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Home My WebLink AboutX2020-0006 - PermitsCity of Newport Beach - Building Division �- ** 100 Civic Center Drive, Newport Beach, CA 92660 -Permit Counter Phone (949)644-3288 I Inspection Requests Phone (949)644-3255 Combination Type - SFP Ili iiiiiiiiiiii II COMB Permit: X2020-00 Project No: 2296-2017 Issued Date : 01/0112020 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 309 ORCHID AVE NB Description: SFR REROOF W/CLS "B" WOOD SHAKE, TIO WOOD (17 SQS) Legal Desc.: CORONA DEL MAR LOT 9 BLK 241(AND NELYI/2 LOT 7 BLK241 Owner: HOLMAN DAVID C Contractor: PERFORMANCE ROOFING CO Architect: '��® i Address: 309 ORCHID AVE Address: 2506 S BROADWAY Address: CORONA DEL MAR, CA 92625 SANTA ANA CA 92707 Phone: Phone: 949-645-2382 Phone: State Lic: 1 Applicant: PERFORMANCE ROOFING CO Address: 2506 S BROADWAY SANTA ANA CA 92707 Phone: 949-645-2382 Code Edit: 20141 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: Flood Zone: 11 Construction Valuation: $1 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: GRADING APPROVAL: Con State Lic: 797003 Lic Expire: 07/3112021 Bus Lic: BT00006327 Lic Exp Date: 06/31/2020 Worker's Compensation Insurance Carrier: STATE COMP FUND INS Policy No: 9094635 Expire: 04/01/2020 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: I Front: I Left: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Engineer: FOR S, tlSTt.,11 CTIO I NOI Address: 1800 9N r10.J d 9'A 14 SANTA ANA CA 92701 Phone: 714-835-2800 State Lic:C-030407 Designer: Address: ON THE WEEKEND Phone: Special Conditions: HIGH DENISTY Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PM/ Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.03 $0.00 Fire Plan Rev $0.90 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $325.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 U all of or L) 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-Builderwill have the burden of proving that it was not built or im 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 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 Iegall 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 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 Division 3 of the Bus'jness and Profess' n Code, an y is is in f farce and effect. License Class License No Date Contr for Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OLL RS ($100,000), IN A ITION 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: h3e and Will ma:'ntain 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 ofrhe wur,K for which this permit is issued. Policy No. P-haw nd will o aintain 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 ins ance carrier.2id policy number are: I:ier Policy Number Expiration Date Name of Agent Phone # nl ce-tlfy that, in the performanc he 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 that, if I should beuo o th worke omLpe�gs�ation revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signatu,e Df-Ap�licnt. —V ��= --RATION REGARDINGCON TION LENDING AGEN �97, hvmhy affrm:maer'p=nalty of perj tha there is a construction nd g agency for the performance of the work for which this permit is issued (S Ctiivil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and cou ces a state laws relating to building construction. I authorize representat' of this city or cou?V t enter the abov -id ntified ope y f inspection purposes. ��-V�` Signature of Property ner Auth Bd-Agent riot Property Owner's or AuthorizedAgent's ate ACTION DA BY DECLAR OF COMPLIANCE WITH COD L FOR OFFICE US REGU 10 PART 61 OF TITLE 40 AND A M ULE �. 1403 PERMIT EXPIRED U I SU BMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LJEPA PERMIT EXTENDED QMD PERMITFINAL A ES IC ON IS TAPPL CABLE TO CERTIFICATE OF W EDD LITION OCCUPANCY ISSUED §\ 0) a) f7L) � ® \" \\\00 $ m k \ 0 C: LU )/ �\/d\d « / / § �» QM(1) _0 < tm � \ o s U) % w < » 2 LU (a \) / ) \EL 33§= /2 �\ e /\/k\/( \ ® Co m � » a)C) = z y g / g=�\t 0 D 777"* qCl \} ) Co ok °// �\/j\ /0®: �U) o 55 ° \ \ 3 C) }/ e _% o *ec E n= s= Ia »» �'\�\5 so &e GEM£EG � / c) _ COS G & a*§I-2 /\ _7%\ \E\\\3 a) 0 2 \ 7 0) 0--/ f0 ±\� \\o « 2 « C& \0ca/E 00< /22\&E \ \ 0 § ¥ m \