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Home My WebLink AboutXR2023-1055 - Permits��tiWPo�T City of Newport Beach D Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cq(rFnpN�P newportbeachca.gov/inspections Combination Type - Work Class - Other ��111111111111111111111111111111111111111111111111COMB Permit: XR2023-1055 Plan Check No : Issued Date : 04/25/2023 Inspection Area :4 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 BLK LOT 6 Description: SFR (POOL HOUSE) REROOF T/O SHAKE AND REPLACE W/ EAGLE LITE TILE ESR-1900 5.7 LBS 5 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 : Contractor: ROOFING BY DANIEL GERRITY Address : 18600 COLIMA RD #U204 ROWLAND HEIGHTS, CA 91748 Phone : (714) 925-7383 Con State Lic : 1013819 Lic Expire : 05/31/2024 Bus Lic; BT30081380 Bus Lic Expire : 04/30/2024 Workers' Compensation Insurance Carrier: STATE COMP Policy No: 9336272 W. C. Expire: 4/1/2024 Architect Address Phone: State Lic Engineer: Address Phone: Designer: Address : Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation: $5,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : TOTAL sq. ft. : 0 Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: "' ' F 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 items) clion 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 permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Low (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 bass for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). 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, tress 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 rovements are not Intended or offered for sale. If, however, the building or 9mprovement is sold within one year of completion, the Owner -Bandar will have the burden of proving that €t 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: ty 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 in :ell 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 theapp professions Code, is available upon request when this application is submitted or at the following Web site:http:)Fwww.leginto.ca.govlcaiaw.html. >Ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7 'l Xsion of the Business and and effect. License Class License. No Date IS'� Contractor Signe VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUI LOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: meals covered by this permit, I cannot law. Section 7044 of the Business and ($100,0001, IN ADDITION TO THE have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations asprovided for by Section 3700 of the Labor Code, for 'mane 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 m of Agent _ Date JI certify that, in the part rmanca the pork forwhich this permit Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre tat, if I should becom s bract to a wOri,Brs ,c mpens D provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ignature of Applicant .� Date 1ECLARATION REGA DI CONSTRUCTI LEN01 GAGE Cy hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section3097, 1 it Code). Radars Name Lender's Address y 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 hamnance ve I. I agree to comply with all applicable city and countyt to [awzy I ling to building. construction. I authorize representatives of this ize or county lifted _1 for inspection purposes. , � v j �� d j Ignature of Property Owner or Authorized Agent Pant. Property Owner's or Authorized Ageni Nam { 1rf tr 1J I— '. .ta - ACTION I DATE PERMfT EXPIRED PERMITCANCELLED PERNRTFINAL CERTIFICATE OF II py ly OCCUPANCYISSUED DECLARATION OVCOMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUCM;TTED 1,5RESTOS TO FOR OFFICE USE ONLY