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Home My WebLink AboutX2022-1715 - Permits�h City of Newport Beach - Building Division *X2022-1715* COMB Permit: X2022-1715 _�� 100 Civic Center Drive, Newport Beach, CA 92660 Project No, 1307-2022 a '- '� Permit Counter Phone (949)644-3288 v ' n Inspection Requests Phone (949)644-3255 �� „a h Combination Type - SFP Issued Date : 06/2012022 0 Inspection Area : 3 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: 507 KINGS PL NB Description: SFR REROOF: T/O (E) SHAKE. INSTIL CDX PLY WI 2-LAY 30# FELT UNDERLAY. APPLY LT WT CONC TILES (ICC-ESR7647'DURALITE SAXONY 600 5.3-sRF} 30 SQUARES Legal Desc.: N TR 1218 LOT 69;- Owner: STAMPLEY HILLARY Contractor: DEPINHO ROOFING INC Architect: Address: 507 KINGS PL Address: 2832 N OLIVE AVE Address: NEWPORT BEACH, CA 92663 ORANGE CA 92865 y� Phone: 949-510-7034 Phone: 714-632-7663 Phone: State Lic: Applicant: DEPINHO ROOFING INC/CAMDEN Con State Lic: 683894 Engineer: •••°6 �° Address: 2832 N OLIVE AVE. Lic Expire: 02/2912024 Address: °°•• • ORANGE CA 92865 Bus Lic: BT30009054 a ®° ° ° ° ° e • e • • a • Phone: 714-632.7663 Lic Exp Date: 05/3112023 Phone: State Lic: ° • ° ° ° • Code Edit: 2019 Worker's Compensation Insurance Designer: ° o Type of Construction: VB Carrier: TRANSVERSE INS Address: • ° ° ° Occupancy Group: R30 Policy No: FORWC000000O140 ® °• °° ° Added/New sq.ft. Bldg: 0 Expire: 1211412022 Phone: ••°°•° Added/New sq. ft. Garage: 0 °BO° No of Stories: 2 Building Setbacks Rear: / Special Conditions: ° °®°•,• No of Units : 1 Front: I Bldg Height: 0 Left: Bidg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces, 0 Fire Hazard Zone : N Construction Valuation: $40,000.00 Building Permit Fee: $351.00 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 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 WQ 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 W $0.00 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $353.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $353.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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) action 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 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 3rof the.SJ,Lciness and )fessions 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 penaty of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, ;mess 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 )rovements 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 )roved 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 fly 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 from licensure under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yeagprior to completion of the improvements covered by this pennit, I cannot legal[, a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I unde tand that a copy of the applicable law, Section 7044 of the Business and Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo. a.gov/calaw.html. nature of Property Owner or Authorized Agent Date TENSED CPW-RACTOR'S DECLARATION , , treby affirm ulderpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Di iSion 3 of the Business and Profe��55/�ppns Codqq,,/nt�p,,r�my Iic nse is in full force d effect. LiceesaGlass License No Date Contractor Signatures(' ,AiihlA�n )RKERS' 13O*WNSATION DECLARATION -FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,affirm 5gler penalty of perjury one of the following declarations: ve and wig maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of ante oftye V.0k for which this permit is issued. Policy No. e and will"aintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pI ;e carrieranc6policy number are: •••• • Policy Number lerM Agent •. certify that, Mhe Serformance of t work for w 'c this permit is issued, I shall not employ any person in any manner so , if I should become (�u*cct�tno�th/e''� rke 'tom a cation provisions of Section 3700 of the Labor Code, I shall forthwith c IatureofApplicant �C C/17JY1f/ hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which -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 correct. I agree to comply with all applicable city and county ordinances nd state laws relating to building construction. I authorize representatives of this city or county ter the a e-i ntifie pr perty for inspection purposes. 3ignature of Property Owner or Authorized Agent 1Q4 Q Print Property Owner's or Aut ACTION DATE BY ECLARATION OF C ITH CODE OF FEDERAL FOR OFFICE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED QMD PERMIT FINAL � CERTIFICATE OF '4 Z OCCUPANCYISSUED SBEST SNOTIFICATIONI N OPOSEDtEr E'n' j''n[ON SIGNATURE: �„J'/j� TAPP BLE TO �� CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date to become subject to the workers' compe (cation laws of California, and agre ply with those provisions. On Date permit is issued (Section 3097, Civil Code). C97LLI10