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Home My WebLink AboutX2022-0267 - Permits.�,¢NIrIk7 City of Newport Beach - Building Division IIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIII IIIIIII II '£ t' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 2 6 7 4 ji ` Permit Counter Phone (949)644-3288 =y Inspection Requests Phone (949)644-3255 °:,z; u+ Combination Type - MFP PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECHUN. PHUJE(;/ S MUS I uE UUMI'LeI tU by uv 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 Job Address: 1321 E BALBOA BLVD NB Description: MFR -T/O EXISTING COMP. INSTAL 1 LAYER 30# FELT. INSTALL 25 SQ COMP SHINGLE Legal Desc.: BALBOA TR EAST SIDE ADD BLK 22 LOT 9 POR OF LOT AND T 7 R 10 SEC 2 POR Owner: COLLINS JAMES B Address: 2025 W BALBOA BLVD #2A NEWPORT BEACH, CA 92663 Phone: Applicant: D & J ROOFING INC Address: P.O. BOX 8788 MAMMOTH LAKES CA 93546 Phone: 760-937-5636 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 : 4 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $14,000.00 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: Contractor: D & J ROOFING INC Address: P.O. BOX 8788 MAMMOTH LAKES CA 93546 Phone: 760-937-5636 Con State Lic: 886300 Lic Expire: 10/31/2022 Bus Lic: BT30038799 Lic Exp Date: 0313112022 Worker's Compensation Insurance Carrier: ESG Policy No: WC018974903 Expire: 12/31/2022 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: / Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: COMB Permit: X2022-0267 Project No : Issued Date : 01/31/2022 Inspection Area : 1 R PERMIT WILL BE INVALID Sundays or Holidays C)0 � ZcSj, Sate ic: ( 770 St t U v ;® OT Special Conditions: HIGH DENSITY 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 NST IEGI U Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $352.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 ie 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). J 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, iusiness 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 nproved for the purpose of sale). 3 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 pply 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: ly 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. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Iignature 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 f ivi on 3 of the Business and Prof io e, and my lice h is in fu orce nd effect. License Class License No Date Contractor Signatur VORKERS' 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 THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 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 the br(ormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the wokers' compensation laws of California, and agre t, if I should become \s'ubje o t e workers' co sation prou; ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Ap, Da t CLARATION REGARDING ItONSTRUCTI N LV ING AGENCY :reby 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). Ider's Name Lender's Address 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 ordi antes and state s relating building construction. I authorize representatives of this city or county to e t r t e a ova-i entifi y ns action purposes. IIffII �, nature of Property Owner or Authorized Agent1 Print Property Owner's or Authorized Agent's Name ;LOU Date TION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO - .. .. PERMIT CANCELLED OEPA PERMIT EXTENDED QMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED lQ J BESTOS NOTIFICATION IS NOT APB CABLE TO ROPOSED MO T SIGNATURE: v 0ao 4 m .Q P ,G 0 U N v° Orb c c.N w ❑ ro� L � i'4 4 0 N ;Ci7 ;Q E 0 8, O i� w ro x a CO a N rA 0 Q G CL � C CT � � 0 o i6 a Imo" N mci to (D am C7 q lz C FZ�kri U b a m vM� +1Nt u y a