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HomeMy WebLinkAboutX2022-0891 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2022-0891 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 H 8 9 1 f". Permit Counter Phone (949)644-3288 Project No : 2854-2021 Inspection Requests Phone (949)644-3255 Combination Type - SFP Issued Date: 03/28/2022 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0312812025 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: 3 CAMBRIA DR NB Description: SFR - T/O CAL SHAKE. INSTALL 7/16" OSB SHEATHING. 2 LAYERS 30# FELT. INSTALL SAXONY SHAKE 900. ESR 1647. 9.3 PSF Legal Desc.: N TR 7844 LOT 93 Owner: HORN BRUCE ALAN Address: 3 CAMBRIA DR CORONA DEL MAR, CA 92625 Phone: Applicant: PACIFIC CREST ROOFING Address: 25402 GALLOP CIR LAGUNA HILLS CA 92653 Phone: 949-916-5393 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $351.00 Plan Check Fee: $171.00 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: $524.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: PACIFIC CREST ROOFING Architect: Address: 25402 GALLOP CIR Address: LAGUNA HILLS CA 92653 Phone: 949.916-5393 Phone: State Lie: Con State Lie: 986602 Engineer: MURPHY MICHAEL NICHOLAS Lie Expire: 09/30/2023 Address: 3857 BIRCH ST #282 Bus Lie: BT30053727 NEWPORT BEACH CA 92660 Lie Exp Date: 01/31/2023 Phone: 949-292-1987 State Lic:C-071600 Worker's Compensation Insurance Designer: Carrier: STATE COMP Address: Policy No: 9070054 Expire: 08/29/2022 Phone: Building Setbacks Rear: / Special Conditions: ; Front: I Left: /:'4 Right: / Use Zone: Parking Spaces: 0 Fire Hazard 7nne - u 1 A 1 Excise Tax: $0.00 Additional Fee: $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 Plan Check Fee Planning Department - Fire Department Plan check Fee : $0.00 Fire Inspection: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 SJH Trans: $0.00 Demolition Fee In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Public Works Department- General Service $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 ... • ®® Fee 4ue at • • O O p r Permit Issuance : •_ 4 $524.00 O PUBL+IC IIO@AKS APpR6y L:• • r • • • �`, • PLAN CHECK BY:� • caE APPNO%AL eO I�SFJE' ••• •o• 4 ua nco „ r • c mo oe� c E>m 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, 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 mprovements 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 Em roved for the purpose of sale). i r 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 legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perLLury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof WIons Code my license is in full force and effect. License Class C= 3 4 License No 98- I" o Z Date d- Contractor Signature WORKERS' COMPENSATION DECLARATION \/ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: n Y 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 ;"-Voormance of the work for which this permit is issued. Policy No. have and will 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' compensatiol Vurance carrier and policy number are: Ai A -� Z Q ' Date `_ ZZ 4/ E � t 1eofAgent If-iA_Q I�`ya�7 - certify that, in the performance of the work . if I should become subject to the woj49W of Applicant Policy Number �d -� ^xp ra Lon 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 npensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3 - 2� 2 Z' _ .. Date_ 1� O )ECLARATIUN KLUAKCHNIa t,tJ aeu�.I wig cowuw .+... hereby affirm under penalty oerjury 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: 3y 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 c ct. I agree to comply with all applicable city and county ordinance state laws relating to building construction. I authorize representatives of this city or couh o enter O b e-Identified property for inspection purposes. 1 signature of Prop e Owner or Authorized Agent _ Print Property Owner's or Authorized A ent's Nam ACTION DATE BY DE RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE PERMIT EXPIRED I IS�BMITiI`DASQiWOSNtl IFICAJION TO PERMITCANCELLED • EPA. 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