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Home My WebLink AboutX2018-2828 - Permits�wno� City of Newport Beach - Building Division Illll�llli�lll�lllllllllllll�llillll�il� II o 100 Civic Center Drive, Newport Beach, CA 92660 Y 2 0 1 8 2 Permit Counter Phone (949)644-3288 `An Inspection Requests Phone (949)644-3255 Combination Type - MFP PERMITS EXPIRE 180 DAYS AFTM3SVAiVCE OR LAST Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 Job Address: 1 BRITTANY NB Description: MFR - GO OVER 1 (E) LAYER FLAT ROOF WI 1 LAYER SINGLE -PLY 34 SQ `UNITS 1-17• Legal Desc.: TR 12164 LOT 1 UNIT 2 OF PROJECT LOCATED ON AP 442.291-39 TOGETHER Owner: BAYRIDGE HOA Address: 1855 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: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 8 Bldg Height: 0 Bldg Sprinklers: Construction 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 Address: 930 LAWRENCE ST PLACENTIA CA 92870 Phone: 714-993-9715 Con State Lic: 741302 Lic Expire: 0513112019 Bus Lic: BT30064518 Lic Exp Date: 09/3012019 Worker's Compensation Insurance Carrier: CA INSURANCE Policy No: 4683206601 Expire: 11101/2018 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: I king Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 Architect Address: COMB Permit: X2018-2828 Project No Issued Date: 09/20/2018 Inspection Area : 8 Ho work on Sundays or Holidays Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: } ;, fit^*-;v Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PNV Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Zone :N Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $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 ContractJrs Sate Linerse 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 Eha• requres c pem,it to cunstruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their role compensation, will do L; all of or ,J portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law dnes rot applj tc an owner or nropery who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the busldiny or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or nproved 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 pply 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: ly 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 ell 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:hftp://www.leginfo.ca.govicalaw.htmi. Iignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D' isio 3 of the Business and Prof ssk s Code d license is in full force nd effect. License Class License No Dat® /* Contractor Signatur VORKERS' COMPENSATION DECLARATION IARNING: 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 ($100,000(, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 3JpJave 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 ertafmance of the work for which this permit is issued. Policy No. 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 number are: - Policy Number of Agent Date 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 I, if I should become subject to the workers' co I ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicants/ Dato G l� CLARATION REGARDING CONSTRUCTI NDING AGENCY :reby 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). Ider's Name Lender's Address 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 ordina and state laws relating to building construction. I authorize representatives of this city or county to ente thge-identified property for inspection purposes. �,q / nature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name —A, 7•' R& K Date'( ACTION DATE BY ,}' DECLARATIOIPOF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY / REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED QMD PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED r I ''5y S. vk<C �� ASBESTOS NOTIFICATION NOT APPLICABLE TO PROPOSED DEMOUTIO SIGNATIIRFN/