Loading...
HomeMy WebLinkAboutX2021-2472 - Permitsa° City of Newport Beach - Building Division ..,.ivy 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 a ? Inspection Requests Phone (949)644-3255 Combination Type - CIP ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �� ••�©�ul�P�r;T,;t : X2021-2472 X 2 0 2 1 2472 ® e°Q Project CVO o® • s m•� mm� Issued Date : 09/1612021 •me m„A IpspegtipnArea :7• PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED'mB f 09Af12024 PR f+ERMIT wilt 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. N6°work em-Sundays R$tir Job Address: 396 SUPERIOR AVE NB Description: COMM RE -ROOF- T/O (E) MATERIAL TO WOOD DECK. INSTALL 80 SQ COOL ROOF. OWENS CORNING DURATION SANDALWOOD. CRRC# 0676-1330. Legal Desc.: P BK 9 PG 19 PAR A Owner: BANK CALIFORNIA FIRST Contractor: Address: PO BOX 7788 Address: NEWPORT BEACH, CA 92658 Phone: Phone: Applicant: BELLOCK GENERAL CONTRACTING Con State Lic: Address: 15940 DOWNEY AV Lic Expire: PARAMOUNT CA 90723 Bus Lic: Phone: 714-602-0330 Lic Exp Date: Code Edit : Type of Construction: 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: Flood Zone: BELLOCK GENERAL CONTRACTING Architect: 15940 DOWNEY AV Address: PARAMOUNT CA 90723 714-602-0330 Phone: 1067159 Engineer: 07/31/2022 Address: BT30076600 09130/2022 Phone: 2019 Worker's Compensation Insurance V-B Carrier: STATE FUND B Policy No: 9288598 0 Expire: 12/1212021 0 Building Setbacks Rear: / Front: / Left: / Right: / Use Zone: Parkino Spaces: Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Construction Valuation: $30,000.00 Building Permit Fee: $570.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans Record Management : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $572.00 PROCESSED BY: ZONING APPROVAL: Plan Check Fee : $0.00 State Lic: State Lic: INVALID Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $572.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DE£FLVRATIQN'". • e I hereby affirm under p nafy of *rj�ry2hatl armexe mp=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^Profei s%9C%?. Any cityer-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.($500),. . ^ • • •, ee ❑ I, as owner of the propeil, of rr<y amplpyees withwa�gS a$t*.ir sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: -RT Corara:tors; State iic ensa 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 interim oro4fered fOr sale' If, however, tAe 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 improved 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). ❑ I 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70Q0) of Division 3 of the Business and Prgfession�Lad@, ar�B my license is in full force and effect. License Class License No Da Y • 21 Contractor Signature. NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE 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 ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 th, 1e rmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date 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 agre t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date CLARATION REGARDINGNSTRU N LENDING AGENCY LY )reby affirm under penalty of perjury tha there is a 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 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 to enter tl0gglmve-i t fled property for inspection purposes. nature of ProPertv Owner or Authorized Agent \/ ( / Print Property Owner's or Authorized Agent's Name ACTION DATE BY v DECLARAT160 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 PERMIT CANCELLED EPA PERMIT EXTENDED qM D PERMITFINAL-ZS'/��'L ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF OCCUPANCYISSUED PR POSED D`EMOLITI SIGNATURE[ /