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Home My WebLink AboutX2021-0484 - Permitsw City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 `+ Permit Counter Phone(949)644-3288 ... Inspection Requests Phone (949)644-3255 Combination Type - CIP *X20210484* COMB Permit: X2021-0484 Project No: Issued Date : 03/1812021 Inspection Area : 7 PERMIT. EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0311812024 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: 592 SUPERIOR AVE NB St: 1 FI: 1 Unit: H Description: COMM *CITY JOB* REROOF W/CLS'A" BUR CRRC#0700-0028, TIO (E) 121 SCIS Legal Desc.: IRVINE SUB LOT 169 BLK 2 10 AC IN LOT -INC FOR OF ST ADJ- -EX FREE Owner: CITY OF NEWPORT BEACH Contractor: CHAPMAN COAST ROOF CO INC Architect: IN % 1 I�-.�+ Cc -,rt Fj Address: 1000 CIVIC CENTER DR Address: 2030 EAST WALNYT AVE Address: NEWPORT BEACH, CA 92660 FULLERTON CA 92831 Phone: 949-6443014 Phone: 714-738-6611 Phone: State Lic: ...... ooee Applicant: CHAPMAN COAST ROOF CO INC Address: 2030 EAST WALNYT AVE Record Management: FULLERTON CA 92831 Phone: 714-738-6611 Code Edit: 2019 Type of Construction: VB Occupancy Group: BIS Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: N Building Permit Fee: $1,933.00 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 : $9.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 927543 Lic Expire: 0113112023 Bus Lic: BT30073355 Lic Exp Date: 1013112021 Worker's Compensation Insurance Carrier: REDWOOD FIRE Policy No: CHWC139760 Expire: 0410112021 Building Setbacks Rear: I Front: I Address: Left: I ooeeoo • n Right: I Use Zone: Parking Spa $0.00 Fire Plan Rev Excise Tax: $0.00 Additional Fee : ($2,742.00) Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 Plan Check Fee : Engineer: Fire Department Address: e e e e o ooeeoo • n Fire Inspection: •e o0 Fair Share : $0.00 Fire Plan Rev • o Phone: State Lic: Demolition Fee Designer. o • mB°•O0 ®• o°o Address: om m Public Works Department- 0 0 om000 Park Dedication : $0.00 mo o• e Phone: PAN Plan Check : $0.00 .m°mo Grading Bond: e 000000 Special Conditions: NMUSD Fee: $0.00 0 00 m00000 $0.00 oom000 0 c o ooeo Planning Department - Fire Department Plan check Fee : $0.00 Fire Inspection: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 SJH Trans : $0.00 Demolition Fee In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Public Works Department- General Service $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: ($800.00) PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Iction 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 61ness 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 from licensure under the Contractors' State License Law 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 prior to completion of the improvements covered by this permit, I cannot legal[, I a 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 Ifessions Code„i,) available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date :ENSFD COINAACTOR'S DECLARATION areby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S c n 700 of Division 3 of the Busin and Profes ' Code, and m )cense is' full force &effgct. Licehle Gass License No / jr-;7_f Contractor nature (. )RKE`RS' COMPENlSATION DECLARATION 77�� 6NIN6 FAILURE JO asQ&E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE WOF•COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. qy�affirm u rider pe ally of perjury one of the following declarations: d.Nwe 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 th [Tg gce of the Nork for which this permit is issued. Policy No. have:and wiA maintIn 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 uance carrier At policy number are: niec.0 .:... : Policy Number Expiration Date Is of Agent _ certify that, in the pi if I should become 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 he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi� ignature of Apap6rt IECLARAT REG ING CONSTRUCTION LENDING AGENCY hereby affirm under natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 ,�v�/r county ter the abov/e,�ryelntifiedroperty for inspection purposes. innature of Prnnertv Owner nr Au rot15 iz 19'Aaent _ — 74 , .. Print Prooertv Owner's or Authori elRt'S IVam BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REjeULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED IS NOTAPPLICABILE TO CERTIFICATE OF OCCUPANCY ISSUED compensation laws of California, and Code). / ;:rrf__