HomeMy WebLinkAboutX2018-3010 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP
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II COMB Permit: X2018-3010
Project No :
Issued Date: 1010512018
Inspection Area : 3
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
J
ob Address. 327 SANTA ISABEL AVE NB
Description: SFR - T/O ROLLED ROOF & COMP, APPLY 1-LYR 28# BASE, 1-LYR 11# PLY W/SOLID HOT MOP & CAPSHEET 30 SQS CLASS "A"
Legal Desc.: N TR 3062 LOT 29
Owner.
SERETTI ENRIQUE & GLORIA
Address:
327 SANTA ISABEL AVE
NEWPORT BEACH, CA 92660
Phone:
562-921-1372
Applicant:
MARTINEZ NICK
Address:
6831 SUVA ST
BELL GARDENS CA 90201
Phone:
323-331-8468
Code Edit : 2016
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units: 1
Bldg Height: 0
Bldg Sprinklers:
Construction
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
TOT
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
$325.00
Contractor:
ROYAL ROOF CO
Address:
6831 SUVA ST
BELL GARDENS CA 90201
Phone:
323-331-8466
Con State Lie:
432352
Lie Expire:
06/3012019
Bus Lie:
BT30064712
Lie Exp Date:
1013112019
Worker's Compensation Insurance
Carrier: EMPLOYEE SERVICE GRP
Policy No: WC47586020
Expire: 06101/2019
Building Setbacks
Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Numbinq %:
Rear: /
Front: /
Left: /
Right: I
'arkinp Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard
Planning Department -
Plan check Fee
Fair Share:
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00 Fee
PUBLIC WORKS
PLAN CHECK BY:
APPROVAL TO ISSUE:
a
State Lie:
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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:
Issuance
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0
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$325.00
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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 mason(s)'indicated below by the checkmark(s) I have placed next to the applicable item(s)
action 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 the 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 U all of or U portiol
;iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thr,
)rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of
)roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section
fly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Cont
1 am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least
I a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractor:
lfessions Code, is available upon request when this application is submitted or at the following Web site:http:/hvvm
nature of Property Owner or Authorized Agent
TENSED CORMUCTOR'S DECLARATION
a�affirm u4gr penalty of perjury that I am licensed under provisions of Cha ter 9 (commencing with Sectio 7(
f effeet. License �IasS r — .`4 License No La� S a Dat _
),RKERS' COMPENSATION DECLARATION
RNlM& FAILURE W.SMURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
iT OG COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
Abj affirm under penalty of perjury one of the following declarations:
't hgve and $Ii1PpI;IIhtain a certificate of consent to self -insure for workers' compensation, issued by the Dire(
tw4ance of they ork for which this permit is issued. Policy No.
s'v and wilLmaintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for
ura9ft
^carriet 9fi6 pglicy number are: r+
r�ls1��1C � Policy Number `l l J C10 ZCCJ 3GG I
me of Agent'
I certify that, in the performance of the work for which this rKmit is Issued, I shall not employ any person in any m;
t, if I should become subject, /(,o\th_e workers'
^ compensation r visions of Section 3700 of the Labor Code, I shall fo
(nature of ADDlicant-0 i \1.(� YVI. Ins
of the work, and the structure is not intended or offered for sale (Section 7044,
gh employees' or personal effort, builds or improves the property, provided that the
)mpletion, the Owner -Builder will have the burden of proving that it was not built or
Business and Professions Code: The Contractors' State License Law does not
pursuant to the Contractors' State License Law).
ne year prior to completion of the improvements covered by this permit, I cannot
I understand that a copy of the applicable law, Section 7044 of the Business and
Date
of the Business and Pr fes;*Ns a., a d my license is in f xce
Contractor Signature ],
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($'100,000), IN ADDITION TO
of Industrial Relations as provided for by Section 3700 of the Labor Code, for
performance of the work for which this permit is issued. My workers'
Date 1.\/ t 1 ( 1 k
so as to become subject to the workers' compensation laws of California, and
r comply with those provisions. _
hereby affirm under p nalty 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 Lenders Address
iy 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 relating to building construction.
I authorize representatives of this city or county a rr the ab v -id n 'fie roperty for inspection purposes.
signature of Property Owner or Autho a Print Property Owner's r Authorized AGent'a Name i r • 1
ACTION DATE BY 1, DECLARATION OF COMPLANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
UEPA
PERMIT EXTENDED
LIAQMD
PERMITFINAL
CERTIFICATE JS
OCCUPANCYSUED
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SBESTOSNNOTIFICATION IS NO
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FOR OFFICE USE ONLY