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Home My WebLink AboutX2018-2829 - Permits4;awrt, r City of Newport Beach - Building Division II II�I111111111!1111111�!Illill1IIII!1111l Ili II COMB Permit: X2018-2829 100 Civic Center Drive, Newport Beach, CA 92660 Y 2 0. 1 d 2 - 9 Project No E» � Permit Counter Phone (949)644-3288- iY "m Inspection Requests Phone (949)644-3255 _ Issued Date : 09I20I2019 R,«sn �•' Combination Type - MFP Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER ICSUAtJCE OP LA9T VALID INSPECTION. Construction Hours: Monday -Friday 7:00 a.m. to 6:30 p.m. and 3atur-day from 8:00 a.m. to 6:00'p.m. No work on Sundays or Holidays Job Address: 249 CHESTERFIELD NI3 Description: MFR -GO OVER 1 (E) LAYER FLAT ROOF WI 1 LAYER SINGLE -PLY 29 SQ *UNITS 249-263* Legal Desc.: TR 11604 LOT 7 UNIT 143 OF PROJECT LOCATED ON AP 442-291-40 TOGETHER Owner: BAYRIDGE HOA Address: 1865 W KATELLA AV #340 ORANGE CA 92867 Phone: Applicant: ROOFING STANDARDS INC Address: 930 LAWRENCE ST PLACENTIA CA 92870 Phone: 714-993-9715 Code Edit: 2016 Type of Construction: V-B Occupancy Group: R2 Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 8 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Valuation: Building Permit Fee: $304.00 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: $305.00 PROCESSED BY: ZONING APPROVAL: Contractor: ROOFING STANDARDS INC Architect: Address: 930 LAWRENCE ST Address: PLACENTIA CA 92870 Phone: 714-993-9715 Phone: State Lic: Con State Lic: 741302 Engineer: Lic Expire: 0513112019 Address: Bus Lic: BT30064518 Lic Exp Date: 0913012019 Phone: State Lic: Worker's Compensation Insurance Carrier: CA INSURANCE Policy No: 4683206601 Expire: 1110112018 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 Designer: Address: Phone: Special Conditions: I aCTOR,q $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 PM Plan Check : $0.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $305.00 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 char requirer a permit to cmistruot, 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 pursuan::o lrte 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 then srle cjmpensati�n, wil, do (_ 1 a,, or or (_) 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 app'y to an owner Gt 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 Luildinq or impro,,emert'a sold within one year of completion, the Owner-Builderwill 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). ❑ 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 legal) 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.htm]. 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 00) o Divi Ion 3 of the Business and Prof ssions Co n y license is in full force and effect. License Class License No Dat n d Contractor Signatur� WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby 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 th pe rmance of the work for which this permit is issued. Policy No. 01 h ve 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' compensatio insure ce carrier and policy number are: rri Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance 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 agre that, if I should become subject to the rk ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applican Datet — ARDING'l Zr/ IS DECLARATION RE G CONSTRUCTION LENDING AGENCY I 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 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 a# state laws relating to building construction. I authorize representatives of this city or county to an a -I an I is r inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam��e a'T'iN 6rt T7N 6 Dat '? ad Is ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U 15UBMITTED ASBESTOS NOTI FICAT] ON TO PERMIT CANCELLED LIEPA PERMIT EXTENDED QMD PERMITFINAL 1�/Q-19 jv�fr•O ASBESTOS NOTIFICATIO IS OT APPLICABLE TO CERTIFICATE OF A C-.N ROPOSEDDE OLIT OCCUPANCYISSUED GNATUR :