HomeMy WebLinkAboutX2022-1716 - Permitsw : City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP
*X2022-1716` COMB Permit: X2022-1716
Project No: 1307-2022
Issued Date : 06/20/2022
Inspection Area : 3
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 Holidays
Job Address: 507 KINGS PL NB
Description: SFR REROOF: T/O SHAKE. INSTIL CDX PLYWOOD WI 2-LAY 30# FELT INSTALL LTWT CONIC TILES (ICC-ESR1647'DURALITE SAXONY 600 5.7 PSF). 5 SQUARES. (DET GARAGE)
Legal Desc.: N TR 1218 LOT 69
Owner:
STAMPLEY HILLARY
Address:
507 KINGS PL
NEWPORT BEACH, CA 92663
Phone:
949-510-7034
Applicant:
DEPINHO ROOFING INC/CAMDEN
Address:
2832 N OLIVE AVE
ORANGE CA 92865
Phone:
714-632-7663
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added/New sq. ft. Garage:
No of Stories: 0
No of Units: 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee:
Plan Check Fee: $0.00
Overtime Plan Ck:
Investigation Fee:
Record Management:
Energy Compliance:
CA Seismic Safety:
Disabled Access
Hazardous Mat
Building Green Fee
PROCESSED BY:
Contractor:
DEPINHO ROOFING INC
Address:
2832 N OLIVE AVE
ORANGE CA 92865
Phone:
714-632-7663
Con State Lic:
683894
Lic Expire:
0212912024
Bus Lic:
BT30009054
Lic Exp Date:
05/3112023
2019 Worker's Compensation Insurance
Carrier:
TRANSVERSE INS
U Policy No:
FORWC000000O140
0 Expire:
12114/2022
0
Building Setbacks
Rear: /
Front: /
Left: /
Right: /
Use Zone:
Parkino SDaces: 0
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lic:
State Lic:
Special Conditions: SEE X2022-1715 FOR FULL
FEES
Hazard Zone : N
$0.00
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
$0.00
Grading Bonds Fee:
$0.00
Fair Share
$0.00
Grading PC Consultant :
$0.00
SJH Trans
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
$0.00
Grading PC Fee:
$0.00
Public Works Department -
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
$0.00
PNV Plan Check:
$0.00
$0.00
Electrical %:
$0.00
San Dist:
$0.00
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $1.00
ZONING APPROVAL:
GRADING APPROVAL:
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:
Plan Check Fee : $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: j
APPROVAL TO ISSUE:
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$0.00
$1.00
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)
ction 7031.5, Business and Professlons 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
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
:fessions 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 clvirpenalsy of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emrloyees' or personal effort, builds or improves the property, provided that the
Irovements 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
)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
)ly 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 am exempt from licensure under the Contractors' State License Law for the following reason:
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 legally
a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I unde jstand that a copy of the applicable law, Section 7044 of the Business and
:fessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi.
nature of Property Owner or Authorized Agent Date
IENSED COMTA?A.CTOR'S DECLARATION
;reby affirm u'ridei penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 o D'v ion 3 of the Business and Profess' sCode, nd my license � in full force
LaffecL Licepse,Qlass License No Dat� Contractor Signature ., e on fl 9( / _
)RKERS',(;01Iti'o'SFY'NSATI0N DECLARATION
1NING. FAILU RE im SLCU RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
'j.T.VJ,OMPENSATJ" DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN EY'S FEES.
_reblaffirm Indef➢snal[y of perjury one of the following declarations:
re and v4iKtgaintain 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
3nce oPth aws* for which this permit is issued. Policy No.
e and wiRinairftain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perf rmance of the work for which this permit is issued. My workers' compensatiol
camerta d.Wlicy number are: '' II
( Policy Number (�I- —� �� Expiration Date 12 - 14-20..�
F Agent ,V hn ilf Phone #
'I�Fy that•iT the �rformance of the work for which this permit is issued, I shall not employ any person in any manner so s to become subject to the workers' compensation laws of California, and ogre
Should bedome su/bJ9o�� to the/w�q{'Qkkeers' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �T
re of Apaljppht ' Date
:reby 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).
ider's Name Lender's Address
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 ordinance and state I s relating to building construction.
I authorize representatives of this city or county t.I�nter theafove-It{levntifiepProperty for inspection purposes.
of
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY ` DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS
NOTIFICATION 15-NOT APPLICAJLEE) TO
FOR OFFICE USE ONLY
Name