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Home My WebLink AboutX2019-0246 - Permits0wwlvq City of Newport Beach - Building Division a� ¢ 100 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 v@ Inspection Requests Phone (949)644-3255 Combination Type - MIFF �1111 1111111111111111111111111111111111111111111111111 111COMB Permit: X2019-0246 x 2 0 1 9 0 2 4 6 Project No: Issued Date : 01/2312019 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: 218 HARTFORD DR NB Description: MFR RECOVER FLAT ROOF W/FIBERTITE 36 MILL KEE 34 SQS CLASS "A" Legal Desc.: TR 11604 LOT 6 UNIT 128 OF PROJECT LOCATED ON AP 442-291-40 TOGETHER Owner: CALDERON JASMINE Contractor: ROOFING STANDARDS INC Architect: a ., Address: 1855 W.KATELLA AVE #340 Address: 930 LAWRENCE ST Address: ORANGE CA 92867 PLACENTIA CA 92870 Phone: 714-288-2620 Phone: 714-993-9715 Phone: State Lie: Applicant: ROOFING STANDARDS INC Address: 930 LAWRENCE ST PLACENTIA CA 92870 Phone: 714-993-9715 Code Edit: 2016 Type of Construction: VB Occupancy Group: R2IU Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 8 Bldg Height: 0 Bldg Sprinklers: Flood Zone: $23,500.00 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 $326.00 PROCESSED BY: ZONING APPROVAL: Con State Lie: 741302 Lie Expire: 0513112019 Bus Lie: BT30064518 Lie Exp Date: 0913012019 Worker's Compensation Insurance Carrier: EMPLYEE SERVICE GROUP Policy No: WC112577000 Expire: 1213112019 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 'arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Engineer: Address: Phone: Designer: Address: Phone: State Lie: Special Conditions: UNITS 218 - 232 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: GRADING APPROVAL: APPROVAL TO ISSUE: 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 $325.00 �aaae 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 that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for he 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 iot more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of 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 apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements 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 mproved 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 legalIN 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 CONTRC.CTOR'S DECLARATION 1, hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000 of ivisi of the Business and Profes ' n e ,,se is in full force end'erte!:t. Liters=. Cuss License No Date 1 ZT Contractor Signature N ORCERS' COMPENSATION DECLARATION PARNIV :OLLARS (Ef 00,00 : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND D01, IN ADDITION TO THE COST OF COMPENSATION; CAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. P heieby affirm unior penalty of perjury one of the following declarations: ' 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 the p brice of.ha work for which this permit is issued. Policy No. c 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' compensatiol �nsu /�1 ca_rrie� and nldicy number are: I 1(' r /� r•irr!'YtV'✓i/A�n 7,t1✓`Z L1t,fG,r•� Policy Number !N `-� I ��]r��y JD I Expiration Date Nsmc if Agent. Phone # ❑1 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 agree that, if I should become subject to the workers' ce pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. T Signature of Applicant RDG Date �i 7 DECLARATION REG INCONSTRUCTION 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 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 a d state laws relating to building construction. I authorize representatives of this city or county to enter the tfov den'f' operty for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ///L4✓IG `!-Qa�r`i Date ACTION DATE BY[ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED L1 I SUBMITTED ASBESTOS NOTI FICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED OAQMD PERMITFINAL ZCJ 0 W+t 'I' SBESTOS NOTIFICATION IS OT PP CERTIFICATE OF Sb�S PROPOSED DEMOUTIO OCCUPANCYISSUED SIGNATURE: _