The URL can be used to link to this page

Home My WebLink AboutX2021-0633 - PermitsOrNT- +v City of Newpart Beach - Building Division COMB Permit: X2021-0 100 Civic Center Drive, Newport Beach, CA 92660 Project No Permit Counter Phone (949)644-3288 F Inspection Requests Phone (949)644-3255 Issued Date: 0311612021 Combination Type - MFP Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/16/2024 OR PERMIT WILL BE INVALID 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: 2675 SECOND AVE NB ,e Description: SFR - REROOF W130 YR CLASS "A" SHINGLES 14 SQ WIATT GARITIO EXTG Legal Desc.: P M 207-23 PAR 1 UNIT 2 OF PROJECT LOCATED ON AP 459-112.22 TOGETHER Owner: BRAINERD JOHN HOWARD Contractor: ENERGY ROOFING INC Architect: Address: 2675 SECOND AVE Address: 24007 VENTURA BLVD 240 Address: CORONA DEL MAR, CA 92625 CALABASAS CA 91302 Phone: Phone: 8181993-1673 Phone: State Lic: 4 Applicant: ENERGY ROOFING INC Address: 24007 VENTURA BLVD 240 CALABASAS CA 91302 Phone: 8181993-1673 Code Edit : 2019 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: N Flnnd 7nne: X Construction Valuation: $3 000.00 Building Permit Fee: $343.00 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: $344.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 1033650 Lic Expire: 12/3112021 Bus Lic: BT30073338 Lic Exp Date: 1013112022 Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 9222074 Expire: 1210112021 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I Engineer: Address: A1V Phone: O/ etate Lic: Designer: a 7)WJC , Address: 0/t.1 Phone: Special Conditions:��°7' a Fire Hazard Zone : N j�17 $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $344.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: a 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) 1 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). 111, 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, 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). ❑ 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). ❑ 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 th usiness and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm u;lder penalty of perjury that I sed under provisions of C,h,�pt�r,9 {�Qmmencing with Section 7000 v' io f the Business and Professions C , and cense is in full force and effect. License Class /L'1 License No �`-I "5 ,`�b) O Date �J Contractor Signature If.'ORKERS' COIP.PENSATION DECLARATION N&ININC: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLA 1$100,0001, IN ADDITION TO THE COS'i OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hPrebv affirm under penalty of perjury one of the following declarations: 1 I Lme 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 r"111r7ance of the work for which this permit is issued. Policy No. Ise 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 numbrer are: P licy Number 2J%201�,1 1 Expiration Date of Agent _ Phone# LJI certify that, in tfle performance of the work foJLEN41 I If is 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 that, if I should become subject to the workers' cion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date DECLARATION REG DING CONSTRUCTIONG AGENCY I hereby affirm under penalty of perjury that theretruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lenders Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owJante helf. I have read this application and the information I have providedCit. I agree to comply with all applicable city and county ordinances laws relating to building construction. I authorize representatives of this city or county to r the abtified property for inspection purposes. /7 1 Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name (� Date ACTION DATE BY DECLARATION OF Cbt4PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ronrvul cnnrceU PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL ,i w CERTIFICATEOF �+l OCCUPANCYISSUED LJ I SUBMITTED ASBESTOS NOTIFICATION TO EPA QMD LJ11ASBESTOS NOTIFICATION I TAPPLICABLE TO PR POSW DWOLITION cir nTvi /1