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Home My WebLink AboutX2022-1613 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 i1 4t Inspection Requests Phone (949)644-3255 Combination Type - SFP IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2022-1613 Project No: 0320-2022 Issued Date : 06/07/2022 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 11 PORTICA NB Description: SFR REROOF T/O TILE AND REPLACE WI SQS OF COMP SHINGLES AND 20 SQS OF SAME TILE TO BE REINSTALLED 5.9 LBS ESR# 0418 Legal Desc.: Owner: SHIPLEY ROBERT & JESSICA Contractor: TERRAZAS ROOFING Architect: A t Address: 11 PORTICA Address: 2528 TRAVERS AVENUE Address: NEWPORT BEACH CA 92657 COMMERCE CA 90040 YeY• aaBe°: Phone: 7141381-3420 Phone: 323.842-2442 Phone: State Lic: YY a Applicant: TERRAZAS ROOFING Address: 2528 TRAVERS AVENUE COMMERCE CA 90040 Phone: 323-842-2442 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 : 1 Bldg Height: 0 Bldg Sprinklers: Construction 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 : $1.00 TOTAL FEE: $352.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 852568 Lic Expire: 01/31/2023 Bus Lic: BT30073298 Lic Exp Date: 1013112022 Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 9111485 Expire: 06/08/2022 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: / Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share, SJH Trans : In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check, $0.00 San Dist: $0.00 NMUSD Fee: $0.00 State Lic: N 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: PLAN CHECK BY: APPROVAL TO ISSUE: Y $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $352.00 e aY• YY Y Y YY Y YeacY Y Y&G iY +ac3oY ° e + +aca uoa+ UYYIYCR-OUILUCR ✓GVLMRMI IVIY 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 items) (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 U all of or U 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). I am exempt �grjl licensure under the Contractors' State License Law for the following reason: By my signatut 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 Iegalh sell a g(ructure tM917rhave 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 Pmittiiions C9N SSrjvailable upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICE4SED CONTRACTOR'S DECLARATION I hereby affirm uniler.penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) L vast 3 of the Business and Pro s Catf ode y licens "s in full force �Q effect. LiCW9 (lass License No Date / t Contractor Signatur WOMERS' COMPENSATION DECLARATION NrA1419(j: FAILUF;,TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND 0(LARS ,0U0), IN ADDITION TO THE CO"SF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I iaarebtaffrm underP.e natty of perjury one of the following declarations: ' �I have andowiY m&ntain 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 Vetter,�ance of tie woa( for which this permit is issued. Policy No. Aa e and wig anaikain 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' compensatioi Insurance carrier antd policy n ber are: /� d Carrier \ '2— J Policy Number `'t Li O� Expiration Date Name of Agent Phone # I certify that, in the performance of the work for which this pe I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre tat, if I should become subject to the workers' compensa' pro " " Its of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Date C. Z2. IECLARATION REG RDI G CONST U NDING AGE hereby affirm under penalty of perjury that there is von lending agency for the performance of the work for which this permit is issued (Section 3097, Ci I Code). Ender's Name Lenders Address Iy 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 a - t e laws relating to building construction. I authorize representatives of this city or coWty to enter the ab property for inspection purposes. ACTION of Property Owner or Authorized I DATE I Print Property Owners or Authorized Ag ION OF C LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULA RT61OFTITLE40ANDAQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED AQM D ZZ PERMIT FINAL ASBE TQS NOTIFICATION IS NOT PL_ BLE TO CERTIFICATE OF ^2=2—Z �/t--�. PR D'IQEIyIOLITION OCCUPANCY ISSUED SIGNATURE: 7