HomeMy WebLinkAboutX2018-3237 - Permits (3)rENt„Q City of Newport Beach - Building Division
o� 100 Civic Center Drive, Newport Beach, CA 92660
ti Permit Counter Phone (949)644-3288
`v $ Inspection Requests Phone (949)644-3255
e'r4rinK•° Combination Type - SFP
IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-3237
X 2 0 1 8 3 2 3 7 Project No :
Issued Date : 1013012018
Inspection Area : 8
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 15 BELCOURT DR NB
Description: SFR REROOF T/O WOOD SHINGLES AND REPLACE W/ BORAL SAXONY 600 ESR - 1647 5.7 PSF CLASS "A" 38 SQS
Legal Desc.: N TR 11449 LOT 20
Owner: BOSKOVIC MILOS Contractor: R C ROOFING Architect:
Address: 15 BELCOURT DR Address: 7322 21 ST STREET #9 Address:
NEWPORT BEACH, CA 92660 WESTMINSTER, CA 92683
Phone: Phone: (714) 248-2504 Phone: State Lic:
Applicant:
CASTELLON RAMON
Address:
7322 21 ST ST APT 9
WESTMINISTER, CA 92683
Phone:
714-248-2604
Code Edit: 2016
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
11 Construction Valuation:
Building Permit Fee: $324.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$I'd
11 TOTAL EE : $325.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
1001384
Lic Expire:
02128/2019
Bus Lic:
BT30064966
Lic Exp Date:
1013112019
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9124941
Expire: 0211412019
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbinq %:
Rear: I
Front: I
Left: I
Right: I
'arkina Soaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
0
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$325.00
PUBLIC WORKS I
PLAN CHECK BY:
State Lic:
Fire Department
$0.00
Fire Inspection:
$0.03
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
- $9:Q0
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $0.00
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
ie 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
Irofessions 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
of 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,
lusiness 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
nprovements 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
nproved for the purpose of sale).
1, 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
pply 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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,
ell 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
Irofessions 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 Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 _i i ion of the Business and Pro ss" Code, an S full force
nd effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
erfnmD eQce of the wc-k for which this permit is issued. Policy No.
and Wil 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'
carrier cnd policy number are:
Policy Number
c`. Agent
Date
:1I certify that, ii' the Performance of the work f whi "it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
hat, if I should become sub' t to the worker com ati provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
3ig:ida, a of Applicant.
IECLAPATION ^7-3aZ ING CONSTRUC Cy /
hereby affirm under penalty of perjury that there is a Q6nstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
.ender's Name _ Lender's Address
Iy my signature Leluw, 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 and county ordinances and laws relating to building construction. ��7
I authorize representatives of this city or cNnty ja'Lylter the abgve ifi d property for inspection purposes. _ ��., �,, ,ir J-Z f%✓(
ACTION DATE RV 1� REGULATIONS PA T 61 OFTIITLE 40 AND QMD RULE
CE WITH CODE OF RAL I FOR OFFICE USE ONLY
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
OEPA
PERMITEXTENDED
QMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCYWUED
01/07/11
ASBESTOS TIFIC 1 OTAPPUCABLE TO
PRO SED MOLIT
SIGNATI IRF