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Home My WebLink AboutX2020-0591 - Permits (2)w,•� City of Newport Beach - Building Division m4` 100 Civic Center Drive, Newport Beach, CA 92660 h Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP II IIX IIIII� 0IIIIII�I0III�I�I�I0� �I5 I�I� �I1 II COMB Permit: X2020-0591 Project No : Issued Date : 03/0512020 Inspection Area : 3 PERMIT EXP/RES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 2528 VISTA BAYA NB Description: SFR TIO (E) 28 SQ, INSTALL COMP. SHINGLE, CLASS 'B' Legal Desc.: TR 1159 LOT 4 NWLY 66 FT Owner: SHAFFER GEORGE Address: 2528 VISTA BAYA Record Management: NEWPORT BEACH, CA 92660 Phone: - $0.00 Applicant: LUIS/WEST COAST ROOFING Address: 21600 ELTONLANE Hazardous Mat NUEVO, CA 92567 Phone: 714-486-8463 Code Edit: 2019 Type of Construction: VB Occupancy Group: R3 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $324.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: - $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $325.00 PROCESSED BY: ZONING APPROVAL: Contractor: WEST COAST ROOFING Address: 21600 ELTONLANE Fair Share NUEVO, CA 92567 Phone: 714-486-8463 Con State Lic: 1006601 Lic Expire: 08131/2021 Bus Lic: BT30071304 Lic Exp Date: 03131/2021 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9166331 Expire: 03/0912020 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect: Address: Phone: State Lie: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $325.00 o o° PUB-10,WORKS APPROVAL: o m PLAN $HECK BY: GRADING APPROVAL: „ . APPROVAL TO ISSUE: 6 c b` 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 : $325.00 o o° PUB-10,WORKS APPROVAL: o m PLAN $HECK BY: GRADING APPROVAL: „ . APPROVAL TO ISSUE: 6 c b` 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 C_) all of or (_) 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). ❑ 1, 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 legall, 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.html. 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 Sectio 00 Dy' vision 3 of the Business and Pr ons ode and my license is in full force and effect. License Class License No Dat °I Contractor Signatur [t NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR OUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 7e/ormance 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' 'ance carrier andIic number are: n in _ is of Agent certify that, in the pi if I should become Of Date ice of the Ark for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IECLARATION REGARDING CONSTRUCTION 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 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 owners behalf. L f/,S I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances nd state laws relating to building construction. I authorize representatives of this city or county tqrentey a t-,Kentjyed property for inspection purposes. 4 �- ii nature of Property Owner or Authorized Agent NJ Z t. Print Property Owners or Authorized Ag ACTION DATE BY EC TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY CATIONS PART 63 OF TITLE 40 AND AQMD RULE of California, and 0 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFI RJOR TQ •"• -! +� ••• •'• PERMITCANCELLED Lit DEPA • • • + • PERMIT EXTENDED LJAQMD �•+ • ••! PERMITFINAL Ift V L3ASBESTOS NOTIFICATIONIS OTAPPLICABLE TO CERTIFICATE OF PROPOED EMOLIT �•: +•. ••• OCCUPANCYISSUED SIGNA •+• • • •••