HomeMy WebLinkAboutXR2023-1054 - Permits�eWPogr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-1054
D4 ��Community Development Department - Building Division X R 2 8 2 3 1 0 5 4
n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 644-3288 issued Date : 04/25/2023
Inspection Requests Phone: (949) 644-3255 Inspection Area : 4
cqC/FppN�p newportbeachca.gov/inspections
Combination Type - SFP
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 : 1830 PORT SHEFFIELD PL Legal Desc : N TR 6620 BILK LOT 6
Description: SFR REROOF T/O SHAKE AND REPLACE W/ EAGLE LITE TILE ESR-1900 5.7 LBS 35 SOS
Owner: NELSON STEVEN A TR PORT
Address : 1830 PORT SHEFFIELD PL
NEWPORT BEACH, CA 92660
Phone:
Applicant: ROOFING BY DANIEL GERRITY
Address : 18600 COLIMA RD #U204
ROWLAND HEIGHTS, CA 91748
Phone: (714)925-7383
owner/Builder:
Address :
Phone
Contractor:
ROOFING BY DANIEL GERRITY
Architect
Address :
18600 COLIMA RD #U204
Address
ROWLAND HEIGHTS, CA 91748
Phone :
(714) 925-7383
Phone
Con State Lic
: 1013819
State Lic
Lic Expire :
05/31/2024
Bus Lic:
BT30081380
Engineer:
Bus Lic Expire : 04/30/2024
Address
Workers' Compensation Insurance
Phone:
Carrier: STATE COMP
Policy No:
9336272
Designer
W. C. Expire :
4/1/2024
Address
Phone:
Code Edition :
2022
Fire Sprinklers :
Type of Construction :
V-B
Fire Hazard Zone
Occupancy Groups :
R-3
No of Units :
Bldg Height:
No of Stories
Building Setbacks :
Front: 20, Side: 5, Side: 5, Rear: 10
Flood Zone :
X
Use Zone:
PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS:
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg
1 Alteration sq. ft. Bldg :
2 Added/New sq. ft. Garage:
TOTAL sq. ft. :
$27,000.00
0
0
0
OWNER -BUILDER
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 items)
(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 Divlsion 3 of the Business and
Professions Code) or that he or she is exempt from lieensure and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
0 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 -Builder will 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).
rl 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 legal)
sell a structure that I have builtas an owner -builder If it has not boon constructed in its entirety by licensed contractors, I understand that a copy of the applicable law, Section 7044 ofthe Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:Jlwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent .Date
LICENSED CONTRACTOR'S DECLARATION "''— "'----
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(Commencing with Section 700 1) of 'visioty3 oI the Business and P fessi To C� , an ;;�wens�..n full force
NORKand ct. License Class Licenses No Do Contractor Si natu
J+lORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AN O SHALL SUEJECT AN EMPiOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (Eiee,eea), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 3N SECTION D0S 4F THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 have and will 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
�Lormance of the work for which this permit Is issued. Policy No.
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'
carrier and policy number are:
Policy Number _. _ Expiration Date
of Agent
JI Certify that, in the performonc f the work for which IN hilt Issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
�aE, d I should becomes bje •,fd the wor rs co pensatlitim rovrsns of Section 3700 of the Labor Code. I shall forthwith comply with (hose provisions.
signature of Applic — V a Date
LECLARATION R G 111 CON STRUCTIO LENDING AOENCY
hereby affirm under penalty of perjury that theta is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
endow's Name Lender's Address
ly my signature below, I Certify to each of the following:
t 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.',{' ` t�
I agree to comply With all applicable city and county ordi ces`and s to laws.ielating LiS, Idln construction.
authorize representatives of this city or co�niq/to ante �theabov Ida fie roperty fj�r spec on purposes,
•ignature of Property Owner or Authorized Aganij t / Property Owner's or Authorized Aaent's Name ✓x 'dnelb "'! - � .i�
ACTION DATE BY f�ECLARATtONOFCOjq'(
.PLIANCE WITid CODE OF FEDERAL FOR OFFICE USE ONLY
J RF,GULATIONS PARXOP TITLE 40 AND AQNiD RULE
1403
PERMIT EXPIRED € DISJBMI11" A5BE,TOSIx0T,FICATIONT0
PERMIT EXTENDED QAOMb
vcimeICATE 23 � �BESTOS
CERTIFICATE OF Off. !
OCCUPANCYISSUED I u,'C.,"