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Home My WebLink AboutXR2022-2254 - PermitsCity of Newport Beach ��WPORT F @ Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cb</FORN`P newportbeachca.gov/inspections Combination Type - SFP Work Class - Re -roof COMB Permit : XR2022-2254 Plan Check No : 0540-2022 Issued Date : 08/2212022 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 : 3 RUE VILLARS Legal Desc : N TR 7800 BILK LOT 13 Description: SFR REROOF T/O WOOD SHAKE AND REPLACE W/ TILE 6LBS ESR# 1647 CLASS B 15 SQS Owner: VIVIAN TORELLI Contractor Address : 3 RUE VILLARS NEWPORT BEACH, CA 92660 Address Phone: (310)972-0935 Phone: Con State Lic Applicant : VIVIAN TORELLI Lic Expire Address : 3 RUE VILLARS NEWPORT BEACH, CA 92660 Bus Lic: Phone : (310) 972-0935 Bus Lic Expire Workers' Compensation Insurance Owner/Builder: VIVIAN TORELLI Carrier: Address : 3 RUE VILLARS NEWPORT BEACH, CA 92660 Policy No: Phone : (310) 972-0935 W. C. Expire: Architect: Address : i � %.:� llIZZ i Phone: State Lic: Engineer: Address Phone: Designer: Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : No Added/New/TI sq. ft. Bldg Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone : X Use Zone : PC - Big Canyon PROCESSED BY: SPECIAL CONDITIONS: O`S 3� tW G-1/ Xa5z�z - 6 60__S�, $26,000.00 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Kar s) C on 7031L.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' Stale 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 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 L) all of or U ;portions of the work, and the structure Is not intended or offered for sale (Section 7044, mass and Professions Cede: The Contractors' State License Law does not apply to an owner of property who, through employee-s' or personal effort, builds or improves the property, provided that the rovements arenot 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 provingthat it was not built or roved for the purpose of sale). I, as owner of the property, am exclusively co ling wdh licensed bntractors to construct the project (Section 7044, Business and. Professions Code: The Contractors State License Law does not l9-to an owner of property who builds or improves Ih on, and wt D�gtracts for the projects with a licensed Contractor pursuant to the Contractors' State License. Law). J I am exempt front licensure under the Contractors' Stale arse Lacyg fie following reason _ 1y my signature below I acknowledge that, except for y pe on esidefl I which must nave resided for at least one year prior to completion of the improvements ell a structure that I have built as an owrl I or it s eon onst c a m Its Gntirety by licensed contractors. understand that a copy of the applicable law, S 'rofessions Code, is available upon request w e is app ah n itt r t folbwing Web site:htpa/www..leginfo.ce.gov/calaw.himl. lignalure of Property Owner or Authorized Age t .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter g (commencing with Section 7000) of Division 3 of the Business. and Professions no effect. License Class License No Date Contractor Signature echo 70 4 of the Business �a Date my license is in full force tKERS' COMPENSATION DECLARATION ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE OF COMPENSATION., DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST', AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided ormance of the work for which this permit is issued. Policy No. have and will maintain workers' ranee carrier andd. ItMICI-nLmber ne of Agent certify that, in the perfoi e IF the it I should becometsgtfiect to a wit ia'lure of Aoplioan insurance, as required by Section 370D of the Labor Code, for the performance of the work for which this Number Date for which is permit is issued, I shah not employ any person in any manner so as to became subject to die compat p�isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ireby affirm under penalty of perjury thattheCa is a c Idwr s Name M. signature below, I certify to each of the followin I am the p opdrty owner or authorized to acton the Ihava read this application and the information iZ I agree to comply with all applicable city and coun I Authorize rep•eFentatives of this city or co ty I Nature of PfoD@nV Owner or Aulhorzed ADant zn lending agency for the performance of the work for which this permit is I d (Section 3097; Civil Lender's Address, _ owner's behalf. IN Is correct. 5�k15` laws relating to building construction. led property for Inspection purposes. Print Prooertv Owner's or Authorized Aoent's Name Section 3700 of the Labor Code, for 't 9s issued. My workers' compensa- ts n laws of Calif om and�1 \\ LZ, 1 I ACFICN DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I i REG UL NS PART GI OF TITLE 40 AN AQMD RULE r PEl?"lu PritED PEWNT CANCELLED PERMIT Off ISU8MITTED AS.. T _ 0TIFICATIO 0 All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be In place prior to approval to fill pool/spa & shall remain In place & be maintained for the life of the pool. -- — EPA OMp PERMIT FINAL. OCCUPCEPTICATEOF OCCUPAFlCY 155UED Q 23 S ASBESTOS NOTIFIt ION I OT F\E 70 PROFOSEp pF -LIT€ON \\ — SIGNA '�v / V N V