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Home My WebLink AboutX2021-0483 - PermitsCity of Newport Beach - Building Division *X2021-0483" COMB Permit: X2021-0483 100 Civic Center Drive, Newport Beach, CA 92660 Project No: Permit Counter Phone (949)644-3288 u. - Inspection Requests Phone (949)644-3255 Issued Date: 0311812021 Combination Type - CIP 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 Unit: B Description: COMM *CITY JOB* REROOF WICLS'N' BUR CRRC#0700-0028, TIO (E) (64 SCIS) Legal Desc.: IRVINE SUB LOT 169 BLK 2 10 AC IN LOT -INC POR OF ST ADJ- -EX FREE Npq''�� TOR Owner: CITY OF NEWPORT BEACH Contractor: CHAPMAN COAST ROOF CO INC Architect: t"' '^" 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: Applicant: CHAPMAN COAST ROOF CO INC Address: 2030 EAST WALNYT AVE FULLERTON CA 92831 Phone: 714-738-6611 Code Edit: 2019 Type of Construction: VB Occupancy Group: B Added /New sq.ft. Bldg: $0.00 Added /New sq. ft. Garage: $0.00 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Building Permit Fee: $1,513.00 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 Mal $0.00 Building Green Fee : $6.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: Con State Lie: 927543 Lie Expire: 01/3112023 Bus Lie: BT30073355 Lie Exp Date: 10/3112021 Worker's Compensation Insurance Carrier: REDWOOD FIRE Policy No: CHWC139760 Expire: 04/0112021 Building Setbacks Rear: 'I Fire Department Front: I Fire Inspection: Left: / Fire Plan Rev Right: / Use Zone: Parking Spa oee000 Public Works Department - Excise Tax: $0.00 Additional Fee : ($1,513.00) 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 Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Share : Fire Plan Rev SJH Trans : e o In -lieu Housing Fee oee000 Public Works Department - Park Dedication : $0.00 PNV Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Zone : N $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $6.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: Fire Department • e Fire Inspection: aee• Fire Plan Rev $0.00 e o � e oee000 9 b e p State Lie: • • • m Refund Deposit e e • m . a o m •• 0 oo••m• • o 0 o m o •• • mm c 0 k 06000 ••ee o 000mm • oee000 o• e m e c o0 oaocoo Gpp OpO 0000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $6.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $6.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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 imrroved for the purpose of sale). 1, 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legally sell 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Lwww.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date LICENSED CQN"%CTOR'S DECLARATION hereby affirm umle�pemalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S tion 00 of Division 3 of the Bu�ffie sand Profes�is"s Code, and my li ense is' uIl force f V,W99t. License Glass License No a Contrac r gnature e-._� NORK9RS' COMP€NSATION DECLARATION / MANING:FAILURE T06ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE NIST OPCOMPENSAIION, D@MAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. here by affirm uAddr'ptoalty of perjury one of the following declarations: I &`Ve and wig 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 thI %ce of 01%hrOor which this permit is issued. Policy No. 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' ier Bed Policy number are: •• • Policy Number Expiration Date certify that, in the pi :, if I should become nature of Ap 1 CLARATI EGARDING CONSTRUCTION LENDING AGENCY Ireby affirm un er penalty of perjury that there is a construction lending agency for the performance of the work for which thispermit is issued Idler's Name Lender's Address 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 o finances and state laws relating to building construction. I authorize representatives of thys�or cy>.laty t jtj r the above-identified�property for inspection purposes. I 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 the workers' co5ipensation%provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisiggs. orkers' compensation^ laws of California, and agre U Date -7—% — �Z_ 1 3097, Civil Code). signatureor vro erty uwner or Autnor A ent Print Pro ertOwner's or Authorized Agent's Nglme &- le ACTION DATT BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED I I IFDA PERMITFINAL 4-I) -t AS�ESTOS NO TION IS NOT CERTIFICATEOF P DE ON OCCUPANCYISSUED clrN TD _.�