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Home My WebLink AboutX2022-1396 - Permitsa City of Newport Beach - Building Division *X2022-1396* COMB Permit: X2022-1396 100 Civic Center Drive, New ort Beach, CA 926606 Pro'ect No Permit Counter Phone (949)644-3288)Inspection Requests Phone (949)644-3255 Combination Type - MFP9 �Issued Date : 05/16/2022 I e � E CT Inspection Area : 1 PERMIT EXPIRES 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 Hoiidayt w , y Job Address: 1825 W BALBOA BLVD NB St: 1 FI: 1 Unit: A ' a ®oe coa•es Description: MFR REROOF W! 30# FELT UNDERLAY 8 GAF TIMBERLINE COMPOSITION SHINGLES. 7 SQUARES. • • Legal Desc.: NEWPORT BEACH SEC 8 BLK 18 LnT 1a •: Owner: SMITH WAYNE Address: 3407 E COAST HWY CORONA DEL MAR, CA 92625 Phone: 949-300-2215 Applicant: RON PAVELOFF ROOFING Address: 5142 LAKEVIEW AVE YORBA LINDA CA 92886 Phone: 714-931-3157 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: 2 No of Units : 4 Bldg Height: 0 Bldg Sprinklers: N Valuation: $4,800.00 Building Permit Fee: - $351.00 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: $352.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: RON PAVELOFF ROOFING Address: 5142 LAKEVIEW AVE YORBA LINDA CA 92886 Phone: 714-931-3157 Con State Lic: 786691 Lic Expire: 10/31/2022 Bus Lic: BT30078532 Lic Exp Date: 04/30/3023 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9081839 Expire: 12/14/2022 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: / Left: / Right: / Parking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee 0 Architect: Address: m Phone: State Lic: Engineer: ...�€ Address: p Phone: State Lic: Designer: Address: Phone: Special Conditions: HIGH DENSITY ZONE LIQUEFACTION RISK Planning Department - Plan check Fee Fair Share, SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 N 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 $0.00 Fee Due at Permit Issuance : $352.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: a a aW• . a 4 m OWNER -BUILDER DECLARATION I hereby affirm 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 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered far sale (Section 7044, Business and Proienigns Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements ate„ ryot jrfended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or ir$ I;,Wy Jfor th ep Grp ose of sale). 0 I, as owner V tMq pvbperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pft, tO xan 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). 0 I Taro exempt Lrom licensure under the Contractors' State License Law for the following reason: Qf my%pnature,b'Now (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 legalll sell a•structure that I hate 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 Rnoftiaaions CoQB,�s mailable upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. �iSpgtpfe of PrOperty-Owner or Authorized Agent Date j,.j,CEV;ED CONTRACTOR'S DECLARATION t hereby -affirm uaderct^.nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f Divi on 3 oft Business and Professio de, d ylicense is in full force and effect. Lice05d`Class License No Date ontractor ture f c 7VORF@ERS' CG)MRENSATION DECLARATION ✓DARNING: FAILURE.T6ISE(:IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NDRED THOUSAND 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. 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 th performance of the work for which this permit is issued. Policy No. fkl 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' compensatio Isu ance carrier and olicy numbrare* ee artier , T—VW� Policy Number gli Expiration Date lame of Agent Phone # 11 certify that, in the pAoance a ors 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 sat, if I should becomw ers' co lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.ignature of Applicant DateIECLARATIONREGASTRUCTION LLN NG 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 ly my signature below, I certify to each of the following: 1 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 mar the above -identified ro erty for inspection purposes. �C GGG signature of Property Owner or Authorized Agent INN Print Property Owner's or Authorized Agent's Name Date 4CTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED 1a I SUBMITTED ASBESTOS NOTIFICATION TO TO