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Home My WebLink AboutX2019-0593 - Permitswr City of Newport Beach - Building DivisionIIIIIIIIIIIIIIIIII�III�IIIIII'I'IIIIIIIIIIIIIII II COMB Permit: X2019-0593 n • 100 Civic Center Drive Newport Beach, CA 92660 x 2 0 1 9 0 Project No h - Permit Counter Phone (949)644-3288 inspection Requests Phone (949)644-3255 'r'^'4rsnx> Combination Type - MFP Issued Date : 02/2512019 Inspection Area : 1 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: 1015W BALBOA BLVD NB - Description:. MFR RE -ROOF W/BUR,. TIO SUR (9 SF) (REAR UNIT ONLY) Legal Desc.: N.TR 234 BLK.10 LOT 20 r.. ml�N' NN � Owner: KEITH THE DOOLITTLE Contractor: CURTIS ROOFING Architect: Address: 15476 ROJAS S7 Address: 163 DUMOND DR Address: , `tL"-3 Vk HACIENDA HEIGHTS CA 91745 LACUNA BEACH CA 92651 a 8ar� Phone: Phone: 949.702-2471 Phone:. State Lic - ,Applicant:.. CURTIS ROOFING - Con State Lic: 647204 Engineer. Address: 163 DUMOND DR Lic Expire:., 06/30/2020 Address: LAGUNA BEACH CA 92651 Bus Lic BT30066187 Phone: 949.702-2471. Lic Exp Date:- 02128/2020 - Phone: State Lic: Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: STATE COMP INS FUND Address: Occupancy. Group: R3IU Policy No: 9168751 Added /New sq.ft. Bldg. 0 Expire:05/01/2019 Phone: Added/News ft. Garage: 0 No of Stories: q 9 2 Building Setbacks Rear: / Special Conditions: No of Units : ' 1 Front: l ° ° Bldg. Height: 0 Left: l Bldg Sprinklers: Right: l Flood Zone Use Zone: Parking Spaces: 0 Fire Hazard Zone : H Construction Valuation: $3.500.00 ...... 000 Building Permit Fee:. $324.00 Excise Tax: , $0.00 Planning Department - Fire Department o°oo.° 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 : $0.00 Fire Rev o `$Q.8(1 Investigation Fee: $0.00Grading 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 °°.^Has em°°q° - 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 Disabletl Access $0.00 P/W Plan Check: $0.00 Grading Bond: ' $0.00 Hazardous Mat $0.00 Electrical .°/ a: $0.00 Sad Dist: $0.00 Building Green Fee: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE i $325.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $325.00 PROCESSED BY: ZONING APPROVAL: r-nnmldr- A000M/AI PUBLIC WORKS APPROVAL:. PLAN CHECK BY: 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 items) (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 applAant 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 L) all of or L) 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 licensure 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 legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property 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 Di Ision 3 of the Business and Profes e, y license is in full force and effect. License Class License No �S ! Contractor Si e WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR D T USAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under genaity of perjury one of the following declarations: ❑ 1 have and F 1:wamtain 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 t11ip wgrli for which this permit is issued. Policy No. •. I have and wlll.maln;in 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' compensatiol pSlgarfbe carrier Bad policy number are: O 9 Carrier'. rA-n& F1 L4 _ Policy Number sn.&7jz Expiration Date Na%edf.Agent•••• • Phone# 01 pgriify that, iDlIe ftformance oZworke' hich this permit is issued, I shall not employ any person in any manner so as to become subject to thew kers' compensation laws of California, and agre that, if I should tRc RIE subj ct to thpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisionsSigne o plicantDA 10 DI G CONSNDING AGENCY / 14g�4y gffirm udder peA ty 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). I andar'c Flame •• Lender's Address 3yVy'E ignature biil certify to each of the following: I am the property owner or authorized to act on the property owner's b If. I have read this application and the information I have provided is co e I agree to comply with all applicab a city and county online ce n st a laws relating to building construction. '.. I authorize representatives of s City or county to an -i tified property for inspection purposes. ii nature of Property Owner orized Agent Print Property Owner's or Authorized Age ACTION DATE BY f I D CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 'i GULATIONS PART 63 OF TITLE 40 AND AQMD RULE PERMITCANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DS NOTIFICATION IS NOT 7PLICABLE TO DEMOLITION /