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Home My WebLink AboutXR2023-2168 - Permits��wPDRr City of Newport Beach II III I II I IIII III IIIII II� IIII IIII II COMB Permit : XR2O23-2168 Community Development Department -Building Division X R 2 0 2 3 2 1 6 8 F mrni 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No U S Permit Counter Phone: (949) 718-1888 Issued Date : 08/07/2023 o- newportbeachca.gov/civic Final Date: cy<,FanN`� Combination Type -SFP Permit Status: Issued Work Class - Repair 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: 6 WEYBRIDGE CT Legal Desc : N TR 11449 BLK LOT 8 Description: SFR - T/O WOOD SHINGLE. INSTL 2 LAYERS RUBBERIZED MEMBRANE UNDERLAYMENT. R/R SHEATHING AS NEEDED. INSTALL 52 SQ CEDARLITE TILE 6 PSF.ESR1647 Owner: ROSTEN ARTHUR STEVEN TR Contractor: RESCUE ROOFER INC Architect Address : 6 WEYBRIDGE CT Address : 23120 ALICIA PKWY STE 208 Address NEWPORT BEACH, CA 92660 MISSION VIEJO, CA 92692 Phone: (949)528-5343 Phone: (949)528-5343 Phone: Con State Lic : 1069552 State Lic Lic Expire : 10/31/2024 Applicant : RESCUE ROOFER INC Bus Lic: BT30082310 Engineer Address : 23120 ALICIA PKWY STE 208 Bus Lic Expire : 08/31/2024 Address MISSION VIEJO, CA 92692 Phone: (949) 528-5343 Workers' Compensation Insurance Phone: Carrier: CAROLINA CASUALTY INSURANCE CO Owner/Builder : Policy No : BNUWC0159893 Designer: Address : W. C. Expire: 5/1/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $33,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 5, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Aeronutronic Ford PROCESSED BY SPECIAL CONDITIONS: P02 ,r+ s7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasonis) indicated below by the checkmarkts) I have placed next to the applicable rann 7 3ection 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 is 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 rofossions Code) or that he or she is exempt from tkoensum 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 of more than five hundred dollars ($500). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of of t_j portions of the work, and the structure is not intended or offered for sale (Section 7044, usinass 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 eprovements 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 1n roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Connaotors to construct the project (Section 7044, Business and Professions Code: The ContractorsState License Law does not pply 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). I I am exempt from liceasure under the Contractors` State License Law for the following reason. •y my signature below; acknowledge that, except for my personal residence in which I must have resided for at least one year prier to completion of the improvements covered by this permit I cannot legally Of 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 Yofes5ions Code, is available upon request when this application is submitted or at the following Web site:http:liw v.leginfo.ca.govlcalaw.btml. Iignmure of Property Owner or Authorized Agent _ Date _..... .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of egury that I am licensed under provisions of Chapter 9 (commencing with Section 7GOi of Division 3 of the Business and Profession e, apd my license is in full farce nd effect. License Class Fi C 3 el License No 10 6 9 5 S �L Dtx� Contractor Signet p? _ Z VORKERS'COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL. PENALTIES AND GIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tsi0(1,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706. OF 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 tcl self -Insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the 'e , rmance of the work for which this permit is issued. Policy No, ive 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. Rce clir,d�er and oley number are, • l�'�o�1^w e�5v�)i-r T�s C- Policy Number iS NLA(.JGO I S9 S9 Expiration Date. of Agent Phone # My workers' 11 certify that, in the performance of the work for which 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 agre rat, if I should become ubject to the worker�0�i ' p ns ovtslons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Q ignature of APPllcan _ _IECLARATION R6G R� CONSTRUGTL G A9 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 (Section 3097, Civil Code). under's Name Lender's Address ly my signature below, I certify to each of the fallowing: 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 provided Is correct. I agree to comply with all applicable city and county ordinances and state Paws relating to building construction. I authorize representatives of this city or county to �� 1on e-identified property for inspection purposes. unnaturn of Proneriv C)wnar nr Authomrad AGant t' \ /_ Print Prcoertv Owner's or Authorized AoentS Name1� 5 I.-� C�v.w2, oat, ACTION DATE 1 BY MCLARAT)ON OF COMPLIANCE WITH CODE Of Ff to RAL FOR OFFICE USE ONLY f REGULATIONS PART 61 OFTITLE40l+.NP AQME]RUIE PERM17 EXPIRED 1J 1 SUBMITTED ASBESTOS NOTIFICATION TO PEAMtFCAh CEtP ED @� pA� PERiMIT EXTFNDED CIMD PF WAY F1NA1 ASBESTOS NOIWCAIION 15 NOT APPLICABLE TO CEPURFlCATE OF ?'3 ( ROPOSED D{Mot Q�N OCCUPANCY ISSUED € SIGNATUREy C_J.�G