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Home My WebLink AboutXR2023-3045 - Permits�& °°Rr,, City ® "ew°' `aaC" V�II�IB�11011�11�II�811�110��1111�I�1�91111188111�1�01�II �� COMB Perrmit : X R202 3-3 o 45 p�' p) Community Devehpmer�t D6paltmwlt I?uilding Division X R 2 0 2 3 3 0 4 5 li ��'� 100 Civic Cl,nte4 DF+va Nawpor: Beach, 92660 u: =- ,qzl; Permit Cocctcr PKone: (949)'Y18-1`I68 �� Plan Check No :Y newportbeachca.gov/civic Issued Date : 10/27/2023 Combination Type - SFP Final Date: Work CIaSg= Repair Permit Status: IssuedInspection Area : 4 PERMITS `fOlItE 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 PORT WEYBRIDGE PL Legal Desc : N TR 6623 BLK LOT 114 Description: SFR RE -ROOF T/O WOOD SHAKE, R/R SHEATHING AS NEED. INSTL NEW CERDARLITE 600 TILE 32 SF Owner: JACOBS GAR J TR Address : 1915 PORT WEYBRIDGE PL NEWPORT BEACH, CA 92660 Phone: Applicant: MIKE VOGT ROOFING Address: 2658 VISTA ORNADA NEWPORT BEACH, CA 92660 Phone: (714)736-6422 Owner/Builder : Address : Phone Code Edition; Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone: 2022 V-B U,R-3 Front: 20, Side: 5, Side: 5, Rear: 10 X PC - Harbor View Hills PROCESSED BY: 66 SPECIAL CONDITIONS: Contractor: MIKE VOGT ROOFING Address : 2658 VISTA ORNADA NEWPORT BEACH, CA 92660 Phone: (714)736-6422 Con State Lic: 1064773 Lic Expire : 03/31/2024 Bus Lic: BT30082780 Bus Lic Expire : 10/31/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9273545 W. C. Expire : 3/26/2024 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units: 1 No of Stories : 1 Architect: Address Phone: State Lic: Engineer: Address Phone : Designer: Address Phone: Construction Valuation : Added/New/Ti sq. ft. Bldg: Alteration sq. ft. Bldg : Added/New sq. ft. Garage: TOTAL sq. ft. : $35,000.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reasoA°,$)jndicated bEIOW 3y the-cheDkAark(F,) I stave placed next to the applicable item(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,, pdor to its Icsuancs, als•) requires the applicant for 1e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Licaasts Law (Lhapter 9 (commencing with Section 7000) of Division 3 of the Business and Tofessions Code) or that he or she is exempt from licensure and the basis farther 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). , - ] I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) Po-tlons of the work, anC tl 3 strv.au.e is .tat inteddec or offered sage (Section 7044, usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who„ irmugh. employees' or persoo6l effort: builds o-. impimves the iropgrty, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year opcoropietion, tho Owner-Buirder wfll-have the buruen of prcving t:i nt it was not built or nproved 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 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). 3 1 am exempt from licensure under the Contractors' State License Law for the following reason:-- n/ 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 caiinct legally ell estructure that refastens Code, I have built as an owner -builder if it has not been constructs in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and s available upon request when this appticatio m'tt or at th allowing Web site:httpJlwww.leginfa.ca.govlcaiaw.html. Ilgnature of Property Owner or Authorized AgentDate.'_- .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed, under provisions of Chapter 9 (commencing with Section 7000) of Division 3rof the Business and Professions Code, and my license is in full force nd effect. License Class License No Daterr /'r- " -7 7 Contractor Signature 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 HUNDRED THOUSAND DOLLARS (S100,000). IN AODRION TO THE 'OST 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: 7 1 have a 1 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 lhl ��elllIIIrforrn a of the work for which this permit is issued. Policy No. eve 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' compensatior 1 urine carrier a d policy num r are: /} } ' / 9 Z('/ ;arrier %�� t' f/ Policy Number > �7 !—S Expiration Date L�l Jame of Acent Phone#�,�- certify that, in the performance of the work for whfi1 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, ant t, if I should become subject to the wor rs' cc pensation - ns cYSact on 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Apphcant �� .c C- '> _ .._ _ Date CLARATipN RBGAR CG UCTtON LENDING AGENCY Ireby affirm under p alty 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). Ider's Name - Lender's Address,. - my signature VDIOw, 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 provided is correct, I agree to comply with all applicable city and county ordinances and state laws rel ling to but g-construction, i / - I authorize representatives of this city or county to enter a dv trifled pr arty, nspection purposes. -- �- �/)l' Ida nature of PrODertV Owner or Aulhonzed Agent iv7 / I r `i- ��-/ Print Property Owners or Authorized Agent's Name " - Datq✓_(� ACTION DATE BY ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61. OF TITLE. 40 AND AQMD RULE 140 PERMIT EXPIRED �15U-BMITTEDA55NOTIFICAT10NTO CELCED PERid1TCAWL1LP*-- PERMYT FA7ENDED AQMD PERMITFINAL ASBESTOSNOTIFICATIONISNOI-AP LtCA TO CERTIFICATE OF I 1 PROPOSED DEMOLITION OCCUPANCY ISSUED I/ I SIGNATURE: _ _ 1-09