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Home My WebLink AboutX2020-0379 - Permitsrte rry City of Newport Beach - Building Division e4� 100 Civic Center Drive, Newport Beach, CA 92660 F : I 1`✓ Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0379 x 2 0 2 0 0 3 7 9 Project No : Issued Date: 02/1012020 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: 323 NARCISSUS AVE NB Description: SFR - REROOF W124 GUAGE STANDING SEAM METAL ROOFING 15 SQ CL"A" WI 1 X 6 SPACED SHEATHING T/O EXTG Legal Desc.: CORONA DEL MAR BLK 240 LOT 23 Fz'n Owner: MARTIN GARY Contractor: D & J ROOFING INC Architect: Address: 323 NARCISSUS AVE Address: P.O. BOX 8788 Address: �( •A CORONA DEL MAR, CA MAMMOTH LAKES CA 93546 Phone: 0 Phone: 760-937-5636 Phone: State Lic: < j7 Applicant: D & J ROOFING INC Address: P.O. BOX 8788 MAMMOTH LAKES CA 93546 Phone: 760-937-5636 Code Edit: 2019 Type of Construction: VB Occupancy Group: R3/U 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: Construction 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 Lie: 886300 Lie Expire: 1013112020 Bus Lie, BT30038799 Lie Exp Date: 03131/2020 Worker's Compensation Insurance Carrier: ESG Policy No: WC018974900 Expire: 12/31/2020 Building Setbacks Zone: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Rear: I Front: / Left: / Right: / 'arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Engineer Address: Phone: NO °'-°O1H: 98Ruc t l Designer: Address: - Phone: Special Conditions: ON SATURDA S. - Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $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 $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 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). ❑ 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 legall,. 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://w .leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o Disi n 3 of t Business and Profess' ode and my,li�nse Is in II force and effect. License :;lass License No Date ontractor Signature .f X�� ` WORKERS' COME ENSATION DECLARATION AARNING>FAILURE TO $SCI�RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, 0 WAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I: nelebwaffirm undor penalty of perjury one of the following declarations: I have and wdl 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 *o�mance of the wort: for which this permit is issued. Policy No. I,a✓e and v ih ,malrtain 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' rake carrier and policy number are: Policy Number Date le 0 Agent _, Phone # cerify 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 la=Cafifornia,and agre h I should becom; subje o t workers' comhp�ensation pro Ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / lature of Applicantdn fl' �f'T T ,. DateL ILARATION REGARhiiiG CCONSTRUCT - N D NI AGENCY (! areby 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 owners 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 tq Kterpe above-idWtified propg4y for inspection purposes. Owners or Authorized ADent's Name ACTION DATE BY ` DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED QM D PERMITFINAL CERTIFIC4TE OF OCCUPANCYISSUED +S,�u/ ``''''ll ll t ,per r— A ESTOS NOTIFICATION IS NOT APPLICABLE TO p POSED DOLIITI(,r',�'�N, SIGNATURE: