The URL can be used to link to this page

Home My WebLink AboutX2014-2607 - Permitse�wroo City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2014-2607 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 4 2 6 0 7 Project No Permit Counter Phone (949)644-3288 U 'tKVvout� ,' Combination Type - MFP Inspection Requests Phone (949)644-3255 Job Address: 2102 VISTA ENTRADA NB Issued Date : 09/1012014 Description:MFR - REROOF W/2-YR 15# FELT, PLYWOOD, BORAL CONCRETE LT WT TILE, 6 PSF, CRRC 0942-0009, 30 SQS, TEAR -OFF EXISTING, REPIPE RES W/PEX & P IFItA DRYWALj,„� PATCH oeeeec e Inspector Area: 3 Legal Desc.: TR6878 (L.L.84-214031) PAR 12 0 Owner: IRVINE COMPANY Contractor: PHILS CONSTRUCTION CO Architect Address: 2102 VISTA ENTRADA NEWPORT BEACH, CA 92660 Address: 2942 BERKELEY RD RIVERSIDE CA 92506 Address:°'' �4• •er o° j eb Phone: Phone: 951-202-8239 Phone: State Lic Applicant: LINDSTROM PHILLIP Con State Lic: 856624 Engineer • "�eO`o 0 Address: 2942 BERKELEY RD Lic Expire: 03/31/2015 Address:. eo•e ` ° RIVERSIDE CA 92506 Bus Lic: BT30047808 o m m e o c e e Phone: 951.202.8239 Lic Exp Date: 07/3112015 Phone: o e s a c o State Lic: ° ••e• Code Edit: 2013 Worker's Compensation Insurance Designer: e t tome Type of Construction: VB Carrier: STATE FUND Address: Occupancy Group: R2/U Policy No: 9110898 Added /New sq.ft. Bldg: 0 Expire: 08/2912015 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: No of Units : 3 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $23,000.00 Building Permit Fee: $414.00 Planning Department - Fire Department Plan Check Fee: $0.00 Excise Tax: $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Fee Increase: Fee: $0.00 Electrical %: $0.00 San Dist: $0.00 Additional Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Hazardous Mat: $0.00 Plumbing %: $0.00 $0.00 Building Green Fee : $1.00 TOTAL FEE: $415.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $415.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 iO"Mpients drill 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 itniormontl for the purpo%e of sale). J] J, aCowner %fhb joperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not applyte-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). El -1 lafr6exempt ¢gwjicensure under the Contractors' State License Law for the following reason: Bymycignature,belr w� f+ 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 tha�1 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 Prpkseibns Corr 4S ailable upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. sign Ure of Property O'Wner or Authorized Agent Date <:IOEN9ED CONTRACTOR'S DECLARATION 1 hereby affirm undenpr natty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 ) ,f Division 3 of the Business and Profes@i0 s Code, and my license is in full force Ig?jfe�.t. Licerlpe�lass License No Date �[9—� Contractor Signature X �/ "--� &ORKE°RS' COMPENSATION DECLARATION NARNING: FAILURE TO-SESURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the ,,.,,,(( ance of the work for which this permit is issued. Policy No. IC11 he /$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' compensatior nsur ce carrier and policy number are: Policy Number Date lame of Agent ""'V 11 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 laws of California, and agree iat, if I should become pu/gject to the workers' com ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lignature of Applicant X /d 211 � Date IECLARATION REGKRZD*WCONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender's Name Lender's Address ly 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 city or county t- ter the above-Ident�if'ed property for inspection purposes. A a�neNve of Prnnerfv Owner or Authorized Agent print Property Owner's or Authorized Agent's Name ,��7��h �`/• �'%:�7�-ra�1n Date Ste'' �Y y ACRN'! 1147E BY DECLARRTIUMCFCOMPliAUCEWTHCOQEOF FUP1 UFHft US't 1]N[F FEDERAL REGULATIONS PART6$ OF TLTLEA0 AND AONDRI/LE 1403.. IsrinTrraaasnrTrsarrtrArrcrNTn. PA 4MD AS TOS NORHCAMMIS NOT APPLICABLE TO.. IDEMLdUTNON-�_,d PFRMifT FXPfRFn PER1,41T CAPICLLLED' PEr3dvflTfXT€tu'QE PINflAfT RNAL q an ( f fOrL �S CEr7TrFrCATELe€ �ROPOS slum E OCCUPANCYt5SUED