HomeMy WebLinkAboutX2018-1508 - Permits�,gw1•o City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-1508
.� .A 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 1 5 0 8 Project NO
Permit Counter Phone (949)644-3288
"v 45 Inspection Requests Phone (949)644-3255
Issued Date : 05I16/2018
Combination Type - MFP
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: 2632 VISTA DEL ORO NB
Description: MFR DET. GARAGE, REMOVE/REPLACE 5 SQ OF TORCH DOWN, MIN. CLASS'B'
Legal Desc.: N TR 6996 LOT 37 "r
Owner:
WEBB MAUREEN FAMILY
Address:
2021 VISTA CAUDAL
NEWPORT BEACH, CA 92660
Phone:
Applicant:
CALIFORNIA ROOF LIFE CO INC
Address:
8941 MINT AVENUE
WESTMINSTER CA 92683
Phone:
714-847.7663
Code Edit : 2016
Type of Construction: VB
Occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 1
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
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:
GRADING APPROVAL:
Contractor:
CALIFORNIA ROOF LIFE CO INC
Address:
8941 MINT AVENUE
WESTMINSTER CA 92683
Phone:
714-847.7663
Con State Lie:
509623
Lie Expire:
0413012019
Bus Lie:
BT30068654
Lie Exp Date:
0413012019
Worker's Compensation Insurance
Carrier: STATE COMP INS FUND
Policy No: 9086375
Expire: 0110112019
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Architect
Address:
Phone: State Lie:
Engineer:
Address:
Phone: State Lie:
Designer:
Address:
Phone:
Special Conditions:
Hazard
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $0.00
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:
Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$305.00
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
1e 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).
7 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,
lusiness 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
nprovements 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
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).
7 1 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 legall,.
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:http://w .leginfo.ca.gov/calaw.html.
'signature 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 Div'6ion of the Business and Profes iGT e, and m is a is in Vforce
nd effect. License Class License No Dat / Contractor Signatur
VORKERS' COMPENSATION DECLARATION
'ARNING: 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
OST 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:
iI 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
rformance of )"ork for which this permit is issued. Policy No.
II have and wN maintain workers' co ensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
nsurance carrier d policy number a
carrier LtF�INIu� b Expiration Date
Jame of Agen Phone #
:3I certify that, in a performance of th work for which this p r t 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,
hat, if I should become subj a orkers' com/ensati ision Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r
Signature of Applicant C ae 'S �6//k
)ECLARATION REGA C STRUCTI LEN AGENCY
hereby affirm under penal perjury that th re is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
_ender's Name Lender's Address
3y 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 ordinan s and state laws Iating to building construction.
I authorize representatives of this city or count to en bove-ide ti ' ope r inspection purposes. I _
signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Na ✓+2�Y V� 12't Lr Cat /6 /
ACTION DATE BY DECLARATION q COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITC4NCELLED LJEPA
PERMIT EXTENDED QMD
PERMITFINAL DASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF l PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: