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Home My WebLink AboutX2021-1954 - Permitst=r,� City of Newport Beach - Building Division IIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1954 G 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 9 5 4 Project No " Permit Counter Phone (949)644-3288 s�. " .i q'� Inspection Requests Phone (949)644-3255 €t,� ,�ks Combination Type - MFP Issued Date : 07/27/2021 4Wn%E - NO CONSTRUCTION WORK 0 Inspection Area - PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/27/2024 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: 513 POPPY AVE NB St: B Description: MFR REMOVE (E) SHINGLE, INSTALL 1 LAYER, 15 LB UNDERLAYMENT; PR<atqNJJ BLEND CL A 500 SQ Legal Desc.: PM 279-43 PAR. 2 OF PROJECT 938-01 LOCATED ON AP 459-222-22 TOGETH FI� Owner: DEKOVNER DIANE Contractor: KING ROOFING Architect: Address: 513 POPPY AVE #B Address: 1044 W ORANGE ROAD Address: 2 CORONA DEL MAR, CA 92625 2 SANTA ANA CA 92706 0 Phone: 949-322-6813 Phone: 714-401-3131 Phone: Applicant: KING ROOFING Con State Lic: 759061 Engineer: Address: 1044 W ORANGE ROAD Lic Expire: 12/31/2022 Address: SANTA ANA CA 92706 Bus Lic: BT30066388 Phone: 714-401-3131 Lic Exp Date: 06/01/2022 Phone: Code Edit : 2019 Type of Construction: V -B Occupancy Group: R3/U Added /New sq.ft. Bldg: $0.00 Added /New sq. ft. Garage: No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Valuation: $13,390.00 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: Worker's Compensation. Insurance Carrier: STATE FUND Policy No: 9214300 Expire: 06/30/2022 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: 1 Front: / Left: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 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: $352.00 State Lic: State Lic: om mm o m m mm m m emoomm 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: Lir- APPROVAL TO ISSUE: T/ • m mm•eoo 0 m e O f e o o oom - oeooc 0 eoocc m0000� m m m < oeoom�' •oom 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: om mm o m m mm m m emoomm 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: Lir- APPROVAL TO ISSUE: T/ • m mm•eoo 0 m e O f e o o oom - oeooc 0 eoocc m0000� m m m < oeoom�' •oom 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 L) all of or U 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 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 exempj Irprr 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, 6BIl,4 Itructure {hat f 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 *dp,•iS%vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. igneture of PlDperty Owner or Authorized Agent Date LICaSED CONTRACTOR'S DECLARATION I h%eby affirm•underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Divisio 3 of the Business and Professjogs Cade, and my license is in full force 2r 2ffect. ficQrTse;Class License No Date Contractor Signature �JyI�L�4 �1� • AQRKERS:-IDG IIPENSATION DECLARATION cr- • IWo%KIiNG: FAIBURE JG 1ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. • rieroby affinT ander penalty of perjury one of the following declarations: • •C have an&&Il;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 • rmance,pf thew ork forwhich this permit is issued. Policy No. have and wilrclaintain 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 and oolicv number are: of Agent Policy Number �izt�(�/xi Expiration Date 6(_a �2,0 (z`L Phone # 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 if I should become subiect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant Date ri' I Z-��i 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 y 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 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 to�enj�r the above-id�tifiedpropPrrty-fQr inspection purposes. ZA DATE BY REGUrONS PARTOMPLI 61 TNCrTLE 4TH C DE OF RULE \L I FOR OFFICE USE ONLY PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLEDA EP PERMIT EXTENDED qM D PERMIT FINAL SBESTOS NOTIFICATION IS NOT APPLICABLE CERTIFICATEOF ,T& (Z, P OPOSED DEMOLITION OCCUPANCVISSUED GNATURE:9.110L P A n _ Date /a