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Home My WebLink AboutX2020-2605 - Permitsug'. 1"'nryvCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 CoCombination Type - SFP 111111111111111p11111111111111111111111111111111p111COMB Permit: X2020-2605 Project No : Issued Date : 1110912019 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110912022 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: 901 ALDER PL NB Description: SFR TIO (E) 39 SC, INSTALL SHAKE COMP. SHINGLE, CLASS 'A' Legal Desc.: N TR 4705 LOT 9 Owner: HODGES MARY Contractor: ABOVE IT ALL ROOFING INC Architect: Address: 901 ALDER PL Address: 3943 IRVINE BLVD #297 Address: NEWPORT BEACH, CA 92660 IRVINE CA 92602 r�o+ Phone: Phone: 714-731-3911 Phone: State Lic: cc Applicant: BRUMN DAVID Con State Lic: 908069 Engineer: 0 Address: 3943 IRVINE BLVD #297 Lic Expire: 12/31/2021 Address: 1- IRVINE CA 92602 Bus Lic: BT30064548 Phone: 714-731-3911 Lic Exp Date: 09130/2021 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: CALIFORNIA INSURANCE Address: Occupancy Group: R3IU Policy No: 4684447601 Added /New sq.ft. Bldg: 0 Expire: 1010112021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units : 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: N Right: I Flood Zone: X � Use Zone: Parking Spaces: 0 Fire Hazard Zone : N _ Construction Valuation: $29.850.00 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 WQ 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 : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $345.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $345.00 PROCESSED BY: r UBLIC WORKS APPROVAL: ZONING APPROVAL: "LAN CHEEK 3Y. 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 L) 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). ❑ 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). ❑ 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 legal) 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 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.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 J0Q@) o ivis'Dn 3 of the Business and Pro s and my I' as is in full force and effect. License Class License No Date Contractor Signatu� WORKERS' COMPENSATION DECLARATION WARNING: 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ]TUS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 the performance of the work for which this permit is issued. Policy No. 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' compensatior lsurance carrier an D y number are: rrrr�� ;arrier n.1 P c �u Expiration Date Jame of Agent a ` Phone # :1I 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 agree hat, if I should becomes bjeclAo the worrkkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /'� 2 �/ // signature of Applicant �— D / )ECLARATION REGARDING'15ON9TRUCTIM LENDING AGENCY hereby 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). .ender's Name Lender's Address 3y 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 ordinance a state laws relating to building construction. ,i�i.LA % ✓L I authorize representatives of this city or county o en = entified pr or inspection purposes. 3i nature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Na , D ACTION DATE BY DkC A ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 11 REGULATI NS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I UI SUBMI ED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED QM PERMITFINAL I VZ3/7.0 ` ASBEST NOTIF TI0J:15 OOr APPLICABLE TO CERTIFICATE OF PROPOSE D 10 OCCUPANCY ISSUED /iiy'L SIGNA RE: A -AA