HomeMy WebLinkAboutX2020-0971 - Permits (2)0��tloq City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0971
cs' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 9 7 1 Project No:
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
rta> Combination Type - CIP Issued Date
! Inspection Area: 7
i, PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: C
Description: COMM *CITY JOB* RE -ROOF REMOVEIREPLACE (E) 160 SQ, CRRC# 0700-0028
Legal Desc.: IRVINE SUB LOT 169 BLK 2 10 AC IN LOT -INC POR OF ST ADJ- -EX FREE
Owner:
CITY OF NEWPORT BEACH
Address:
PO BOX 1768
Record Management :
NEWPORT BEACH, CA
Phone:
9496443141
Applicant:
CHO KATHRYNE
Address:
100 CIVIC CENTER DR
Hazardous Mat l
NEWPORT BEACH CA 92660
Phone:
949-644-3014
Code Edit: 2019
Type of Construction: VB
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 1
No of Units: 0
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $2,866.00
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 l
, $0.00
Building Green Fee'?
$16.00
TOTAL FEE: $16.00
PROCESSED BY:
ZONING APPROVAL:
Contractor:
Address:
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks Rear: /
Fire Department
Front: I
Fire Inspection:
Left: I
Fire Plan Rev
Right: I
Use Zone:
Parking Spa
Building Dept Adm
Public Works Department -
Excise Tax:
$0.00
Additional Fee:
($3,651.00)
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 :
Architect:
Address:
Phone: State Lic:
Engineer:
Address:
Phone: State Lic:
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
palm
oe�as
0 0
an
$0.00
$0.00
$24.00
$197.00
$564.00
$0.00
$0.00
$0.00
$16.00 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL: a-1
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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(00000
O C.
000aa
0
00000
coomco
c o 0
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000000
0
0000
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:
palm
oe�as
0 0
an
$0.00
$0.00
$24.00
$197.00
$564.00
$0.00
$0.00
$0.00
$16.00 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL: a-1
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
n c
(00000
O C.
000aa
0
00000
coomco
c o 0
o c
000000
0
0000
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)
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). 4.
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
slness 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).
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
)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 legalh
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, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html.
nature of Proper"wner or Authorized Agent - Date
SENSED CONSRA�CTOR'S DECLARATION
rrogy affirm uadorpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700'
vial 23 of the Business and Pr �s db,an my license is in full force
I effect. Licens%i Ws License No Date Contractor Signatur
5ROBRS' COMPENSATION DECLARATION
WING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND Dr ARS ($100,000), IN ADDITION TO THE
IT OF-COMPENSR71QM, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES
baby -affirm underpenalty of perjury one of the following declarations:
'I ava and viill 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
r&AAnce of the Work for which this permit is issued. Policy No.
•••••
,have and wiIlVailkein 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' compensatioi
Date
Agent
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 workers' compensation I ws of California, and agre
I, if I should becom sub' "to the worker ' V Pe ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Da
CLARATION REGARDING CONSTRUCTION LN ING AGENCY
:reby affirm under penalty of perjury that there is construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider'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.
Ihave read this application and the information I have provided is correct. ��pwu Ay0 goI agree to comply with all applicable city and count Inances and state laws relating to building construction. C, �i�a
I authorize representatives of this city or cou ante the'ab -identified property for inspection purposes. ! •-
Signature of PropertyOwner or Authorized A e _ '-� Print PropertyOwner's or Authorized Agent's Name rz' I u�ii�` '
ACTION DATE BY DECLARA O OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED UBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED A
PERMIT EMENDED QMD
PERMITFINAL LU''C Z' ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF %RZOSED DEM 171
OCCUPANCY ISSUED S ATI �Lf �
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CRRC PROD. ID MANUFACTURER BRAND AND MODEL
0700-0028 Garland Company, Pyramic 7467 White
Inc.
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INITIAL ;YEAR INITIAL ;YEAR INITIAL ;YEAR
Coating Bright o.84 0.78 0.91 o.89 1o6 97
White
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