The URL can be used to link to this page

Home My WebLink AboutX2021-1889 - PermitsyI=�& City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIDIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIII COMB Permit: X2021-1889 �+ G 100 Civic Center Drive, Newport Beach, CA 92660 Project No ;w'.. •'' +• ••�."I; n Permit Counter Phone (949)644-3288 . Inspection Requests Phone (949)644-3255 i'!Lsr�,,:tia�• Combination Type - SFP Issued Date : 07/20/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/20/2024 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 orWidays Job Address: Description: 2315 HEATHER LN NB SFR - REROOF W/30 YR SHINGLE TIO EXTG 45 SQ Legal Desc.: N TR 3138 LOT 35 Owner: WELLS JOHN & CORINNE Contractor: CAL - STATE ROOFING Architect: Address: 2315 HEATHER LN Address: 702 MONROE WAY Address: .... NEWPORT BEACH, CA 92660 PLACENTIA CA 92870 •Q„e P Phone: Phone: 714-813-7736 Phone_ State I in. Applicant: CAL - STATE ROOFING Address: 702 MONROE WAY PLACENTIA CA 92870 Phone: 714-813-7736 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: A Construction Valuation: $0.00 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 : $0.00 TOTAL FEE: $351.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 801616 Lic Expire: 11/30/2021 Bus Lic: BT30075986 Lic Exp Date: 07/31/2022 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 1877765 Expire: 07/30/2021 Building Setbacks Rear: / Front: / Left: / Right: / Use Zone: Parkina Soaces: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Engineer Address: Phone: Designer Address: Phone: Special Conditions: 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 State Lic: 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: ••P . P0• •P• .... 9 0 BPPnpP P $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $351.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: .P•ae a e_' • • • .®ca• aPecc o Ba:•P • P • • P 06it 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 o ❑ f 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 'mproved for the purpose of sale). I 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). I I am exempt from licensure under the Contractors' State License Law for the following reason: By my signatur, t.b&w I acknowledge that, except for my personal residence in which I must have resided for at least on year prior to completion of the improvements covered by this permit, I cannot legallt sell a structure that I Lave 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 Profe%sions Code0is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. BigrmV re of P,rope4r[y Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION rbereby affirm udder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000f D ision of the Business and Profesgikons Code, and my license is force and'4ffect. Licsnse2Qlass License No Date I Contractor Signature NJAKERS' (0AANSATION DECLARATION J NARAING: FAILURB'"IgURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE DOC1 OF COMPEIRWQW, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. h®reby affirm under penalty of perjury one of the following declarations: ' 3.1'11ave and will r1 jmtain a certificate of consent to self -insure for workers' compensation, issued by the Directors of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN �,Kgrmzrjcf of%Eba Conk for which this permit is issued. Policy No. Ind vgC "ain workers' compensation insurance, as required by Section 3700 of the Labor Code, for thei performance of the work for which this permit is issued. My workers' carrier and pplicy number are: Policy Number Expiration Date of Agent certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any , if I should become subject to the workers compensation provision§eof Section 3700 of the Labor Code, I shall of Applicant u H h IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work enders Name Lender's Address ly 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 e r the above -identified property for inspection purposes. signature of Property Owner or Authorized Agent.. Print Property Ownei ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL �.� U%� OSEDOS NOTIFICATION O IFICA ION IS NOT APPLICABLE TO CERTIFICATE OF t� V /A-�' OCCUPANCYISSUED V� SIGNATURE- so as to become subject to the workers' compensation laws of California, and agre i comply with those provisions. �� Date / /� this permit is issued (Section 3097, Civil Code). USE ONLY