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Home My WebLink AboutX2020-2446 - PermitsCity of N4wport Beach - Building Division 100 Civic Cen� Drive, Newport Beach, CA 92660 Permit Counta Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination ype - CIP Job Address: 1300 N BRISTOL Description: COMM REROOF Legal Desc.: P BK 49 PG 18 P Owner: HILBERT BRISTOL III �X 2 0 2 0 2 4 46 III COMB Permit: X2020-2446 Project No : Issued Date: 1012612020 Inspection Area : 7 i 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/27/2023 OR Sundays PERMIT WILL BE INVAL �n 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 or Holidays NB TALL SINGLE PLY A 15 MIL TPO MEMBRANE ROOF SYSTEM OVER ONE EXISTING LAYER OG B.U.R ESR #1463 CRRC# 0738-0002 253 SCI Contractor. SHELL ROOFING SOLUTIONS GROUP Address: 4790 CHINO AVENUE SUITE A Address: 1300 BRISTOL ST N #190 CHINO, CA 91710 NEWPORT BEACH, A 92660 Phone: 909393-1400 Phone: Applicant: SHELL ROOFINGSOLUTIONS GROUP Con State Lic: 973642022 Address: 4790 CHINO #A Lic Expire: Bus Lic: BT3007223 CHINO, CA 91710 Lic Exp Date: 1013012021 Phone: 909-660-151521 2019 Worker's Compensation Insurance Code Edit: Carrier: STARNET INSURANCE CO Type of Construction: V-NSFR Policy No: BNUWC0152066 Occupancy Group: B Expire: 0910112021 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 Building Setbacks Rear: I No of Stories: 2 Front: I No of Units : 0 Left: / Bldg Height: 0 Right: I Bldg Srrinklers: 7,,— parking Soaces: 0 Valuation: Building Permit Fee: $1 Plan Check Fee: $0.00 Overtime Plan Ck: Investigation Fee: Record Management: Energy Compliance: CA Seismic Safety Disabled Access Hazardous:Mat Building Green Fee : TOTAL FEE: $1,004.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Address: Phone: Engineer: Address: Phone: Designer: Address: Architect: State Lic: State Lic: . Phone: Special Conditions: ENERGY FORMS ATTACHED Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant: $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WO Insp. Fee: $0.00 PNV cation Plan l Check : $0.00 $0.00 Electrical %: $0.00 San Dist : $0.00 $0.00 Mechanical %: $0.00 NMUSD Fee: Plumbing %: $0.00 Zone : 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 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,004.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 that requires a permit to construct, 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 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 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 legall 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 D.cp,�i, Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION Date I horsby affirm' under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of Division 3 of the Business and Pr sio s de, and y license is in full force and etfect. Licence Class License No Date a—U-1 Contractor Signature A'ORKERS' COMPENSATION DECLARATION NARNMG: FgILUR'c T(1SPCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PE LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000I, IN ADDITION TO THE :OST OF COMPENFPTION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. he;Lby affirm I'rdn- penalty of perjury one of the following declarations: �1I hive ant 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 0lmance of th) work for which this permit is issued. Policy No. har.e 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' ,ante carrier and policy number are: Policy Number of Agent _ Date I certify that, in the perfo mance of work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' OmpenSation I2WS of California, and agre t, if I should becom S JeC1 tOnt W kers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant OF �,`Z� CLARATION REGA IN .,N LENDING AGENC D !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 309 , ivil 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 owner's behalf. I have read this application and the information/I have provided is correct. I agree to comply with all applicable city an co�nty ordinan s and state laws relating to building construction. I authorize representatives of this city or coI to enter/ ve-identified propertv for inspection purposes. f �_ �_ L� � / Tature of Property Owner or Au}hnri,, Ar,em _ P ACTION DATE BY PERMIT EXTENDED PERMIT FINAL I CERTIFIC4TEOF OCCUPANCY ISSUED Ur LUMPLIANCE WITH CODE OF FEDEI PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO IS NOTAPPLICABLE TO FOR OFFICE USE ONLY