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Home My WebLink AboutX2019-1164 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 r. rr Permit Counter Phone (949)644-3288 v. at Inspection Requests Phone (949)644-3255. Combination Type -SFP COMB Permit: X2019-1164 X 2 0 1 9 1 1 6 4�4III Project Issued Date : 04111/2019 Inspection Area : 8 - PERMITS EXPIRE 980 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: 20172 CYPRESS ST NB Building Permit Fee: $324.00 Excise Tax:. $0.00 Planning Department - Description: SFR REROOF TIO COMP SHINGLES AND REPLACE W/ COMP SHINGLES CLASS "B"40 SGS Fire Department Plan Check Fee: $0.00 Legal Desc.: TR 706 LOT 175 NELY1/2(AND SWLY 12 FT LOT 176 Additional Fee : , P Plan check Fee: $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: Owner: HUGHES JOHN IL Contractor: CALIFORNIA ROOFING Architect Fire Plan Rev $0.00 - Address: 20172 SW CYPRESS ST Address: 21746 HERENCIA Address: $0.00 SJH Trans: $0.00 - NEWPORT BEACH, CA 92660 MISSION VIEJO CA 92692 Record Management: $0.00 Grading Permit Fee: Phone: Phone: 949-951-9091 Phone: State Lie: $0.00 m. o 0 Energy Compliance; $0.00 Grading PC Fee:. $0.00 .... • • Applicant:. CALIFORNIA ROOFING Con State Lie: 371530 Engineer. CA Seismic Safety: ° °O • e e Address: 21746 HERENCIA Lie Expire:03/31/2021 Address: Refund Deposit • e • ° MISSION VIEJO CA 92692 - Bus Lie: BT30063999 e o o e Phone: 949-951-9091. Lie Exp Date: 0713112019 Phone: State Lie: a..... Electrical %m:. $0.00 San Dist: $0.00 Code Edit: 2016 Workers Compensation Insurance Designer. $0.00 NMUSD Fee: $0.00 Type of Construction`. V -B Carrier: CALIFORNIA INS Address: - ° °mmmoo Occupancy Group: R3/U Policy No: 468372650105 $0.00 Added /New sq.ft. Bldg: 0 Expire: 03/0112020 Phone: $0.00 Fee Due at Permit Issuance : $325.00 Added /New sq. ft. Garage: 0 PUBLIC WORKS APPROVAL: No of Stories: 1 Building Setbacks Rear: / Special Conditions:m . o 00000 No of Units : 1 Front: / GRADING APPROVAL: _ Bldg Height: 0 Left: ( M Bldg Sprinklers: Right: Flood Zone: Use Zone:. Parkina Soaces: 0 Fire Hazard Zone : N Construction Valuation: $16,000.00 Building Permit Fee: $324.00 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 Feer $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 P/W Plan Check: $0.00 Grading Bond: $0.00. Hazardous Mat $0.00 Electrical %m:. $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: $325.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $325.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: ( M 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 itemJJ�. (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 ag2atrit 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 penalt� of not more than five hundred dollars ($500). ❑ 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, 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 im roved 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 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. I understand that a copy of the applicable law, Section 7044 of the Business and Professigps Code,•i5 2Cailable upon request when this application is submitted or at the following Web site:http://v w .leginfo.ca.gov/calaw.html. Spt mil of ProperVwner or Authorized Agent Date LIqENPED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Division 3 of the Business and Professio C de, nd my lice orce aAd effect. License Class License No Date - - Contractor Signature NaRKKbRS' CBMfs ASATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS ($41N IN ADDITION TO THE Ca91•:COMPENSATION, MANAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. �Ny7erBhyaffirm under penalty of perjury one of the following declarations: 3 :14a'Vp 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 3Qrformallce of M9 fltbrk for which this permit is issued. Policy No. •••• 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' compensatiol ns • 68e carrier wW:pp> cy number are: ie of Agent certify that, in the p, . if I should become of Applicant Policy Number Date 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' ompensation laws of California, and agre the -glwworkers'comOPens,(atio�n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. A � - � — D e_/ hereby affirm under penalty of perjury that there is a co truction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly 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 Pave provided is correct. I agree to comply with all applicable city and co ordinances and state laws relating to building construction. 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