT 8
Owner: B -N14 LIMITED PARTNERSHIP
Address: 711 CUMBERLAND RD
GLENDALE, CA 91202
Phone
Applicant: LEMUS ROOFING
Address: 19881 BROOKHURST ST #C-152
HUNTINGTON BEACH CA 92646
Phone: 949.735-2377
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R2/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 3
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $8.900.00
Building Permit Fee: $343.00
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
Excise Tax:
$0.00
INSPECTOR
OR
Fire Inspection:
Contractor: LEMUS ROOFING
Architect:
Plan check Fee:
Demolition Fee
Address: 19881 BROOKHURST ST #C-152
Address:
Fair Share :
General Service
HUNTINGTON BEACH CA 92646
$0.00
°
Grading Bond:
Phone: 949-735-2377
Phone:
State Lic: • •
Grading PC Fee:
$0.00
mmee%
°
•°
Con State Lic: 826813
Engineer:
$0.00
Lic Expire: 10/3112021
Address:
•
°
• ° ..
Bus Lic: - .BT30073377
San Dist:
®e e o m
m
• °
Lic Exp Date: 10131/2021
Phone:
State Lic: ° ° ° •
.' ° ° °
$0.00
omme
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Worker's Compensation Insurance
Designer:
- Carrier: STATE COMP
Address:
Policy No: 1845899
Expire: 05127/2021
Phone:
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°
Building Setbacks Rear: I
Special Conditions:°
:°'O°o
Front: /
mmme
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Left: /
Right: /
Use Zone: Parkina Spaces: 0
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Fire Inspection:
Additional Fee :
$0.00
Plan check Fee:
Demolition Fee
Grading Bonds Fee:
$0.00
Fair Share :
General Service
Grading PC Consultant:
$0.00
SJH Trans:
Grading Bond:
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check,
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
IITOTAL FEE: $344.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance
.PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
GRADING APPROVAL:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$344.00
PLAN CHECK BY:
APPROVAL TO ISSUE: ��
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:
IITOTAL FEE: $344.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance
.PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
GRADING APPROVAL:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$344.00
PLAN CHECK BY:
APPROVAL TO ISSUE: ��
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 any structure, 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 (Chapter 9 (commencing 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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty 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 of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
im 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
apply 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 from licensure underthe Contractors' Slate License Law for the following reason:
By my signahye 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 legal)
sell a structure IV thave 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
Professions Code, is�available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of J4gpert{ Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
41ereby affirm uhder penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Se n 7000) o Divion 3 of the Busi d Proles de, �hd li nse is' full force
and Affect LicenSO Plass License No D Contractor ature L hy� q L
KOPKERS' CONfPENSATION DECLARATION
WARNING: FAILURE TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
QQSi COMPENSP.T10NrDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
•;P Rave and *III Jfl$ntain 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 IN
ornfance o{tho wofk for which this permit is issued. Policy No.
and void iriairtain 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' compensatio
Ing re lice carrier�t?I olic number are:
Carrier S'rdr,i'e �V v� Policy Number 18K Sgga Expiration Date 5 I -2-1 1 2
Name of Agent Phone #
I 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 work ' compensation laws of California, and agre
that, if I should become sub'ect o t e workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of A I r' S�, '2)allD a L, - le ! l yj 1 Z 0
DECLARATI RDING CONSTRUCTION LEND G AGENCY
I hereby affirm nder penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 97, Civil Code).
Lender'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 relating to building construction.
I authorize representatives of this or county ;Mtlr the a ov ' e tifieItproperty for inspectionpu purposes.
ISIonature of ProDertv Owner or A ¢ed ADent ,FIM d• �- Print Property Owner's or Authorized AMOWName & X L e
ACTION DATV RYI DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMITEXTENDED i n I UAQMD
PERMIT FINAL II/f (�QO vv" �BESTOS NO IN15 NOT PNE TO
CERTIFICATE OF l I P POSEDD N L
OCCUPANCY ISSUED SIG
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