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Home My WebLink AboutXR2023-2361 - PermitsE` '0o p City of Newport Beach II DivisionCommunity Development Department- Building XIII RIII 2 I 0II I 2 III3 IIIII2IIII3I I6I I 1III IICOMB Permit: XR2023-2361 {F 'T 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 716-1888 Issued Date : 08/25/2023 S newportbeachca.gov/civic Final Date: Combination Type - Permit Status: Issued Work Class - Other Inspection Area : 1 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 : 402 40TH ST, 1/2 Legal Desc : A TR CANAL SECTION BLK 439 LOT 2 Description: DUPLEX REROOF - T/O ROCK ROOF, R/R SHEATHING AS NEEDED, INSTL BUILT UP ROOFING SYSTEM 1000 SF. 2X10 MAX SLEEPER WITH RIP STRIPS @ 24" O.C. 7/16" PLYWOOD Owner; BARBARA KEELER Contractor : JH ROOFING Architect Address : 402 40TH ST Address : 2415 SANTIAGO ST Address NEWPORT BEACH, CA 92663 SANTA ANA, CA 92706 Phone : Phone : (714) 402-6481 Phone Con State Lic : 1008577 State Lic Lic Expire : 03/31/2024 Applicant: JH ROOFING Bus Lic : BT30071516 Engineer Address : 2415 SANTIAGO ST Bus Lic Expire : 04/30/2024 Address SANTA ANA, CA 92706 Phone : (714) 402-6481 Workers' Compensation Insurance Phone Carrier: STATE FUND Owner/Builder : Policy No: 9326596 Designer Address : W. C. Expire : 10/29/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $8,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks,: Front: 10, Sidi:.', Sidc: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: e OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I ant 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 Cade: Arty 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 Division 3 of the Business and Professions Code) or that he or she is exempt from iicensure 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), 71 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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 riot built or improved 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 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). ❑ 1 am exempt frem licensure under the Contractors' State License Law for the following reason By my signature below I acknowledge that, except for my personal reaidenco in which I must have resided for at leas! 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-buildor if if has not been constructed in its entirety by licensed contractors. I understand that n copy of the applicable law, Section 7044 of the Business and Professions Code, Is available upon request when this application is submitted orat the following Web siDe;hitp:/1www.laginio.ca..gov/calaw.html. Signature of Property Owner or Authorized Agent .._..............................._'"___-_....,._,.....__-___.._....,.........,_._......_,.,...,..,......_........._._..,.,...._,..�_,,_..._ Date ----- LICENSED CONTRACTOR'S DECLARATION rt I hereby 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 96de, and Canes is in full force and effect. License Class License No Date 2- Contractor Signature C'r tNORKERS' COMPENSATION DECLARATION MARNING: FAILURE TO SECURE WORx IDI COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TWOD DOLLARS r$100,000i, IN AUCTION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. VVVVVV 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 for by Section 3700 of the Labor Code, for 'of d of the work for which this permit is issued. Policy No. have 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' Compensa xance carrier and policy number are: Policy Plumber of Agent Date JI certify that, in the performance of I. rk for which ermit is issued.. shall not. employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre iat, if l should become subject to th orkers' compe provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. y Iignalure of Applicant ....__._ .._ _...._.._�..�,______.. Dale, O Z S Z 3 IECLARATION REGARDING C TRUGT1ON LENDING AGENCY hereby affirm under penalty of p rf ry ihel there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address _ ly 111y 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 have pr ideofis correct. I agree to comply with all applicable city and County or m�ncas an to laws relating to building construction. I authoTlze representatives of this city or county to e erthe ab r ified property for inspection purposes, ✓� ,f rry� iignalure of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ✓ � w �� Dale ACTION I DATE 1 BY PERM;T EXPIRED PERMITCANCF.LlEO i PERivfIT EXTENDED _.. PLRYP7T Pil'!AL CERTi°iCAI E Of V OCCUPANCY ISSUED OF COMPLIANCE WITI-1 CODE OF FEDERAL FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQNID BLUE I SUBMITTED ASBESTOS NOTIFICATION TO U ASBESTOS PROPOSED Of TO