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Home My WebLink AboutX2021-2207 - PermitsCity of Newport Beach - Building Division *X202�-2207* COMB Permit: X2021-2207 100 Civic Center Drive, Newport Beach, CA 92660 Project No N " ` Permit Counter Phone (949)644-3288 r% INS�� " x Inspection Requests Phone (949)644-3255 [ �1 �J d j r:,�,y,u,,.• Combination Type - CIP Issued Date :spection Area rea : 2021 : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/19/2024 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: 2101 E COAST HWY NB Description: COMM REROOF T/O LAYER OF GRAVEL, INSTALL 1 LAYER OF CAP SHEET & 60 MIL TPO COOL ROOF CRNC # 0628-0002 94 SQS CLASS A , Legal Desc.: P BK 152 PG 28 PAR 1 - - - Owner: 2101 ECH LLC Contractor: COASTAL ROOFING CO INC Architect: .' Address: 2101 E COAST HWY #300 Address: 3303 HARBOR BLVD SUITE G-4/5 Address: CORONA DEL MAR, CA 92625 COSTA MESA CA 92626 Phone: Phone: 714-842-2830 Phone: State Lic: • - Applicant: COASTAL ROOFING CO INC Con State Lic: 767366 Engineer: Address: 3303 HARBOR BLVD SUITE G4/5 Lic Expire: 12/31/2021 Address: COSTA MESA CA 92626 Bus Lic: BT20080401 Phone: 714-842-2830 Lic Exp Date: 07/31/2022 Phone: State Lic: .' Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: 1-8-SPR Carrier: AMERICAN ZURICH INS CO Address: Occupancy Group: B Policy No: WC01897143 Added /New sq.ft. Bldg: 0 Expire: 12131/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 4 Building Setbacks Rear: / Special Conditions: No of Units: 0 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $23,500.00 Building Permit Fee: $487.00 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 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 PAN 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 : $488.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $488.00 PROCESSED BY: A 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 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 .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 Orofessions 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 sole compensation, will do U all of or I_) 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 is an owner m property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from Iicensure under the Contractors' State License Law for the following reason: jiy ipy 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 legally sell a structure that I hcve 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 "rc°ess!cns Code, is a''ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gOV/C21aw.htmi. Signature of Property Owner or Authorized Agent Date "IC.LNSED CONE RmCTOR'S DECLARATION iureLy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 00 of Divisio 3 of the Business and Prof ode, an y licens in full force r. c cf`cct. License Class License No Date Contractor Signature .VORKcRS' COMPENSATION DECLARATION ,4; %NAG. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN D TH 0 DOLLARS I8100,000I, IN ADDITION TO THE COST OF COMPENSi T10N. i)AMAGES 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: I 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, performance of the work for which this permit is issued. Policy No. Xs have 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' compensatior rance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance of the 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 that, if 1 should become ubject t ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applican � ^T^ .. ^f ,. Data %q Z :reby affirm and pe perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 owners 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 ds to laws relating to building construction. I authorize representatives of this city or counnty�° a above-itified property for inspection purposes. nature of Property Owner or Authorized Agent lC J = P'Z roperty Owner's or Authorized Agent's Name ACTION PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE BY�c ARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE =Z�u I SUBMITTED ASBESTOS NOTIFICATION TO EPA AQM D ASBESTOS NOTIFICATION IS NOT APPLICABLE TO