HomeMy WebLinkAboutX2020-1678 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIiIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2020-1678
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 6 7 6 Project No:
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
`:,c,cOnYt' Issued Date
Combination Type - CIP
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY
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: 3135 E COAST HWY NB
Description: COMM RE -ROOF 11 SQ. T/O B.U.R.
RPLC DAMAGED WOOD
AS NEEDED. INSTL 28# BASE B.U.R. & 72# CAP SHEET b(el bU21
Legal Desc.: TR 323 LOT 3 BLK I SLY 25.82 FT
Owner: WHITESELL BARNEY B
Contractor:
COVER RIGHT ROOFING INC Architect:
Address: 3136 E COAST HWY
Address:
14262 ALLEMAN PLACE Address:
CDM CA 92625
SANTA ANA CA 92705
Phone: 949-887-4714
Phone:
714-832-0113
Phone:
State Lie:
Applicant: BARON CRAIG
Con State Lie: 615852
Engineer:
Address: 8227 E TIMBERLAND AV
Lie Expire:
03/3112022
Address:
ORANGE CA 92869
Bus Lie:
BT30071653
Phone:
Lie Exp Date:
04/3012021
Phone:
State Lie:
Code Edit, 2019
Worker's Compensation
Insurance
Designer:
Type of Construction: V-B
Occupancy Group: B
Carrier:
Policy No:
CA INS CO.
460024880201
Address:
�^
Added /New sq.ft. Bldg: 0
Expire:
01101/2021
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: I
Special Conditions: HIGH
DENSITYNo
of Units: 0
Bldg Height:: 0
FLeft: Iront: I
NOISE
NO CONS TRUCTiON lJJ
Bldg Sprinklers:
Right: I
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $9,350.00
_
S
Building Permit Fee: $235.00
Excise Tax:
$0.00
Planning Department -
Fire DepartmentON SA*TURDA 1`y
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: KOO
Fire Plan Rev $0.00
Investigation Fee: $O.m
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 Adm $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
P/W Plan Check : $0.00
Grading Bond: $0.00
Hazardous Mal $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 : $236.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance : $236.00
PROCESSED BY:
PUBLIC WORKS APPROVA'_:
_
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE: _____
1 hereby affirm under penally of perjury that I am exempt Irom the Contractors' Stale License Law for The reasoms) indicated below by the checkmadi s) I have placed next to the applicable itemis)
Secuon 7031.5, Business and Professions Code: Any City or county that requires a permll 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' Stale License Law (ChaplEr 9 (commencing wilh Section 7000) of Division 3 of the Business and
Trofassions Code) or that he or she is exempt from licalsure and the basis tar the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
lot more than five hundred dollars ($500).
7 I, as Owner at The property, or my employees with wages as Iheir sole compensation. will do (_) all of or (_) portions of the Work, and The structure is not intended or offered lot sale (Seclldn 7044,
3Usiness and Professions Code: The Contractors' Stale License Law does not apply to an Owner of properly who, through employees' or personal effort, builds or improves The property, provided that the
mprovemenls are not intended Or offered for sale. II, however. the building or improvement Is said within one year of completion, Ina Owner -Builder will have the burden of proving that 11 was not built of
my"ved for me purpose of sale).
I. as owner of the property, am exdusmaly contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Coda: The Contractors' Slate License Law does Trot
apply to an owner of property who builds or Improves thereon, and who contracts for [he projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
1 am exempt from llcensure under the Contractors' Stale Licame Law for the lodowing reason:
3y my signature below I acknowledge (hat, 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
fell a structure that I have bulll as an owner -builder if IT has riot been constmoted In Its entirely by lic rased contractors. I understand That a copy of the applicable law, Section 7044 of the Business and
'rofessluns Code, is avauable upon request when this application is submitted or at the following Web sile:httpyAv .leglnlo.mgovlcalaw.hlml.
3igmtura or Property OARED, or Authorized Agent
-----oats, .. -------..__..---_._-
LICENSED CONTRACTOR'S DECLARATION
hereby amrm untler penalty of Perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 GI the Business and Professions Code, and my acense Is in has ome
and effect. License Class License No - Date Contractor SlgnalufX_____
NORKERS' COMPENSATION DECLARATION
VARNReo FANUNE TO SEGURE WORKERSCOMPENSATION COVERAGE Is UNLAWFUI. AND SHALL SUBJECT AN EMPLOYED TO CHW L PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS eflWAWA IN ADODeN TO THE
:DST OF COMPENSATI25I&AIAGES AS PROVIDED FORM SECTION 37W OF THE LABOR GODS INTEREST, AND ATTORNEYS FEES
hereby alfifmity of perjury one of the Iollowing declarations'
I111111i a cartllicale of consent to soil -Insure fair workers' compensation, Issued by the Director of Industrial Relations as provided for by Secuon 3700 of the Labor Code, tot
work [or which this permit is Issued. Policy No.
have and will maintain workers' compensation Insurance, as required by Section 3700 of The Labor Code, lot the perlormance 01 the walk for which this permit is Issued. My workers'
I - Gamal alu nay uumual mq.
Policy Number � Z "d V Z Expiration Dale
of Agent _14 Ltf( LY .. Phone!
rarity, that, In the performance of me 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 work r^' compensation provisions or Section 3700 or The Labor Code, I shall Imthwith comply with those provisions. -T
nature of Applicanly( !� Da t / /Z VZ,6Z.6
CLABATION BEGiI IEiD NG CONS UCTION LENDING AGENCY
ueby amrm under penalty of perjury hat there is a conslmcRon lending agency for the penonnance of the work lot which this permit is Issued ISeclion 3097. CTwI COURT.
KNN's Name Lender's Address
._.._�—_-_.—.—_ —_.
my signature below, I cemty ro each of the following:
I am the property owner of 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 tg onJe�ga @bW ihed property for inspection purposes. /� C:lGtyl�i ��G'V� D �/ L3�ZOli1 nature of Prooerty, Owner or Auttanzetl ADent X I r Print Propene Ownar's or Authorized AOenl's Name - alA� 7�
ACTION I DATE I 6Y
PERMIT EXPIRED
PERMITCANCELLED
CERTIFICATE Of Y I r 1 4 5
OCCUPANCY ISSUED
REGULATIONS PART fit OF TITLE 40 AND AOMD RULE
1403
1 SUBMITTED ASBESTOS NOTIFICAtION TO
NOTIFICATION IS NOT APPLICABLE TO
FOR OFFICE USE ONLY