HomeMy WebLinkAboutXR2022-3043 - Permits__ aEwPoRT City of Newport Beach II IIIII IIIII� II�IIIIIIIII IIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2022-3043
p� @ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No :
u T Permit Counter Phone: (949) 644-3288
1 <sR Inspection Requests Phone: (949) 644-3255 Issued Date : 11/1712022
C9</Fp RN�P newportbeachca.gov/inspections Inspection Area : 1
Combination Type -
Work Class - Other
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 229 19TH ST
Legal Desc : P BK 5PG 37 PP
Description: SFR - T/O AND RE -ROOF W/ DBL LAYER 15LB UNDERLAYMENT AND CON
Owner: MURRAY PAMELA A TR
Address: 231 19TH ST
NEWPORT BEACH, CA 92663
Phone:
Applicant:
LION ROOFING INC
Address:
413 S NUTWOOD ST
ANAHEIM, CA 92804
Phone:
(714)904-5188
Owner/Builder :
Address :
Phone
Code Edition : 2019
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height:
Building Setbacks : Front: 5, Side: 4, Side: 4, Rear: 10
Flood Zone : X
Use Zone: R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Bus Lie: BT300651
Bus Lie Expire : 01/31120,
Workers': Compensation. I i
Carrier: 'CLEAR SPRING'
COMPANY
_Policy No: CWC0051z
0. C. Expire: 2/14/2023
Fire Sprinklers : NO
:.Fire Hazard Zone : NO
C
SHINGLES CLASS A" - 19 SQ
NC Architect
DID ST
Address
92804
Phone:
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State Lie
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Engineer :
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Address:
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trance
Phone
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ZOPERTY AND CASUALTY
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Designer:
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Address:
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Phone:
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Construction Valuation :
$0.00
Added/NewITIsq. ft. Bldg :
0
Alteration sq. ft. Bldg :
2 Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
i I Y�€3i +�' fi
I hereby affirm under penalty of perjury that t am exempt from the Contractors' State License Law forthe reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
Icflon 7031Z,. 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 requiresthe 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
seer, „c rndai nr rhae hanr cha is axamni frrxm linanciire and the basis far the alleoed axemotion. Anv vlciationof Section 7031:5 by any aoo idantfora permit subiectsthe applicant to a civil penalty of
more than live nunareO dollars taODU),
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 toan owner of property who, through employees''. or personal e€fort, builds or improves. the property, provided that the
rovements are not intended or offered for sale. It however, the building or improvement. issoldwithin one year of completion; the Owner-Suilder will have the burden of proving that it was not built or
roved for the purpose of sale),
1, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project(Section 7044, Business and Professions Code: The Contractors' State License Lawdoes 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 taw).
I am exempt from 0Censure under the yContractors' 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 compiatien of the improvements covered by this permit, I cannot too
a structure that I have bOf as an ownor-builder if it has not been Constructed in its entirety by licensed contractors.1 understand 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 siteihttp•1rwww:Ieglnfo.ca.govicalawAtm1.
nature of Property Owner or Authorized Agent Date.
ENSED CONTRACTOR'S DECLARATION
ireby affirm under penalty of perjury that,I am licensed under provisions of Chapter 9 (commencing with Section 7000) of,DiV ion 3'of the Business and Professiorss Cod ,and is in full forpi
.. .,.. _ .� . ____�w,_ ..-.. �• r/' n.,w. ✓! it /I-i /9v�-
INa; FAILURE TO SECURE wDtatERa' COMPENSATION COVERAGE IS UNLAYEFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND ;CIVIL FINES UP TO ONE HUNDRED TW0 ODOL jS10g900J IN ADOMON TO THE
OF
MPENSA ON;PWGES AS PROVIDED FOR IN SECTION 3701LOF THE LABOR epee. INTEREST. AND ATTORNIEVS. FEES.
aby affirm utid&JAp alty'of perjury one of the following declarations:
hove and will oalruain. a certificate of consent to sell -insure for workers' compensation, Issued by: the Director of Industrial: Relations as provided for by Section 3700 of the Labor Code, for in
t r7�f'ice of th¢ worklor which this permit is Issued, Polfcy Na
rev and will maintain 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
c'a carrierand,"liay number. are,
Policy Number Expiration Date.
a 6TAgent Phone If
i�1•
9nif jthat, i ;theD's$on ande of the on this permiLisassued, i chap not employ person in airy manner so as to become subject to the workers compensation laws of California, and ogre
If I should becb4ne subject to he rke s' oomp cation provisions of Section 3700 of the Labor Code 1 shall forthwith comply Win those provisions.
mare of Appficant• Dat� �LL/
LARAT)ON 33�FaAR ING C ION LENDING AGENCY 7
eby affirm under penatty per[ thatt are is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
I am the property owner or authorized 10 act on the property owner's tre
I have read this application and the information I have provided iscor dt.
I agree to comply with all applicable city and county ordin ncas an(, I to (av " relating to building construction.
I authorize representatives of this city of county to enter a above d ' prbpedy for inspect -ton purposes.
ACTION .DATE. BY LARATIO AtiDM'UANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
Gt1LAT SPART t OF TITLE40 AND AQMO RULE
CE9PERTIFICATEOF �ITFINAL ���3d1Z are' P OPOSEODEMOLtTF AANTIO�IS Jfli APPIIC'ABtE TO
OC£UPANCYISSUED i GNATURE: