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Home My WebLink AboutX2020-0008 - PermitsU 4City of Newport Beach - Building Divisi-n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ��IIIIIIIIIIIIIIIIIIIIIIillllllllllllllllllllllllll� �� COMB Permit: X2020-0008 x 2 0 2 0 0 0 0 8 Project No: Issued Date: 01/0212020 Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 206 SAPPHIRE AVE NB Description: SFR REROOF W/CLS "A" COMP SHINGLES, TIO CAP SHEET (18 SOS), APPLY TORCH DOWN @ FLAT ROOF, TIO TORCH DOWN (2 SQS) I ' Legal Desc.: BALBOA ISLAND SEC 2 BLK 8 LOT 15 r Owner: JOHNSON CHRISTINE S Contractor: PERFORMANCE ROOFING CO Architect: €.__ Address: 206 SAPPHIRE AVE Address: 2506 S BROADWAY Address: /, a NEWPORT BEACH, CA 92662 Phone: Applicant: PERFORMANCE ROOFING CO Address: 2506 S BROADWAY SANTA ANA CA 92707 Phone: 949.645-2382 Code Edit : 201cl Type of Construction: VB 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: $16 800.00 Building Permit Fee: $324.00 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: $325.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: SANTA ANA CA 92707 949-645.2382 Phone: 797003 07/3112021 BT00006327 0513112020 Worker's Compensation Insurance Carrier: STATE COMP FUND INS Policy No: 9094635 Expire: 0410112020 Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: / Front: / Left: / Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Engineer Address: State Lic: Phone: NO CONSW'AUOTION NOISE Designer Address: „ Phone: ON THE WEEKEND ...... Special Conditions: HIGH DENSITY AREA , Fire Hazard 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 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: >o $9.ob0 , $0.'Ob $J.GJ $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $325.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: �i� 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). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 Jn roved for the purpose of sale). 1, 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ry 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 legal[) 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.MITI. signature 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 70 0) o Division 3 of the Bu ass and Profe�Code, n m li nse n full force nd effect. License Class License No DZLS7C3 Con a r Signature COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER T DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S F hereby affirm urid.. penalty of perjury one of the following declarations: O CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA OL RS ($1oa,0o0J, I O THE EES. 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 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 Expiration Date of Agent cekiry that, `in the pPrforma the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'- nsation laws of California, and agre i, ,f should beq lect tot a wor e ' comnsatio provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /c/tsrP'I/��e r,atura of AppEcanh_ "mil .,----- "�'Date�/2,/%-0 7_ al=VRATIOWREGARDING CO UCTION LENDING APENCY ireGy affirrr� nd=rjaenalty of perj t there is a constr lion len 'ng agency for the performance of the work for which this permit is issue ction 3097, Civil Code). id'efs Name'. -- Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and coup+' nces nd state laws relating to building construction. - I authorize repres of this city or c untyd— t°5 enter the a v -Ide ified ,p%°party for inspection purposes. /r,, //� nature of Property Owtor Authorized Agent Lf A� y -�? �I _ Print Propertv Owner's or Aut rued Acent's. Name k IL.. Lam" /, v.i4" Date / /21-,Z; ACTION DATE BY DECLAIIATTV OF COMPLI, REGULIVNGNt PART 61 OF 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTG PERMITCANCELLED MIEPA PERMIT EXTENDED QMD PERMITFINAL ASBESTOS NO CERTIFICATE OF S-I-ZO _ p MOUTION OCCUPANCY ISSUED / qE; 7 Q1. - CODE OF FEDERAL I FOR OFFICE USE ONLY JD AQMD RULE