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Home My WebLink AboutX2020-0007 - Permits.err, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: Xi 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 0 0 0 - Project No: 2296-2017 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP Issued Date: Area : 2020 C'�418ti iYµ�� Inspection Area 5 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: 309 ORCHID AVE NB Description: SFR REROOF *DETACHED GARAGE* W/CLS "B" WOOD SHAKE, TIO WOOD (5 SQS) /� �� Legal Desc.: CORONA DEL MAR LOT 9 BILK 241(AND NELYI/2 LOT 7 BLK241 � Ylr/ Owner: HOLMAN DAVID C Contractor: PERFORMANCE ROOFING CO Architect: A Address: 309 ORCHID AVE Address: 2506 S BROADWAY Address: (V) kt', CORONA DEL MAR, CA 92625 SANTA ANA CA 92707 j�°' Phone: Phone: 949-645-2382 Phone: State Lic: Applicant: PERFORMANCE ROOFING CO Address: 2506 S BROADWAY SANTA ANA CA 92707 Phone: 949-645-2382 Code Edit: 201M Type of Construction: VB Occupancy Group: 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: Flood Zone: 11 Construction Valuation: $ 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: Con State Lic: 797003 Lic Expire: 07/3112021 Bus Lic: BT00006327 Lic Exp Date: 05131/2020 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 %: Plumbing %: Rear: / Front: I Left: I Right: / king Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 Engineer: Address: py� ; Phone: NC) C 0NST%a(3.FI(DAI NORSE Designer: V ' Y V r7 Address: , Phone: ON THE YYELKENQ 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 r< d Zone : N Fire Department $0.00 Fire Inspection: %00 , $0.00 Fire Plan Rev $UA0 $0.00 Demolition Fee $0.00 Building Dept Adm 5C.30 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 : $325.00 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 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 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-Builderwill 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). LJ I am exempt from licensure under the Contractors' State License Law for the following reason: By 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 coven 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 Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. 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 70 of ivision 3 of the Businesgg//and PmM—skons Code, an lice a is 'n ull force and effect. License Class License No at Contractw(SignatureJ If VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FIE hereby affirm under;:enalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, ,na,we of thu work°for which this permit is issued. Policy No. aye 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' ra a carrier and policy number are: and CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN DO RS ($100,000), IN OITIO TO THE ES. ie of Agent �er;ifv that, ilI thG paiformlaRt9114 work if I should become smbTgict ,t/oththe workers' ITture of Ap linant .4 ! i ,taw Policy Number issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Date this permit is issued, I shall not employ any person in any manner so as to become subject to the atiln provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. oelauy nffi�ad€r oenalty of perjury at tl' re is a constructjefi lend 1pg agency for the performance of the work for which this permit is issued (Sectioi er: E Name l . _ Lender's Address ly my signature bblo`w, 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 ect. I agree to comply with all applicable city an Inan es a d S to law relatin to building construction. I authorize representatives of this cit t nter the abov de tified o ert r inspection purposes. _Y, y,&,e i p Y P P p /1 Signature of Property Owner or At ACTION DATE PERMIT EXPIRED PERMITC4NCELLED PERMIT EXTENDED PERMITRIVAL 3 CERTIFICATE OF OCCUPANCY ISSUED :LARAT O OF COMPLIANCE WITH F FEDEI WLATIO S ART61OFTITLE40 DAQ RULE 13 c I SUBMITTED ASBESTOS NOTIFICATION TO EPA LJAQMD ASBESTO TION IS NOT AVRICABLE W FOR OFFICE USE ONLY compensation laws of California, and Civil Code).