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Home My WebLink AboutX2019-0244 - Permitsrat" rove City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-0244 {. 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 0 2 a a h Project No Permit Counter Phone (949)644-3288 i3 -4 Inspection Requests Phone (949)644-3255 Issued Date: 01/2312019 Combination Type - MFP Inspection Area : 8 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: 50 SEABOROUGH NB ® „M Description: MFR RECOVER FLAT ROOF W/FIBERTITE 36 MILL KEE 48 SQS CLASS "A" Legal Desc.: TR 12164 LOT 3 UNIT 26 OF PROJECT LOCATED ON AP 442-291-39 TOGETHER Owner: CALDERON JASMINE Address: 1855 W.KATELLA AVE #340 ORANGE CA 92867 Phone: 714-288-2620 Applicant: ROOFING STANDARDS INC Address: 930 LAWRENCE ST PLACENTIA CA 92870 Phone: 714-993-9715 Code Edit: 2016 Type of Construction: VB Occupancy Group: R2/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 10 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Contractor: ROOFING STANDARDS INC Address: 930 LAWRENCE ST PLACENTIA CA 92870 Phone: 714-993-9715 Con State Lie: 741302 Lie Expire: 05131/2019 Bus Lie: BT30064518 Lie Exp Date: 0913012019 Worker's Compensation Insurance Carrier: EMPLYEE SERVICE GROUP Policy No: WC112577000 Expire: 12131/2019 Building Setbacks Rear: I Front: I Left: I Right: / Architect. Address: Phone: State Lie: Engineer: Address: Phone: State Lie: Designer: Address: Phone: Special Conditions: UNITS 50-68 Fire Hazard Zone : N Construction Valuation: $30,000.00 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 P/W Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $2JM Mechanical W $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 FEE: $326.00 PROCESSED BY: ZONING APPROVAL: 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: $0.00 $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 GRADING APPROVAL: IV I APPROVAL TO 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) ;action 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for e 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 rofessions 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 A 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 3provements 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 iproved for the purpose of sale). 1 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 Dply 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: y 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 311 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 rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent Date ICENSED COW F RACTOR'S DECLARATION hereby, affirm und'oi Penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect! o 700 Of is 3 of the Business and ProfeS�wns Cod a d my license is in full force r;d r,Fa.a. Licerse Cluss License No Date I �i 5 Contractor SignatureY . _ /ORKERS' COMPENSATION DECLARATION %— ARNING. 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 ($700,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. iereby,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 thi z�fot e nce of;he v crk for which this permit is issued. Policy No. I hi 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' compensatior sera ca�tcarrierand policy number are: - /� 7 / e( KYtA.[�YsV1 Zulni l�L—t�/`SUvh Kc-�olicy Number ��C i �(�� /7� "� Expiration Date I Z amp. pi Agent, _ _ Phone # ]I certify that, in t'heperformance of the wkrkxfor 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 iat, if I should become subject to the Rsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Dated /Z F ECLARATION REGA [DING CONSTRUCTION LENDING AGENCY / — 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 Lender's Address y 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 §4 state laws relating to building construction. I authorize representatives of this city or county tt Snter property for inspection purposes. OIL -Ilk /"] innature of Prnoertv Owner or Authorized ADent\L/ Print Property Owner's or Authorized Agent's Name ��Y' '��k L-QkAl'7 Dp.fE-�-I &3 J PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED DATE BY ' JDECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO I? ASBESTOS NOTIFICATLQN IS NOT APPLICABLE TO