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Home My WebLink AboutX2020-0538 - PermitsCity of Newport Beach - Building Division rv� 100 Civic Center Drive, Newport Beach, CA 92660 h, Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 �"'#i:ra'•'`` Combination Type - SFP IIIIIIIIIIIIII�II�IIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0538 x 2 0 2 0 0 5 3 8 Project No : 0069-2020 Issued Date : 02/2812020 Inspection Area : 4 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: 1917 YACHT CAMILLA NB Description: SFR REROOF WICLS"A" METAL ROOF, TIO EXTG WOOD SHAKE Legal Desc.: N TR 9260 LOT 26 Owner: HEMPHILL BRETT Contractor: D & J ROOFING INC Address: 1917 YACHT CAMILLA Address: P.O. BOX 0788 CA Seismic Safety: NEWPORT BEACH, CA 92660 Disabled Access : MAMMOTH LAKES CA 93546 Phone: $0.00 Phone: 760-937-5636 Applicant: D & J ROOFING INC Con State Lic: 886300 Address: P.O. BOX 8788 Lic Expire: 10/31/2020 MAMMOTH LAKES CA 93546 Bus Lic: BT30038799 Phone: 760-937-5636 Lic Exp Date: 0313112020 Code Edit : 2019 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $324.00 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 : $2.00 TOTAL FEE: $326.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: ESG Policy No: WC018974900 Expire: 12/3112020 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: / Left: / Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Share : Fire Plan Rev SJH Trans : Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PNV Plan Check: $0.00 San Dist : $0.00 NMUSD Fee: $0.00 C ® N 1 State Lic: State Lic: Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: m m o 0 om °oo °000a o° o wee,000c $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $326.00 PLAN CHECK BY: APPROVAL TO ISSUE: J" Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: m m o 0 om °oo °000a o° o wee,000c $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $326.00 PLAN CHECK BY: APPROVAL TO ISSUE: J" OWNER -BUILDER DECLARATION I hereby affirm under penally 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) lection 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 ie 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 of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, ''usiness 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 nprovements 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 nproved for the purpose of sale). 1 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: Iy 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 perjury that I am licensed under provisions of Chapter 9 (commencing with Sect o� 0) 1sr of the Busirte and Profegsign qee, and ensg7;¢ in fu 11 forbe nd effect. License Class License No DateiD�ltractor nature CC ��// VORKERS'diONPENSATION DECLARATION 'ARNING: FAILLR11i SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OSTOF COMPEVNSATIpjd, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm.urGe;penalty of perjury one of the following declarations: PFjave 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 epformance olthe work forwhich this permit is issued. Policy No. r)Save and will mdlntain 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' compensa 12nce carrier and Policy number are: Mr.-! 0.0.. Policy Number Expiration Date M9 of Agent cedifv that. in the Ice 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' to the workers;, compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pyr yWxHTsl_ na re of ��(j' Le v ele r Jc CLA ING CONSTRUCTION LENDING AGENCY :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 pplicable city and county ordinances and state laws relating to building construction. I authorize re sen-o€this city or county to er yf1 a above-identifief1iir-oppeerty for insp�i tion purposes. f\ nature of Pronertv Owner or Authoriied AGent �'f X , M� T 1 ih _, POTProperty Owner's or Autho-' -ed-Agent's Name vl EXPIRED DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LIAQMD PERMITFINAL /^� SBESTOS NOTIFICATION{ IS NOTAPPLICABN�E TO CERTIFICATE OF W POSED DEMO ONI ); _ }� OCCUPANCYISSUED p7URE: O�/�Y+'"'+� uJ(�. FOR OFFICE USE ONLY of California, and -)/-)")CD