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Home My WebLink AboutX2019-1361 - PermitsI9 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII s° 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 to �. Permit. Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type- SFP. 1 3 6 1 COMB Permit: X2019-1361 Project NO Issued Date : 04129/2019 Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Investigation pee: $0.00 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 Record Management: Job Address: 2112 PORT DURNESS PL NB $0.00 Energy Compliance: $0.00 Description: SFRTIO (E) 25 SQ, INSTALL COMP.. SHINGLE, CLASS'B'MIN CA Seismic Safety: _ a: Legal Desc.; N TR 7845 LOT 7 - $0.00 Hazardous Mat $0.00 $0.00 Building Green Fee: $1.00 Owner: STAMBAUGH STEPHEN D Contractor:. HOYT ROOFS INC Architect: $0.00 Public Works Department- :Address: 2112 PORT DURNESS PIL Address: 1809 N ORANGETHORPE PK Address: $0.00 Park Dedication :. NEWPORT BEACH, CA 92660 ANAHEIM CA 92801 Phone Phone: 714-773-1820 Phone: State Lic: �* ;_, ;• $0.00 San Dist: $0.00 Applicant:: TAKEO/HOYT ROOFS INC. Con State Lie: 606111 Engineer. NMUSD Fee: $0.00 'Address: 1809 N ORANGETHORPE PK Lie Expire: 1213112020. Address: $0.00 'ANAHEIM CA 92801 Bus Lie: BT30001509 Phone. 714.773-1820 Lie Exp Date: 1113012019 Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer Type of Construction: VB Carrier: REDWOOD Address: °^^ Occupancy Group: R31U Policy No: HOWC910462 -. Added /New sq.ft. Bldg: >. 0 Expire: 07/2412019 Phone: Added /New sq. ft. Garage: 0 - No of Stories: 0. Building Setbacks Rear: I - Special Conditions:. No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flnnd 7nnn X 11.. 7nnc- P.M- Snenue- n. R.e W -M 7- .. u.. Building Permit Fee: ..$324.00 Plan Check Fee: $0.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: Overtime PlanCk: $0.00 Investigation pee: $0.00 $0.00. Record Management: $0.00 $0.00 Energy Compliance: $0.00 Fair Share: CA Seismic Safety: $0.00 Grading PC Consultant: Disabled Access: $0.00 Hazardous Mat $0.00 $0.00 Building Green Fee: $1.00 $0.00 TOTAL FEE: $325.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: $0.00 Planning Department- Additional Fee : $0.00. - Plan check Fee: $0.00 Grading Bonds Feer $0.00 Fair Share: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Grading PC Fee: $0.00 Public Works Department- - WQ Insp. Fee: $0.00 Park Dedication :. $0.00 PAN Plan Check: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 ��jZa2 Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance $325.00 WORK;i KPPROVAL: PLAN CHECK BY: �`PFRPV;Ai.`'T(� 1$SUE: !C 6 G Y ES m0 mf G�4 Lti 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 he 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 'rofessions 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 iot 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, Susiness 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 Tiprovements 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 n 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: Sy 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 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of p rju that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) f 'vision 3 of the Business and Pr a ions C and my licens ull force Ind effect. License Class�U. License No _/ / 11 1 Date Contractor Signature YORKERS' COMPENSATION DECLARATION 1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 IN enrformance of the work for which this permit is issued. Policy No. 4S1 have and 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' compensatior 1s rance carri policy nLL%Ver are_ Number Date ame of AgentJ!%34 V V V R 1-/%[3o rnone s ]I certify that, in the performance 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' compen ation laws of California, and tat, if I should become s bject to t rs' compensa '� 1 ' n; of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � ///� ignature of Applicant � Da ECLARATION RE RDING CONSTRUCTION LENDING AGENCY hereby affirm unde 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). 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 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 state laws relating to building construction. /— I authorize representatives of this city or count t e ter ve-ide vv� for inspection purposes. i nature of Property Owner or Authorized Agent d U!�/` Print Property Owner's or Authorized Agent's e 6 G 6<<! to \CTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED V I SUBMITTEDASBEZ.QS NOZIFICATI TO • •6. • • • • e • • • • • • c PERMIT CANCELLED UEPA • • • • • • • • • s PERMIT EXTENDED qMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 1� y/' p POSE E LITION • •• ••• - OCCUPANCYISSUED V SIGNATUa <�i CjG+( •s• • ••• • • •. •. 0•• a m� moc a gym s"� s°1° .. 0 a) -p v� O Eli "" M 0 cc 7 'C� 0. ! 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