HomeMy WebLinkAboutX2019-2793 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2793
cr" 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 7 9 3
Project No
E., Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP
Issued Date : 09/0912019
Inspection Area
-
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 or Holidays
Job Address: 2650 SAN JOAQUIN HILLS RD NB
Description: MFR REROOF CARPORTS (5-8) REROOF W/CLS "A" COMP (4 SQS) & BUR (8 SOS), T/O EXISTING
Legal Desc.: IRVINE SUB LOT BILK 93 POR OF BILK (P M 35-1 PAR 1)
Owner: BAYS APARTMENT NEWORT LLC
Contractor: SUPERIOR ROOFING COMPANY
Architect:
Address: PO BOX 2450
Address: 160 SOUTH LINDEN
Address:
INSPECTION
!ti
1
NEWPORT BEACH, CA 92658
RIALTO CA 92376
'Phone:
Phone: 800-761-6272
Phone:
State Lie:
Applicant: SUPERIOR ROOFING COMPANY.
Con State Lic 284880
Engineer:
-
Address: 160 SOUTH LINDEN
Lie Expire: 12131/2019
Address:
RIALTO CA 92376
Bus Lie: BT30062662
Phone: 800-761-6272
Lie Exp Date: 03/31/2020
Phone:
State Lie: • • • •
•
Code Edit: 2016
Worker's Compensation Insurance
Designer:
°
omom
Type of Construction: VB
Carrier: EMPLOYEE SERVICE GRP
Address:
m mO°m m°O�Oo
Occupancy Group: U
Policy No: WC112579600
0... m °
Added /New sq.ft. Bldg: 0
Expire: 12/31/2019
Phone:
Added /New sq. ft. Garage: 0
....
No of Stories: 1
Building Setbacks Rear: /
Special Conditions:
°.... ° +0 • ® o
No of Units : 0
Front: I
o® o
Bldg Height: 0
Left: I
° ° ° ° ° ° ° °
Bldg Sprinklers:-
Right: /
° ° ° ` -° m m o 0 0
Flood Zone:
Use Zone: Parkinc Spaces: 0
Fire Hazard Znne N
m o 0
Construction Valuation:
$7,200.00
Building Permit Fee:
$324.00
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:
$1.00
TOTAL FEE: $326.00
PROCESSED BY:
ZONING APPROVAL:
Excise Tax:
$0.00
Planning Department -
Additional Fee,
$0.00
Plan check Fee
.Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant:
$0.00
SJH Trans:
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee :
$0.00
Park Dedication :
$0.00
P/W Plan Check :
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:.
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
000mom
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m m000
Fire Department
; ,00,
$0.00
Fire Inspection:
4.60.
$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
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $325.00
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 items)
(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 (_) 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
im 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
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. 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 7 ) " f vi ion 3 of the Busines nd Professio e, and m icense is i force
and effect. License Class License No D f Contract Ignature
WORKERS' C@VPRENSATION DECLARATION
ARNING: FAILURE(® GRARE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000), IN ADDITION TO THE
QST•q*oMPENSQT•ION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
t'hereblfaffirm 5gget Penalty of perjury one of the following declarations:
I and wig maintain a certificate of consent to self -insure for workers' compensation,
Ice of tbg Wprk for which this permit is issued. Policy No.
C;J2 and;41"aintain 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' compen
rance carrieaand policy number are:
ter• •••:•• Policy Number Expiration Date
issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
� �gf Agent • rnmle rF
certify that• i4i%derformance, 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
should becomB sub�91A the
ewwg*rs'' co�m/en§a ' n p rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. N
Pdture of il►dis%nts�l/ G' �/ �Date�d
hereby affirm un�jer 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
y my signature below, 1 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 oo his city or county to an e a v - entified pro for inspection purposes. � �J /�
;...,.,f� n6 0�.,.,e.r,, n,.,,,0�.,75,rhn�l,on Amcnr _ _ �3 Print Pronertv Owners or Authorized Alert's Name DC n. d°�I
DATE DECLARATION OF I BY I REGULATIONS PART1 OF TIITLE 40 A DOAQMD RULERAL FOR OFFICE USE
EXPIRED I I I L-11 SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
LIAQM D
PERMIT FINAL
0 ASBESTOS NOTIFICATION IS NOT APPLICABLE
➢f�JSED DE
OCCUPANCYISF
OCCUPANCY ISSUED