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Home My WebLink AboutX2021-1742 - Permitssem" r'uk City of Newport Beach - Building Division 100 Civic CVnter Drive, Newport Beach, CA 92660 Pernrit•%ounter Phone (949)644-3288 .. +p Inspection Requests Phone (949)644-3255 Combination Type - MFP IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1742 X 2 0 2 1 1 7 4 2 Project No : Issued Date :07/0612021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 07/06/2024 OR PERMIT WILL BE INVALID 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: 215 SAPPHIRE AVE NB '- Description: MFR T/0 EX CEDAR SHINGLES & INSTALL NEW COMP. FRONT UNIT ONLY CD)t1/2" PLYWOOD CLASS All SQ Legal Desc.: BALBOA ISLAND SEC 2 BLK 9 LOT 8 Owner: TRUPPO ARLENE Address: 215 SAPPHIRE AVE NEWPORT BEACH, CA 92662 Phone: Applicant: TRUPPO ARLENE Address: Phone Code Edit : 2019 Type of Construction: V -B Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: N $28.600.00 Building Permit Fee: $351.00 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: $353.00 PROCESSED BY: ZONING APPROVAL: Contractor: NEWPORT COAST ROOFING INC Address: 120 TUSTIN AVENUE #C-1084 Fair Share NEWPORT BEACH, CA 92663 Phone: 949--355.6074 Con State Lic: 1052517 Lic Expire: 04130/2023 Bus Lic: BT30066998 Lic Exp Date: 04/30/2022 Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 9249162 Expire: 04/17/2022 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: I Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Koo Architect: Fire Department Address: Fire Inspection: Fair Share Fire Plan Rev Phone: State Lic: Engineer: Address: UJ Public Works Department - Park Dedication : Phone: State Lic: $0.00 `" r Designer: Address: Z $0.00 Phone: sr 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 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 00000 00000 000 0 0 0000 0 0000 `� u000 ° ° 0 00 0 0 ° 00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $353.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: - re 00000 `� 0 oo00n 000000 uo0on ° 0 , 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: 00000 00000 000 0 0 0000 0 0000 `� u000 ° ° 0 00 0 0 ° 00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $353.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: - re 00000 `� 0 oo00n 000000 uo0on ° 0 , 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 nexf`to-U;p 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). ❑ L 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). U 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:http://www.leginfo.ca.govicalaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby pffitrR under penalty of perjury that I am licensed under provisions�of Chapter 9 (commencing with Section 7000) of i ' 3 of the Business and Profe si Code, and m r cense is in full force and effect! •Lfdbnse Class License No Date 1 sd�i Contractor Signature W.ORKEjt$•CBMPENSATION DECLARATION • WARNING: I•ATI.URE TO 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 DOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ;• • hereby affivu alder penalty of perjury one of the following declarations: • OJ have •ailifl Vill 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 thl rmance•csf tlfework for which this permit is issued. Policy No. • ave aid wlirmaintain 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 • rance carrier and policy number are: �•'a Tor Policy Number Expiration Date • Name of Age14t• Phone # • Q... • , F2rtfy thele "M4 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' compensation laws of California, and agref INt, if I should become sub ion 3700 of the Labor Code, I shall forthwith comply with those provisions. �® Sig nature of Applicants arm Date Z �Z14 ., , .".r,.,.I � e.,,.,., �F, re„ter,.,., , �... ,� A�=.I�V hereby 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). 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 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 county tpgnter the ab9v9-id913tifed_ppropgrty for inspeetiQUurposes. Signature of Property Owner or Authorized Agent Y Print Prope wner's or Authorized Ag ACTION DATE BY DECLA ION OF COMPLIANCE WITH ODE OF FEDERAL R OFFICE USE ONLY RE LATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QMD PERMITFINAL nSTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF / �A OI OCCUPANCY ISSUED �l l� PROPOSED DEM L7: IGNATUR