HomeMy WebLinkAboutX2021-3363 - Permits,4un' k City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
r
v. ,. Inspection Requests Phone (949)644-3255
Combination Type -CIP
*X2021-3363* COMB Permit: X2021-3363
Project No :
Issued Date : 0110412022
Inspection Area : 7
PERMIT EXPIRES 1B0 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 0110412025 OR PERMIT WILL BE INVALID
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: 3637 E COAST HWY INS
Description: COMM REROOF (50 SCAL RES) W/ POLYFRES KO SBS CLASS 'A' ROOFING SYSTEM (ICC-ESR-2018) CRCC# 0616.0011A.
Legal Desc.: N TR 323 BLK AA LOT 3
Owner: NELSHABOURI JALAL Contractor: COMPLETE ROOFING INC Architect
Address: 330 ORCHID AVE Address: 25350 MAGIC MOUNTAIN PKWY #300Address:
CORONA DEL MAR, CA 92625 VALENCIA CA 91335
Phone: Phone: 310-666-0573 Phone: State Lic:
Applicant:
COMPLETE ROOFING INC/NIR SHARVIT
Address:
25350 MAGIC MOUNTAIN PKWY #300
VALENCIA, CA 91335
Phone:
310-666-0573
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: B
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee: $534.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$0.00
Energy Compliance:
$61.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE : $597.00
PROCESSED BY:
ZONING APPROVAL:
Con State Lic:
1081899
Lic Expire:
0913012023
Bus Lic:
BT30077464
Lic Exp Date:
12/31/2022
Worker's Compensation Insurance
Carrier: STATE COMP INS FUND
Policy No: 9306103
Expire: 0912612022
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 W
Plumbing %:
Rear: /
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
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lic:
Special Conditions: HIGH DENSITY ZONE
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PM Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building DeptAdm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$597.00
OWNER -BUILDER DECLARATION
I herebyaf(rmunder pen atyofperjurythat I amexerrpt from the Contracbrs�Slate Lioense Law for the reason(*r icated bebw by the theckmark(s)Ihave pboedne# to the appioableitem(s)
coon 7039 .5, Business and Proiessons Code: Anyctyor eounprthat. requires a permit to construct alter, improve, demolsh, or repair anystructure. prior to its issuance, also requires fie appl'Icant br
permt to flea signed statement that he or she is icensed pursuant b the plo vsions of the Oontractcrs" Stag Lin ease taw (Chapter S (cormeenoing wilh Section 7000) of Dvision 3 of the Brrsiness and
es.sions Code) or that he or she is exempt from I censure and the basis far the alleged exemption. Any %iodatrono f Section 7031.E byanyappfcant br a perm[ subjects the appicant to a civi penalty of
more than five hundred dollars-15E0o).
1, as Owner of the property, or myemployfee wth wages as their sole compensation, will do (j at of or o portions ofthe work and the s t uc ture is not intended or offered b r sae (Section 7044,
dness and Professons Cade: The Contra cbrs State License Law does tat appfyb an owner of propertywho, through employees or personaleffort, buid s or improves the property, provided that the
Fovements are not inlerhded or ofered for sale. If, howeva,r, the twitting or improvement is saki within one year ofconVietb n, the Ow w-8urlterwil have the burden of proving that it was not butt or
roved tx the pu rp me of sale).
I, as owner of the properly a m exciusivety contracting with licensed Contracbrs to construct the project (Section 7044. Susness and Professions Code: The Conracbrs Slate License Law does not
y t) an Owner of propanywho buid s or improves thereon, and who contracts for the projects with a loaned Contracbr pursuant to the Contractors' State Lit>ensa Law).
I am exempt from f censure under the Contracfots State License Law liar time following reasDn:
Tysignatr rube low I aclaiow ledge that except br my pe rsonal residence n w hioh. I must have rvsrled. for at leastone year prior to completion of the improtemenls cover
a structure that I ha %e built as an Ow new builder ift has not been constructed in I understand that a copyof the applicable law. Section
essions Code. ;s available uponreque_ st w hen his apploaton is submitted or at tP _ fdba ing Web s7e hitp:.7'uww: t+3 rnfa: m.gavkataw.html.
oture of Prop2-t,,7w oet or Authoi¢ed Agent
crf fiED CON TRACTOR'S D ECLARAT ION
reby atim under penalty of per)rrytlhat I am licensed under p mmsbn5of Chapter 5 ( commencing with Section 7000) of Dyson 3 of the Business and Profess ions Code,
efLict. Lioerhge.Class License No Cate X 01/04/22 ContrabrSignatrrre X
IRhERS' COMPENSATION DECLARATION
Susiriessand
kcense is in fill
JK:FALtwF. ro SEGREVVIXWEtYCOMPENIIATION COVa"ErbVMLJ FU_AVD lV�LtLN3.ECi AM ENri0Y3t TO CRB1Iil1. PEftN.TEi AI+10CM FRlEP VPTOOIrE MIAlOF7l3)THOU INZ+DOX.LAii 1(6't00,mr4
r CGMPERL4n CLXDAMAAESAtPROVib®FORjet t@TM 170IOFTxiEI.A0811CCDEWEREIT.9Y0 ATrOPA EYS FEEL
rb,ra5rm underpenahyof perpry one of the folkrwing declarations:
�sv and wil maintain a cerofioate of consent to sef insure for war V:ers rxmpaansaton, iss Led by the Director of hdustrial Felatons as provided br by Section 3700 of the Labor Code, for
rr,xeofthexorkfarwhich thspermit isissued FafcyNo.
have and wrt, rasa elan w others' compensation assurance, as required by Section 3700 of the Labor Cbde, for the performance of the wank for which this pemt is issued. My workers' compensa
:zx.r� Carer and policy number are:
'a-r.. Polov Number Expiration Dar -
of Agent
UI cer* hat, n the perbrrtsnoe of the work for which this perm t is ssuad, i shal not employ anyperson in anyr anner sc as to b =come subject to the war Fars compensation Lawsof Cal; `Am e. and agro
that, E I should berme subject totheworkers oorpensationpronfsonsof Section 3703 of Labor Code, I shall forllwrrth complywrh those prOVGbrhs.
Signature ofApplcant X �.r,.�- CaX 01/04/22
I ECLA RATION REGA RDING CONST CTION LENDING AGENCY
I herebyaffirmtmder penaltyof perprythat there is a construction lervSng agency br the perbr aneeof thewor kfor which this permit is issued (Sermon 3CS7, Civil Code).
Lenders Nacre Lender's Address_
W rry signature betrw. I tier t fyto each of the followilag:
I am the propertyowner or autltoreed to act on the propertyowne rs behalf
I have read thisapplieationand the information I have provided ismrtect.
I agree to comply with all applicable city and countyomdinanoes and state laws relating to buki ng construction.
I author¢e mpresenta iv_ of this ctyor countyp enter he above--"vlenti5ed propertyfor inspection purposes. X
Sianattsa ofPmnartvbwnernr Arrthnmrvi Ars.nt X &A_-771 Abraham Malol ntn 01/04/22
FOR OFFICE USE ONLY
REGULATIOrIS PART£1 OFTf11E do AND ACMD RULE
14313
ra xdur rurnu /�r'y-v /y7 ASDESTOSNOTIFICAT1O/1ISNOTAPP11CABLE TO
CCRTIFICAZ OF 1 / `�// PROPOSED 0 EMOJ1fION
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