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Home My WebLink AboutX2017-3587 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 � Permit Counter Phone(949)644-3288 ` Inspection Requests Phone (949)644-3255 Combination Type - BLDG *X20173587* COMB Permit: X2017-3587 Project No : Issued Date : 11107/2017 Inspection Area : 4 • e " e • , e meee•o ,ee000 e • e Applicant: LIVINGSTONE TERRY Address: 120 TUSTIN AVE #C NEWPORT BEACH CA 92663 Phone: 949-645-0104 Code Edit : 2016 Type of Construction: V -B Occupancy Group: R31U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. - •• Overtime Plan Ck: • Construction Hours: Monday Friday7:00 a.m. to 6:30 •m. and Saturdayfrom 8:00 a.m. to 6:00 •m. No work on Sundays orHolida se° ° °, Jab Address: 9 LOCHMOOR LN NB , "OO ° e ° °° Description: SFR REROOF INSTALL BORAL CEDARLITE 600 5.8# ESR -1647 56 SQS OVER 2 LAYERS 30# FELT TEAR OFF SHAKEO"" A Legal Desc.: N TR 7223 LOT 95 4- � $0.00 Hazardous Mat � p le 1 a omeee Owner: DIESEL JOHN C Contractor: NEWPORT ROOFING INC Architect �, a e,,7 ;1 e ••e . o Address: 9 LOCHMOOR LN Address: 120 TUSTIN AVE #C Address: �; • _ .... - o• • Y e. " o NEWPORT BEACH CA 92663 NEWPORT BEACH CA 92663 "•e•oc Phone: Phone: 949-645-0104 Phone: "°° ° State Lic: e " "• $0.00 $0.00 O • e Applicant: LIVINGSTONE TERRY Address: 120 TUSTIN AVE #C NEWPORT BEACH CA 92663 Phone: 949-645-0104 Code Edit : 2016 Type of Construction: V -B Occupancy Group: R31U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $304.00 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 : $4.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 524454 Engineer: Lic Expire: 02128/2018 Address: Bus Lic: BT00008506 Lic Exp Date: 1 0131/2 01 8 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP Address: Policy No: 9161897 SJH Trans : Expire: 07/0112018 Phone: Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I State Lic: Special Conditions: LANDSLIDE AREA Fire Hazard Zone : $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $0.00 Public Works Department- General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $308.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER 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(:) Section 7031.5, Bustless and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for ie permit to flle s 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 'rofessions Code) orthat 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 dtMore than•fivetlbQdred dollars ($500). a 1, -as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, IdskWU 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 proyementsare notintended 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 "Gose of sale). *�I� �s Own erofihe property, am exclusively contracting with licensed Contractors to to the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply loan owlT2r of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). .YI I arra exempt from licensure under the Contractors' State License Law for the following reason: i3 my s+gnature QClp`0'i ocknowledga 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 ell a structure that I hdVe built as an owner -builder if it has not been ConstructeIn its entirety by licensed contractors. I understand that a copy of the applicable law, Sectmn 7044 of the Business and IM Mons Code, i"veilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. (igr+ratere of Prct)^ 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 0 f DOS on 3 of the Business and Prpfgssi COcense is in full force nd effect. License Class License No Dat / Contractor Signatur �/ IIORKERS' COMPENSATION DECLARATION DARNING: 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 ($700,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty 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 thr erfgrmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: of Agent Policy Number Expiration Date Phone # certify that, in the performance of the work r 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 agrer should Applicame subject works compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Data±_ 2�Z 41 CLARATION REG G C TRIyC' ON LENDING AGENCY i :reby affirm under penalty of 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 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 a state laws relating to building construction. I authorize representatives of this city or couk`tyJ1n enter the a -I entified property for inspection purposes. / (��//!� ��7 mature of ProDertv Owner or Authorized Aoent ty '%�-, i4 Print Prooertv Owner's or Authorized Aqent's Name Of"I✓1. j/2l45;rT Datenl -2 ACTION DATE BY REGULATIONS OF COM LIANCE 40 AND DE OF RUDERAL I FOR OFFICE USE ONLY I PERMIT EXPIRED U I SUBMITTED ASBESTOS PERMITCANCELLED EpA PERMIT EXTENDED OMD NOTIFICATION IS NOT AWLICABLE TO CERTIFICATEOF 1J 11•\� OCCUPANCY ISSUED - 1 9 .D a3 C1 N O e..t O 'Q E 01 m of E LL +,' ai O Ln 7 .� 'U a) o N N M N C N m o N N e. N C r E aa� N° 3 0 0�� .. � o c Y E m o c O o O y E s 3 `' L 10 e0. O N .aC_1 V >. 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