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Home My WebLink AboutX2022-0007 - PermitsCity of Newport Beach - Building Division ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �� COMB Permit:, 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 8 A 0 7 Project No li 4 Permit Counter Phone (949)644-3268 ,, L^ Inspection Requests Phone (949)644-3255 Combination Type -MFP NO CONSTRUCTION NOISE IssuedAr1/03/2022 Inspection ion Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0110312025 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Sa grq 00 R to 6:00 p.m. No work on Sundays or Holidays Job Address: 330 ORCHID AVE NB LJ i-'1 I V D Description: MFR T/O (E) 25 SQ, INSTALL COMP. SHINGLE, CLASS'B' MIN. Legal Desc.: CORONA DEL MAR LOT 32 BLK 242(AND NELY1/2 LOT 30 BLK 242 Owner: NEISHABOURI JALAL Contractor: COMPLETE ROOFING INC Architect: Address: 330 ORCHID AVE Address: 25350 MAGIC MOUNTAIN PKWY #300Address: CORONA DEL MAR, CA 92625 VALENCIA CA 91335 Phone: Phone: 310/666-0573 Phone: Applicant: COMPLETE ROOFING INC Address: 25350 MAGIC MOUNTAIN PKWY #300 VALENCIA CA 91335 Phone: 3101666-0573 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units: 2 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Valuation: $10,500.00 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: GRADING APPROVAL: Con State Lic: 1081899 Engineer: Lic Expire: 09/30/2023 Address: Bus Lic: BT30077464 Lic Exp Date: 1213112022 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP INS FUND Address: Policy No: 9306103 Expire: 0912512022 Phone: 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: / Left: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 State Lic: State Lic: Special Conditions: HIGH DENSITY AREA Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PNV 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: 171 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $352.00 " - ?UBLIC wORK3 APPROVAL: PLAN CHECK BY: APPRQNIP L -0 ISSUE: 1 ]_X9 "1'.?_-V11COU 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) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to Construct, alter, improve, demolish, or repair any structure, priorto its issuance,. also requires the applicant for he permit to file a signed statement that he or she is licensed pursuant to theprovisionsof 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 tot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or portions of the work, and the structure is not intended or offered for sale (Section 70", 3usiness 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 mprovements 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 mproved 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 ipply 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: 3y 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 legall: ;ell a structure that I have built as an owner -builder if it hasnot 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. 3sgnatum 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 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. .1cense Class 3 9 License No -fag 1899 Date Zjje Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNR, PINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,0001, IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNErS 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 th eertornance of the work for which this permit is issued. Policy No. 71 have 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' compensatiol Isurance carrier ftolicy numbey+Se: ;anter _ (P fit !!'- �1i umber Expiration Date lame of Agent �r &Fit! _ Ph... g I certify that, in the performance of tila work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws Of California, and agre t, if I should become su act to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith- comply with those provisi ns. (nature of Applicant AO� DateY olo(p't/ys CLARATION REGARDING CONSTRUCTION LENDING 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). - lders 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 providedis correct. I agree to comply with all applicable city and coun ordinancesandstatelaws, relating to building, Construction. I authorize representatives of this city or cou ty t enter the boos -identified property for inspection purposes. / nature of Property Owner or Authorized Agent _ Print. 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