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HomeMy WebLinkAboutXR2023-0333 - PermitsCity of Newport Beach Community Development Department- Building Division F r �rs 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 e,. Inspection Requests Phone: (949) 644-3255 C9G/F00.N`P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 1111111111111111111111111�111111111111111111111111111111111COMB Permit : XR2023-0333 Plan Check No: Issued Date : 02/03/2023 Inspection Area : 3 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 : 1915 BERYL LN Legal Desc : N TR 1806 BILK LOT 35 Description: SFR - REROOF W/30 YR COMP SHINGLES 31 SQ CL "A" 0,. Owner: JAMES FOWLER Contractor : Architect Address Address : 1915 BERYL LN Address : NEWPORT BEACH, CA 92660 Phone =='a= Phone : (949) 677-0480 Phone : State Lic Con State Lic : Lic Expire Applicant: JAMES FOWLER Bus Lic: Engineer Address Address : 1915 BERYL LN Bus Lic Expire NEWPORT BEACH, CA 92660 phone Phone : (949) 677-0480 Workers' Compensation Insurance Carrier: Owner/Builder : JAMES FOWLER Policy No: Designer: Address Address : 1915 BERYL LN W. C. Expire: NEWPORT BEACH, CA 92660 Phone Phone : (949) 677-0480 Fire Sprinklers : NO p Construction Valuation : $10,000.00 Code Edition : 2022 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Type of Construction : V-B 1 Alteration sq. ft. Bldg : Occupancy Groups : R-3 No of Units : 1 Added/New sq. ft. Garage: 0 Bldg Height: No of Stories : TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) Use Zone : PROCESSED BY: SPECIAL CONDITIONS:. 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 rem(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 lie or she is Iicon aad 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 exemptfrom 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). 111, 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 notintended 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 I© rov d. for the purpose of sale). Yas 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 a. y 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). 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 pplication is s mltted or at the following Web site hltp:llwww.teginto.ca govfcalaw.htmi. Signature of Prepal ty Owner or Authorized Agent Date. rZ Z LICENSED CO;J7RACTOR'S DECLARATION i h�,eby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License C'ass License No Date Contractor Signature INIORN'ERS' COMPENSATION DECLARATION NARNING: FAILURE T- 3�:CURE WON%ERS' 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 CrnST CF COMPENSATION,. DAMAGES AS PROVIDED FOR IN SECTION 37DS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hernhy affirm under Density of perjury one of the following declarations: -11 have and wilt 'r191ntani 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 tin xCca.iance of the work for which this permit is issued. Policy No. �I. havn and wil' maia:ain 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' Isurance carrier qna policy number are: Policy Number Expiration Date of Agent Dk N I certify that, in the performance of the work for which this permit is issued. I shall notemploy any Person in any manner so as to become subject to the workers' compensation laws of California, and 1, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date CLARATION REGARAtrVG CONSTRUC'T1ON LENDING AGENCY areby affirm under penatty 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). iders Name Lender's Address my signature below, I certify to each of Ilia following: I am the property owner or authorized to act on the property owner's behalf. I have read this application andthe 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."r the ab e-identified property for inspection purposes. r ACTION I OATS I BY DECLARATION OF OOMP�IANCE WITH CODE OF FEDEIREGULATIONS. PART 61 OF TITLE 40 AND AQMD RU ERAL FOR OFFICE USE ONLY EXPIRED PERMITEXTENOED QMO _ PERMIT FINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERVFICATE OF p, 1 �9`- PROPOSED DEMOLITION:: p OCCUPANCYISSUED �� Z I Z3 1 SiGNATUREa r1b i^ 0 Date