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Home My WebLink AboutX2021-1431 - PermitsCity of Newport Beach - Building Division .'* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 L Inspection Requests Phone (949)644-3255 Combination Type - SFP COMB Permit: X2021-1431 Project No : Issued Date : 0610412021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/04/2024 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: 804 S BAY FRONT NB Description: SFR REMOVE EXISTING COPPER & REPLACE W/ COPPER ROOFING (13 SQ) Legal Desc.: BALBOA ISLAND SEC 2 BLK 3 LOT 3 Owner: ABBOTT DANIEL L TR Contractor: PACIFIC ROOFING SYSTEMS Architect: Address: 804 BAY FRONT S Address: P O BOX 454 Address: BALBOA ISLAND, CA 92662 DANA POINT CA 92629 0 Phone: Phone: 949-495-4200 Phone: State Lic: Applicant: STOVESAND ALAN Con State Lic: 898367 Engineer: , Address: PO BOX 454 Lic Expire: 06/30/2021 Address: DANA POINT, CA 92629 Bus Lic: BT30075490 U , Phone: Lic Exp Date: 06130/2022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: STATE FUND Address: Occupancy Group: R3/U Policy No: 9133929 Added /New sq.ft. Bldg: 0 Expire: 0610112020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units: 1 Front: / Bldg Height: 0 Left: / ' Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $70,000.00 Building Permit Fee: $343.00 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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $3.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $346.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $346.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: ,pp�pq d Y ` G 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 uheckmark(s) I have placed next to the applicable items) (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 U 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 -Builder will have the burden of proving that it was not built or improved for the purpose of sale). 111, 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). ❑ 1 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 covered by this permit, I cannot legalh sell a structure ths' 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signatu.e of Property Owner or Authorized Agent Date JCEN3ED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70Q0) f ision 3 of the Business and Profe�sio s d- y license is in full force and Pffect. License Class License No Dat� Q ri 2 f Contractor Signature XORKERS' CUMFENSATION DECLARATION VARN" r.'O: 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 COST OF COMPEN3:.TICN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. _trprej>yaffinn undenpenalty of perjury one of the following declarations: _XI 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 thf W ormance of the wurk for which this permit is issued. Policy No. ❑. ' �c%a 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 ns'usnce carrier andpolicy number are: Policy Number Expiration Date of Agent 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 workers' compensation laws of California, and agre t, if I should become sub ect to the wo <ers' compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. / nature of Applicant ( Date /ei g CLARATION REGARDING CONSTRUCTION LENDING AGENCY ireby 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 owners 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 and state laws relating to building construction. I authorize representatives of this city or county to Ent r e ove-identified property for inspection purposes. qq �1, nature of Prooertv Owner or Authorized ADent ® Print Property Owner's or Authorized Aoent's Name / A/a� S oVGSG, ACTION DATE BY RDECLARATION IEGULATIONS PART COMPLIA OF NCE 40 WITH CODE OF FEDERULERAL I FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMIT EXTENDED MD PERMIT FINALASBESTOS NOTIFI ATION IS NOT APPLICABLE TO CERTIFICATE OF �A.,�ROPOSED DEMOyI IQ OCCUPANCYISSUED ar.NaruR.A.PC Date