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Home My WebLink AboutX2021-1655 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 µ. Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 a�vx Combination Type -SFP IIII�IIIII�IIIIII�IIIIII�II�IIIIIII II COMB Permit: X2021-1655 Project No : Issued Date : 06/2412021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0612412024 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: 347 WALNUT ST NB Description: SFR TIO (E) 15 SQ, INSTALL COMP SHINGLE, CLASS "B" MIN. Legal Desc.: TR 772 LOT 12 BLK 15 ALL (EX SWLY 3 FT) THEREOF AND SWLY 4 FT LOT 13 Owner: SCHULER BRIAN Address: 347 WALNUT ST NEWPORT BEACH, CA 92663 Phone: Applicant: M & M ROOFING Address: 25434 MORNING STAR LAKE FOREST CA 92630 Phone: 949-230-6915 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3/U 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 Valuation: $9,000.00 Building Permit Fee: $343.00 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: $344.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: M & M ROOFING Address: 25434 MORNING STAR LAKE FOREST CA 92630 Phone: 949.230-6915 Con State Lic: 737040 Lic Expire: 0613012021 Bus Lic: BT300075694 Lic Exp Date: 0613012022 Worker's Compensation Insurance Carrier: STATE COMP INS Policy No: 9163062 Expire: 07/2112022 Building Setbacks Use 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: I Right: I 3arking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Architect: Address: Phone: State Lic: Engineer: Address: Phone: State Lic: 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 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Zone : 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: Z CO U M a • • 000 U 0 o•oa000 • �ooa• �0000• aco•• o $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $344.00 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: V I V 11 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 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 (_) all of or U portionslof 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). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 704,o 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 1 acknowledge that, except for my personal residence in which I must have resided for at least ohe year prior to completion of the improvements covered by this permit, I cannot legallt 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:/Nvww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 706 f f the Business and Professions ode nyy.l;cens�_ in u Yor and effect. License Class License No Date Contractor Signature,/ WORKERS' CQURENSATION DECLARATION WARNING: FAILUR*E.TDSE(!URE 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 COST OPCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. V hereby affirm otinaer penalty of perjury one of the following declarations: y_I,I Rave and wW 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 the ance of Te wo.rk for which this permit is issued. Policy No. ue and wiil.maiatain 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' compensatool in a11ce carrigr qW policy number are: Policy Number Hof Agent of Date so as to become subject to the workers' compensation laws of California, and agree 1 comply with those provisions. �U '�/� Date ""/ `--"" 2-1 iECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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 y 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 to enter, theabove-identifie-d-prepegy fOr inspection purposes. _ A t4eaerformance of the work for which this permit is issued, I shall not employ any person in any Dome subjec�to the wQrkera� compenr, Von provisions of Section 3700 of the Labor Code, I shall signature of Property Owner or Authorized Agel ACTION DATE BY PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED PART 61 OF TITLE 40 AND AQMD RULE NOTIFICATION IS NOT APPLICABLE FOR OFFICE USE ONLY