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Home My WebLink AboutX2022-1587 - PermitsCity of NE �t�r+r3k 100 Civic Cent M Permit Counte it Inspection Re( Combination PERMIT Nport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2022-1587 r Drive, Newport Beach, CA 92660 1lill X z 6 2 2 1 5 8 711111 Project No Phone(949)644-3288 jests Phone (949)644-3255 Issued Date: -ype - BLDG Inspection Area : 7 ES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID rn 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: 2322 BRISTOL ST N Description: SFR REROOF DEAICHED GARAGE T/O COMP SHINGLES AND REPLACE W/ COMP SHINGLES 5 SOS Legal Desc.: TR 1499 LOT 2 POR OF LOT Owner: LONG CRAIG Contractor: OWNER/BLDR Address: 2322 BRISTOL ST Address: NEWPORT BEACH, A 92660 Phone Applicant: LONG CRAIG Address: 2322 BRISTOL ST NEWPORT BEACH, Phone: 949-378-0527 Code Edit : 2019 Type of Construction: V-B Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $351 Plan Check Fee: $0.00 Overtime Plan Ck: $C Investigation Fee: $0 Record Management: $0 Energy Compliance: $C CA Seismic Safety : $C Disabled Access : $C Hazardous Mat $C Building Green Fee : $1 PROCESSED BY: Phone: Con State Lie: CIS Lie Expire: 92660 Bus Lie: Lie Exp Date: TOTAL FEE :1 $352.00 ZONING APPROVAL: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Use Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect Address: Phone: State Lic: Engineer: Address: Phone: State Lie: Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share: SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 Zone: 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: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 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). VI, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, USI less 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). 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). 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 covered by this permit, I cannot legall, sell a structure that I have built as an owner -builder if it has not been nstructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7 44 of the Business and Professions Code, is available upon request when fF1i�a off�apps bmitted or at t following Web site:http://www.leginfo.ca.gov/calaw.htmL Signature of Property Owner or Authorized Agent �%( !v Al✓n�ir Dat — 7 LICENSED CONTRACTOR'S DECLARATION V ° 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 License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION 4ARNING: FAI) URE 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 :O6T OF COMPES'd., iON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm u,,dar 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 ra,furmance of the work for which this permit is issued. Policy No. I have and will .nP;ntain 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' urance carrier and policy number are: Policy Number Expiration Date me of Agent _ I 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 iat, if I should beco subject the worker compensation pro Isions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. ignature of Alplica \ Dat IECLARATION RE RDING CONSTRU9'fiON LENDING -AGENCY hereby affirm under penalty of perjury th there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Ivll Code). Ender's Name Lender's Address y 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county o the a ov -Identified prop y for inspection purposes. `` // ignature of Property Owner or Authorized AGent .i, ,�..,.n e_ A- n ]Prof arnne.f., n... r .., e„rr,,,.�.es e,.�..«...�...Y. ACTION DATE BY ` DECLARAi'% F COMPLIANCE WITH ODE OF FEDERAL FOR OFFICE USE ONLY REGULATIO SPART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED A AQM D CERTIFICATE CERTIFICATE OF OCCUPANCY ISSUED Z r' / �j � r Ei SBESTpS NOTIFI�Arc ON IS B(OT APPLICA6L TO PRO SED'�]SF\MOJIJ", �I'y, arisen is / /�Ll r/..w�