HomeMy WebLinkAboutX2020-2319 - PermitsCity of Newport Beach - Building Division IIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-2319
100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 6 2 3 1 9 Project No: 1459-2020
H ' Permit Counter Phone (949)644-3288
-. Inspection Requests Phone (949)644-3255 Issued Date: 10/1212020
Combination Type - MFP
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1011312023 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: 515 AVENIDA LARGO NB
Description: MFR REROOF WI CLS"A" COMP SHINGLES (BACK PORTION ONLY) REMOVE TILE (9 SQS), INSTALL (4 SYLIGHTS (NO RAFTER CUTS) IAPMO E199
Legal Desc.: TR 5692 (L.L.84-214027) PAR 6 INSPECTOR
Owner: YANG-DAVIES FU
Contractor:
ROOF PRO
Architect:
Address: 515 AVENIDA LARGO
Address:
5941 KINGMAN AV #2 Address:
NEWPORT BEACH CA 92660
BUENA PARK
CA 90621
State Lie:
Phone:
Phone:
714-944-8340
Phone:
Applicant: ROOF PRO
Con State Lie:
1023092
Engineer:
Address: 5941 KINGMAN AV #2
Lie Expire:
01/31/2021
Address:
,
BUENA PARK CA 90621
Bus Lie:
BT30073201
Phone: 714-944-8340
Lie Exp Date:
10131/2021
Phone:
Code Edit : 2019
WorkerCompensation Insurance
Designer:
9
Type of Construction: VB
Carrier:
STATE FUND
Address:
„
Occupancy Group: R21U
Policy No:
9170896
Added /New sq.ft. Bldg: 0
Expire:
12/0612020
Phone:
Added /New sq. ft. Garage: 0
1
Building Setbacks
Rear: /
Special Conditions:
PLAN ATTACHED
No of Stories:
No of Units : 3
Front: I
'
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Use Zone: Parkinq Spaces:
0 Fire Hazard Zone :
N
Flood Zone:
Construction Valuation: $6,000.00
Building Permit Fee: $470.00
Excise Tax:
$0.00
$0.00
Planning Department-
Plan check Fee: $0.00
Fire Department
Fire Inspection:
$0.00
Plan Check Fee: $110.49
Ck: $0.00
Additional Fee:
Grading Bonds Fee:
$0.00
Fair Share : $0.00
Fire Plan Rev
$0.00
Overtime Plan
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00
$0.00
Demolition Fee
Building Dept Adm
$0.00
Record Management: $0.00
Grading Permit Fee:
Grading PC Fee:
$0.00
$0.00
In -lieu Housing Fee:
Public Works Department -
General Service
$0.00
Energy Compliance: $0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
$0.00
Disabled Access : $0.00
PNV Plan Check: $0.00
Grading Bond:
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
$0.00
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE : $581.4
Plan Check Fee
: $0.00 Fee Due at Permit Issuance :
$581.49
PUBLIC WORKS APPROVAL:
PROCESSED BY:
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 stmcture, 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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 Iicensure 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:hftp://www.leginfo.ca.gov/Galaw.html.
Signature of Properly Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f ivisio 3 of the Business d Profession Code and my lice is in full force
and effect. Licence Mass License No Contrac Ignature 1
hOKKERS' COMPENSATION DECLARATION
NAPNING FAILURE Til SFGURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP T ON UNDRED THO ND DOLLARS (E'IOU,O 1, IN ADDITION TO THE
'PST OF C')MPENSATION, DL MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm undsr pnralty of perjury one of the following declarations:
1 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 thI
Ilrtormance of the work for which this permit is issued. Policy No.
and will ma'ntrin 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'
carrier and poicy number are:
ie of Agent
certify that, in the performance of the work for
if I should become subj ct to th workers' cc
lature of Aunt n j _C"A
Policy Number _ Expiration Date
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
hereby affirm under pen Ity of perjury that there is Wconstruction lending agency for the performance of the work for which this permit is issued (Section
ender's Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the propert
I have read this application and the informatio rovided is correct.
I agree to comply with all applicable ci c umy ordinances and state lawYlating to building construc
I authorize representatives of this my t nter th above-identifiedertyfor inspection purposes. �� ®
ignature of Property Owner or A. orize ant A 17 I stand
/ n_ Print ProDertv Owner's or thorized ah er�tr�Namo I \,
ACTION
PERMIT EXPIRED
OF COMPLI# CE WITH CODE OF FEDERAL
PART610F ITLE 40 AND AQMD RULE
SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED MD
PERMITFINAL Q(/j tZ ES70 OTIFICATION IS NOT
CERTIFICATE OF O EMDyTI N p
OCCUPANCY ISSUED �p 11111TI 1 /I i P d
FOR OFFICIE USE
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