HomeMy WebLinkAboutX2018-2827 - PermitsCity of Newport Beach - Building Division
}y.. 100 Civic Center Drive, Newport Beach, CA 92660
N Permit Counter Phone (949)644-3288
'qrt Inspection Requests Phone (949)644-3255
`:+err„wa b Combination Type - BLDG
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COMB Permit: X2018-2827
Project No :
Issued Date: 09/2012018
Inspection Area : 8
PERMITS EXPIRE 180 DAYS AFTER ISSUAsVCE OR LP STWLID4NSi!EZTION.
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: 19 BRITTANY NB
Description: MFR -GO OVER 1 (E) LAYER FLAT
ROOF WI 1 LAYER SINGLE -PLY 34 SQ *UNITS 19-33`
Legal Desc.: TR 12164 LOT 1 UNIT 10 OF PROJECT LOCATED ON AP 442-291-39 TOGETHER
Owner. BAYRIDGE HOA
Contractor: ROOFING STANDARDS INC
Architect:
Address: 1855 W KATELLA AV #340
Address: 930 LAWRENCE ST
Address:
ORANGE CA 92867
PLACENTIA CA 92870
Phone:
Phone: 714-993-9715
Phone:
State Lic:
Applicant: ROOFING STANDARDS INC
Con State Lic: 741302
Engineer:
Address: 930 LAWRENCE ST
Lic Expire: 0513112019
Address:
PLACENTIA CA 92870
Bus Lic: BT30064518
Phone: 714-993-9715
Lic Exp Date: 0913012019
Phone:
State Lic:
Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V-B
Carrier: CA INSURANCE
Address:
Occupancy Group: R2
Policy No: 4683206601
Added /New sq.ft. Bldg: 0
Expire: 11/0112018
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 8
Building Setbacks Rear: /
Front: /i'J
Special Conditions:
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Bldg Height: 0
Left: /
$,(`
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone: Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $23,500.00
Building Permit Fee: $304.00
Excise Tax: $0.00 Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee : $0.00 Plan check Fee:
$0.00
Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee: $0.00 Fair Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant : $0.00 SJH Trans :
$0.00
Demolition Fee
Record Management: $0.00
Grading Permit Fee: $0.00 In -lieu Housing Fee:
$0.00
Building Dept Action
$0.00
Energy Compliance: $0.00
Grading PC Fee: $0.00 Public Works Department-
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee: $0.00 Park Dedication:
$0.00
Refund Deposit
$0.00
Disabled Access: $0.00
PM Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %: $0.00 San Dist:
$0.00
Building Green Fee : $1.00
Mechanical %: $0.00 NMUSD Fee:
$0.00
$0.00
Plumbing %: $0.00
$0.00
TOTAL FEE : $305.00
Plan Check Fee : $0.00
Fee Due at Permit Issuance : $305.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING 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 Ccntractors 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 rhs- re-4 il-es c perrr,It 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their cole cumpensatipn, will do L` ral ofor�_) 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 rot apply tc an owner or nroperty 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).
❑ 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 legalh
sell a structure that I have built as an owner -builder if h 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 CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 Divi on 3 of the Business and Profe o sions ense is in full force
and effect. License Class License No Dat J Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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
glii ormance of the work for which this permit is issued. Policy No.
an6will 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:
is of Agent
certify that, in the performance of the work
if I should become subject to the woZ=
of
Policy Number
Date
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
npensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
Datq -�, ZZo �d
CLARATION REGAFF61 13 CONSTRUCTION LENDING AGENCY
Ireby 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
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 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 and state laws relating to building construction.
I authorize representatives of this city or county to enter ed property for inspection purposes.
nature of Prnoertv Owner or Authorized ADent\ ) /_Zi Print Property Owner's or Authorized Agent's Name,
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS
lS NOTIFICATION IS NOTTAP�PUCABLE TO
DEMOLITION _�_t—)
Civil Code).
Date