HomeMy WebLinkAboutX2019-2794 - PermitsIre, City of Newport Beach - Building Division
as ' 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
r' Inspection Requests Phone (949)644-3255
a4aua +a' Combination Type.- MFP
COMB Permit: X2019-2794
X 2 9 1 9 2.7 9 4 Project No:
Issued Date : 09109/2019
Inspection Area I
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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 orCCTTHolr'dav�
Job Address: 2650 SAN JOAQUIN HILLS RD NB Description:
Description MFR REROOF CARPORTS (1-4) REROOF WICLS "A". COMP (4 SQS) 8: BUR (a SQS), T/O EXISTING
Legal Desc.: IRVINE SUB LOT ELK 93 POR OF BILK (P M 35.1 PAR 1) `�
Owner: BAYS APARTMENT NEWORT LLC
Contractor:
SUPERIOR ROOFING COMPANY
Address: PO BOX 2450
Address:
160 SOUTH LINDEN
NEWPORT BEACH, CA 92658
RIALTO CA 92376
Phone:
Phone:
800-761-6272
Applicant: SUPERIOR ROOFING COMPANY
Con State Lie:
284880
Address: 160 SOUTH LINDEN
Lie Expire:
12131/2019
RIALTO CA 92376
Bus Lie:
BT30062662
Phone: 800.761.6272
Lie Exp Date:
03131/2020
Code Edit: 2016
Worker's Compensation Insurance
Type of Construction:. VB
Carrier:
EMPLOYEE SERVICE GRP
Occupancy Group: U
Policy No:
WC112579600
Added /New sq.ft. Bldg: 0
Expire:
12131/2019
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: I
No of Units: 0
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone: Parkina Soaces: 0
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard
Building Permit Fee: $324.00
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
PM Plan Check:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $325.00
PROCESSED BY:
ZONING APPROVAL:
State Lie:
State Lie:
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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$o.®a
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $326.00
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 L) all of or L) 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
improved for the purpose of sale). .^. _, ,. P
❑ 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
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. 1 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 70 f ivi,�ion 3 of the Busine and Profess codelamy license is in f force
and effect. License Class License No at i Contrac Signature}-��
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE 4(b SFARE 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
CW j1F ¢OMPENS AT.ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Thereby -affirm Imd� : eanalty of perjury one of the following declarations:
0 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 the
orrRance of the vgrk for which this permit is issued. Policy No.
• vB and wiN 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' compensation
suran a carrierand pplicy number are:
.••..
-arrier• �••:.• Policy Number Expiration Date
lgrll .of Agent • Phone #
OicerEfy that.ia SIlpderformance 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
;IW,•itl,should become sub' o the workers' compen en provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. Qr%
STglfat'u re of A • • •� ♦ f�te 7//
DECLARATION ARDING CONSTRUCTION LERDIAB, 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 097, Civil Code).
Lender's Name Lender's Address
3y 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 Ity or county to the ate-identifie party for inspection purposes. / (( g'-
Signature of Property Owner or th rized A ent .�� Print Property Owner's or Authorized A enf am � A>_ G2— Da
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED LJISU6MITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EpA
PERMITEXTENDED I _ c)MD
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF
OCCUPANCYISSUED