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Home My WebLink AboutX2020-0432 - PermitsCity 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 Combination Type - SFP IIIII��X 2 0 2 0COMB Permit: X2020-0432 Project No Issued Date : 02/18/2020 Inspection Area: 2 Construction Hours: Monday - FriERMITS day 7:00 a.m. to 6.30 Job Address: 401 KIN GS PL NB Description: SFR TIO (E) 37 SQ, INSTALL CLASS'B'MIN. p.m. and Saturday from 8.00 a.m. to 6:00 p.m. No WOOD work on Sundays or Holidays Legal Desc.: N TR 1218 LOT 65 SHAKE, PART OF A CLASS W ASSEMBLY Owner: BEAUDETTE ALAN Address: 401 KINGS PL Contractor: PACIFIC CREST ROOFING Architect: NEWPORT BEACH, CA 92663 Address: 25402 GALLOP CIR Address: Phone: LAGUNA HILLS CA 92653 Applicant: JAY/PACIFIC CREST ROOFING Phone: 949-916-5393 Phone: State Lie: Address: 25402 GALLOP CIR Con State Lie: 986602 Engineer: LAGUNA HILLS CA 92653 Lie Expire: 09/30/2021 Bus Lie: Address: P , Phone: 949-916.5393 BT300537 6730053727 Code Edit : 2019 Lie Exp Date: Phone: State Lie: �) Type yp of Construction: VB Worker's Compensation Insurance Occupancy Group: R3/U Carrier: Designer: STATE COMP Address: Policy No: 9070054 ^ Added /New sq.ft. Bldg: 0 " Added /New sq. ft. Garage: 0 Expire: 09/29/2020 Phone: No of Stories: 2 No of Units : 1 Building S g etbacks Rear: / Bldg Height: 0 Special Conditions: Front: / DO Bldg Sprinklers: N Left: / Flood Zone: )( Right: / Construction Valuation: 559.000 nn Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N Building Permit Fee: $324.00 Excise Tax: Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Planning Department - Additional Fee: $0.00 Fire Department $0.00 Investigation Fee: $0.00 Plan check Fee Grading Bonds Fee: $0.00 $0.00 Fair Share : Fire Inspection: $0.00 Record Management : $0.00 Grading PC Consultant: $0.00 $0.00 SJH Trans: Fire Plan Rev $0.00 Energy Compliance: $0.00 $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: Demolition Fee CA Seismic Safety: $0.00 $0.00 Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: Building Dept Adm $0.00 Disabled Access : $0.00 $0.00 Park Dedication : $0.00 General Service $0.00 Hazardous Mat $0.00 Building PMN Plan Check : $0.00 Electrical %: $0.00 Refund Deposit Grading Band: $0.00 Green Fee : $3.00 San Dist : Mechanical %: $0.00 $0.00 $0.00 Plumbing %: NMUSD Fee: $0.00 $0.00 $0.00 TOTAL FEE : $327.00 $0.00 k Plan 6he ,Fee :, E e x$0.00 Fee Due at PermitIssuance - o a o $327.00 PROCESSED BY: Puayb ZONING APPROVAL: a ' AIOAKS APPROVAL: GRADING APPROVAL: PLAN CHECK BY: z�'` �` r ` _ & r ` `APPROvAk TO ISSUE: OWNER -BUILDER DECLARATION An cit or county that requires a permit to construct, alter, improve, demoal'IwshCharepair 9 (commenc'I g withprior Se tion 7000) of Division requires 3 of the B sapplicant iness and I hereby -BU under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicab e I em s Section 7031.5, Business and Professions Code. y Y he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License ( P 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 o lot more than five hundred dollars ($500). portions of the workion 7044, , and the structure is not intended or offered for sale (Sectioned that the L7I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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, P 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 n 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 no 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: Bell aystructure thatnature lthalve built as aneowne except builder i has not belen codence in nstructed structed ni it I must have �;sidTd entirety by licensed For I understand that a copy of theletion of happlicable aw,e improvemet iSection 7044tof the Business his permit, I nandnot lega Date Professions Code, is available upon request when this application is submitted or at the following Web site:http:/hxww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent license is in full force LICENSED CONTRACTOR'S DECLARATION Z� 18 Z . Contractor Signature I It affirm under penalty of perjury that I am licensed and er cense INons of Chapter 9 (commencing with SecDoaie70 ) of Division 3 of the Business and Profe Bions Co , a� Y and effect. License Class WORKERS' COMPENSATION DECLARATION COSTIOF COMPENSATOION,ODAMAGES AS PROVURE OIDED FOR IN SECTIOMPENSATiON N COVERAGE'!88 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. RIMINAL PENALTIES AND CIVIL FINES UP TO ONE RUND EO THOUSAND DOLLARS ($188,080), IN ADDITION TO T WARNIN NG: FAILURE I 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 t ormance of the work for which this permit is issued. Policy No. I have and will 'fain 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' compensatlo insurance carrier d p k; number (�e'-�/ 'umGer Expiration Date Carrier�Pc lcy Phone# Name of Agent thatcfrtIfy shoWd become the perfo.mn tc ofo fhetwhe orr ea S, rmich pe sa is perovlis ons of Section 113700 of not the Labor Code, loy any person ll hall forthwith comply bwith hose pl ovtisionsto e workers' Zatl/ewZ�California, an agret gnature of Applicant ECLARATION REG DIN TION LENDING AGENCY lereby affirm under penalty off that there is a construction lending agency fo Lthe ender's dress of the work for which this permit is issued (Section 3097, Civil order's Name V 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 ids rrect. I agree to comply with all applicable city and coun ordinan s a state laws relating to building construction. ` ye I authorize representatives of this city or count enter M'e a e-identif' operty for inPPnt Pro erty Owner's or Authorized Agent's Nam ignature of Propert Owner or Authorized Agent 1CTION DATE BY RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS N TI ICA"fI�N TO•`• • •• PERMITEXPIRED • • . • • ° ` PERMIT CANCELLED EPA : • • • • •• PERMITEXTENDED QMD ASBESTOS N TIFICATION IS NOT APPE TO LICABL PERMIT FINAL CERTIFICATE OF POSE DE OLITIO OCCUPANCYISSUED i' SIGNATOR . 1 ,p N i +: O N N t _.. 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