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Home My WebLink AboutX2019-3436 - Permits�, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllllllll COMB Permit: X2019-3436 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 4 3 6 Project No ) H 'i q Permit Counter Phone (949)644-3288 8 - inspection Requests Phone (949)644-3255 "c`�y n� Combination Type - MFP Issued Date :-1012912019 Inspection Area . 5 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: 416 1/2 DAHLIA AVE NB . Description MFR TIO (E) 10 SQ, INSTALL COMP. SHINGLE, CLASS'B'MIN. Legal Desc : P.M.257-19 PAR. 1 OF PROJECT 938.01 LOCATED ON A.P. 459-115-19 Owner - % CYNAUMON MATTHEW Contractor OCEAN ROOFING Architect: �. Address: 416 DAHLIA AVE#A2 Address: 1521 LOUISE ST Address:`g�; CORONA DEL MAR, CA 92625 Phone: - SANTA ANA CA 92706 Phone: 714-997-0255 Phone. "6.��tate Lie: �y 'M1'.. Applicant. JESSE/OCEAN ROOFING Con State Lie: 976999 - Engineer. Address: 1521 LOUISE ST Lie Expire: 11/30/2019 Address: ® �9/® SANTA ANA CA' 92706 Phone 714-997-0255 Bus Lie BT30066921 Lie Exp Date: 04/3012020 VV Phone: State Lie: Code Edit 2016 Type of Construction VB Worker's Compensation Insurance. Designer: Occupancy Group: R3/U Carrier STATE COMP : Policy No: 9142593 Address; q� Added /New sq.ft. Bldg: 0 .Expire. 0912012020: Phone: !� Added /New sq. ft. Garage 0 No of Stories:. 2 Building Setbacks Rear: I `. Special Conditions: HIGH DENSITY No of Units : 2 Front: Bldg Height: 0 Leftl Bldg Sprinklers: Right. / - Flood Zone: R 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 r 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 WO 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 %: '$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: $326.00 Plan Check Fee: $0.00 Fee Due at Permit issuance : $325.00 �mm gid® «. uda of PROCESSED BY: �a E 'FUBLiIC+NORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: `� <-a. oo _ �. a APWRGVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 IS 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). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 Jroved. 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 ply town 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). 5 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. 1 understand that a copy of the applicable law, Section 7044 of the Business and Irofessions:Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 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 Section 0 ) ff v'l�I n 3 of the Business and Pr 'ons de a y license is in full force nd effect. License Class License No Date (J �7 Contractor Signature UORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T SAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 th 2erf mrance of the work for which this permit is issued Policy No. I have and will maiRlgin 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' compensation Isurance carrier and oli v number are: r /n "\ I /� — Date ie Of Agent rnulro n certify that, in the performance of the w 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 , if I should become subje th wor ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ature of Applicant a e w/2`7//� :LARATION REGA DI G ON RUCTION LENDING AGENCY shy affirm under penalty p ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). fer's Name Lender's Address iy signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner behalf. I have read this application and the information I have provided orrect. I agree to comply with all applicable city and county ordinance nd state laws relating to building construction. I authorize representatives of this city or cou ty t e ove-identified property for inspection purposes. \ /� ature of Prooertv Owner or Authorized AGe __ Print Property Owner's or Authorized Agent's Namk Je 5 5( N C ACTION DATE BY D "RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 •• ••• •• ••• • ••• PERMIT EXPIRED 0 I SUBMITTED ASBESTOS NOTIFIE►,TION 40 •• + PERMIT CANCELLED EPA • • •" • " • • " ` PERMITEXTENDED QMD PERMITFINAL ASBESTOS NOTIFICATION 15 NOT PLICABLE TO 01 CERTIFICATEOF VOW ROPOSEDDE OL ION "` ""` " " • ••• OCCUPANCY ISSUED SIGNATURE: " ` ' " to