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Home My WebLink AboutX2020-0223 - Permitswtn City 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 - MFP NO CONSTRUCTION NOISE COMB Permit: X2020-0223 Project No Issued Date : 01/27/2020 Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. andaSr ff tffioAtf&0 p.m. No work on Sundays or Holidays CC Job Address: 218 MARINE AVE NB Description: MRF REMOVEIREPLACE (E) 10 SQ OF B.U.R, CLASS'B'MIN. Legal Desc.: BALBOA ISLAND SEC 4 BLK 11 LOT 10 Owner: 218 MARINE LLC Contractor: J R ROOFING Architect: - Address: 218 MARINE AVE NEWPORT BEACH CA 92662 Address: 3464 BROKEN FEATHER DR Address: NORCO CA 92860 Phone: Phone: 951-256-6716 Phone: State Lic: f! Applicant: J R ROOFING Con State Lic: 895627 Engineer: Address: 3464 BROKEN FEATHER DR Lic Expire: 09/30/2021 Address: J NORCO CA 92660 Bus Lic: BT30066606 Phone: 951-256-6716 Lic Exp Date: 02/2912020 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: -. Type of Construction: VB Carrier: STATE FUND Address: Occupancy Group: R31U Policy No: 9153810 Added /New sq.ft. Bldg: 0 Expire: 03/01/2020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: LIQUEFACTION AREA No of Units : 2 Front: I HIGH DENSITY Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $9.500.00 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 Fee: $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 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical W $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:` FIUBLIC WORK APPROVAL: ZONING APPROVAL: ¢ c c ` a PCItN CAW -k Ay' GRADING APPROVAL: ,, m APPROVAL TO ISSUE: VO GV 9� 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(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 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 `) all of or (_) 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 legall) 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 Professions Code, is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.html. 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 700 ) of Division 3 of the Business and ProeSAND nd my lic se is i IF#erce and effect. License Class License No Date Contractor Signature—' WORKERS'COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREARS ($100,000), IN ADDITION TO THE COST 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: :11 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 4formance of the work for which this permit is issued. Policy No. have and will m iat%1 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' rance carrier a policy number are; n _ - )) is of Agent �if w 6 certify that, in the performance of the ork for which , if I should become s bject to t w ers' compens lature of Applicant Date 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 ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ireby affirm under oof &al erjury that there is a4onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name ��,, Lender's Address 3y my signature below, I c&ftify 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 pr vided is correct. I agree to comply with all applicable city and county rd a�'ftfl ws relating to building construction. I authorize representatives of this city or co n to hproperty for inspection purposes. Signature of Property Owner orAuthorized A e Print Property Owner's or Authorized A ACTION DATEB ECLARATIO OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQ M D RULE PERMITEXPIRED ❑ I SUBMITTEDASBESTpS NOTIFICATION O°': • • PERMITC4NCELLED 1. QEKA • • •` PERMIT EXTENDED QMD • • • • ° . • • ° PERMITFINAL BESTOS NOTIFICA�N 15 NOT APPLICABLE TO CERTIFICATEOF PROP SED EMI •. OCCUPANCY ISSUED ATURE: •� • • °