HomeMy WebLinkAboutX2019-3015 - Permitswnr City of Newport Beach - Building Division
'. 100 Civic Center Drive, Newport Beach, CA 92660
tPermit Counter Phone (949)644-3288
ck. .Inspection Requests Phone (949)644-3255.
Combination Type - CIP
PERMITS EXPIRE 180 D
Construction Hours: Monday - Friday 7:00 a.m. to 6:30
Job Address: 1200 QUAIL ST NIS -
Description: COMM APPLY CLS"B" PVC OF MEMBRAI`'f�'/@'R-fs)�1•r c)t_JGLE
Legal Desc.: P BK 48 PG 11 PAR 2 ®ate; 3' 2S
Owner: 1200 QUAIL ST LLC "'-eantractoi_G,� RE
Address: 777 S FIGUEROA ST i14850 Ad 306
LOS ANGELES, CA 80017 LO
Phone. ne 23
Applicant: REY-CREST ROOFINGANA RP C e
Address: 3065 VERDUGO ROAD Lic Expire. I
LOS ANGELES CA 90065 Vs
8T3
Phone: 323-257-9329 Xi@
Code Edit: 2018 Wor I
Type of Construction: V-A
Occupancy Group: B Policy No: E
Added /New sq.ft. Bldg: 0 , Expire: 09/0
Added /New sq. ft.. Garage: 0
No of Stories: 2 m Setbacks Rear.
No of Units 0
Bldg Height: 0 a g 4e
BldgSprinklers: i
Building Permit Fee:
$1,029.00
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:
$4.00
COMB Permit: X2019-3015
X 2 0. 1 9 3 0 1 5 Project NO :
Issued Date: 09/20/2019
Inspection Area : 7
AYS AFTER ISSUANCE OR LAST VALID INSPECTION. -
p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
PLY ROOF SYSTEM (140 SQS) CRRC 0674-0030 (COOL ROOF)
`mom='`••amanm�r
Y-CREST ROOFINGIWATERPROOFI gHFEG�(
5 VI
GDUES CA OOFMAB--- Addrffsb65 ��dGa�7ie:
9 9 �� t Pho{ee: State Lic:
vEngies (3i' q0 r �`� Address: +0p �0 refund
0068999'� wi to
12020 hone:wilQ�: State Lic:
u r x<f3L Designer:
O �' , =5 Address:
WCO �4 :
1/2020. r3 r Phone:
E
I Special Conditions:
INSPEC
late:
(nay
Excis--"`e'Fax�-_-----_.�
$0.00
Planning Department-
r'�g�(rte�';)
Additional Fee :
-50:0��
Plan check Fee :
$0.00
~-"--&rading.Pnds Fee: $0.00
'-Fair-Sh�[�:
$0.00
°�am6rayl PC Cons'uttant
: 0.00
SJH Trans
Grading Ter
s $0.00
'.'i70'��,
-lieu Housing Fee
s $O Oo.
Grading PC Fee:
ublic Wo-rl'cs'DapartmflOtia
Ed (Igfw5 a
'
WQ Insp. Fee:
$0.00
ar't`7'Oftraef
$0.00
PAN Plan Check :
-. 0'�>
- Electrical W
$0.00
San Dist;
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $1,033.00 `
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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91
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Fire Department
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
--Bui ldlOa Dept Adm
$0.00
neraService
$0.00
and Depsit+o
$0.00
Grad--inc Bond: .
$0.00
$0.00
$0.00
Plan Check Fee $0.00 Fee Due at Permit Issuance : $1,033.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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)
ction 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, 4a'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 (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
,iness 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
Iy 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 Ncensure under the Contractors' State License Law for the following reason:
my gignaturebe%w 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 legall,
a SQucture jM2t J 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
fessions Code,- is -available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html.
Awe of Property Owner or Authorized Agent Date
ENSED CQNTRACTOR'S DECLARATION
reby affirm bgge*r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Division 3 of the Business and Profe s' Cod d icense is in full force
effect. LicensePass License No Date -.2.1J —/Q Contractor Signature
INKjrRS' 06ULPENSATION DECLARATION
M)f: FAILURE TQ SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
T,jfFOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
leb);affirm y&m penalty of perjury one of the following declarations:
I "fie. and Mill me tain 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
gfmance ofthe work for which this permit is issued. Policy No.
have and 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' compensatiol
!,ance carrier and policy number are:
is of Agent _
certify that, in the p
, if I should become
Policy Number Expiration Date
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'
the WrMrs' corpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7
lignature of Applicant �YN/L�iit�rN 7/li�'._.� D L!
)ECLARATION REGP/1J G CONST�RUCTI N�LENDING AGENCY
hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 7, 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 f
I have read this application and the information I hm
I agree to comply with all applicable city and county
I authorize representatives of this city or county to
ACTION
PERMIT EXPIRED
PERMIT CANCELLEL
PERMIT EXTENDED
DATE I BY
7perty owner's behalf.
provided is correct.
dinances and state laws relating to building construction.
yf the e-ide ' ie,4 property for inspection purposes.
Print Prooertv Owner's or
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS
OCCUPANCYISSUEDED 6GNATURE:EMQLITICATION IS NOT APPLICABLETO
FOR OFFICE USE ONLY
/441
laws of California, and
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