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Home My WebLink AboutX2019-3411 - Permitsrrirr City of Newport Beach - Building Division ��COMB Permit: X2019-3411 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 4 1 1 Project No.: '1 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 k, a Combination Type - SFP Issued Date. 10/25/2019 Inspection Area : 1 I PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VAL D INSPECTION. Construction Hours: Monday - Friday 7:00 a.m, to 6:30 p.m. and Saturday from 8:00 a nx :00 p.m. No work on Sundays or Holidays Job Address: 1416 W OCEAN FRONT NB. Description SFR DET:. GARAGE TIOO E 3.5 SQ REPLACE/REPAIR PLYWOOD ASN E E DED, INSTALL"COMP. SHINGLE, CLASBl��y�� Legal Desc.: N TR 234 BILK 14 LOT 9 4�3 Owner: ADNOFF MORRIE C Contractor: LANG ROOFING INC Architect: J Address: 14925 LA CUARTA ST Address: 5901 CLARA ST Addrs WHITTIER, CA BELL GARDENS CA 90201 (� 04 Phone. 5527896757 Phone: 562.923-8726 Phone: State Lic v®SC� Applicant LANG ROOFING INC Con State Lic: 405427 Engineer: Address 5901 CLARA STS Lic Expire: r 06130/2021 Address: BELL GARDENS CA 90201 Bus Lic: BT30069392 Phone. 562-923-8726 Lic Exp Date: 10/31/2020 Phone: State Lic: Code Edit: 2016 WorkersCompensation Insurance's Designer: Type of Construction VB Carrier: '. REDWOOD FIRE Address: Occupancy Group: U Policy No: LAWC012658 Added /New sq.ft. Bldg: 0 Expire. 03/31/2020 Phone: Added /New sq. ft. Garage 0 ;.: No of Stories, 1 Building Setbacks Rear. / Special Conditions: LIQUEFACTION AREA No of Units : 1 Front: I - Bldg Height' 0 Left' Bldg Sprinklers::.. N' 'Right / Flood Zone: X Use Zone: Parking Spaces: 0 Fire: Hazard Zone N. Construction Valuation. $1.897.50 Building Permit Fee: $324.00 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 $11.00 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 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: .$0.00 San Dist: $0.00 Building Green Fee $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0:00 :. TOTAL FEE : $325.00 Plan Check Fee : ° ° ° $0.00 ° ° • Fee Due at Permit Issuance : $325.00 j PROCESSED BYe.e`°PUBLIC.WO�2KG APPROVAL: o m o eoo • o° ZONING APPROVAL: PLAN CHECK BY: , GRADING APPROVAL: m ° m .APPROVAL° YQ ISSUE:. _� Y m e o • o m mo o• i 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) ction 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 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 fessions 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 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, riness 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 Movements 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 )roved 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 )ly 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: 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 legally 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 ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized Agent Date )ENSED CONTRACTOR'S DECLARATION -reby affirm under penalty of perjurryythat I licensed under provisions of Chapter 9 commencing with Section 0 of Divi 'on 3 of the Business and Pr a iop Code, and��j license iJin force I effect. License Class c License No �!')Z Date TS Contractor Signature �[ )RKERS' COMPENSATION DECLARATION rj- 2NING: 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 ($'100,0001, IN ADDITION TO THE IT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. areby 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 the fbrmance of the work for which this permit is issued. Policy No. have and will tain 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 urance carrier nd policy number are: ((/�'�e' „�^1 -1- Q,F—N.* ��n� .411 A ONi':v rJ18Mher .� 4&)c- Expiration Date 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 if I should becomee ss bject to('/tF{We works rs'/�rJy'pensattion/provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. rature of ADolicantPl IA. -A r� ,eby affirm under penalty I perju��tRat there is a c ns�ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ier's Name'. Lender's Address ny 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 enter ttebove-ideY 17 ied p pfit y for inspection purposes. ._.. ............ .....___ _, �.......:_,..) A, --I ll r Prnoertv Owner's or Authorized Aoent's NamP�6�,I-q, .,Z� DATE i BY EMENDED FINAL ATE OF'',, bF COMPUAIrCltWITH CODE OF FEDERAL FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQMD RULE NOTIFICATION 15 NO PPLICABLE TO