HomeMy WebLinkAboutXR2023-1823 - Permits��E,WPO,gT City of Newport Beach
D @ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
D - ¢ Permit Counter Phone: (949) 718-1888
a. newportbeachca.gov/civic
cq��coa�`r Combination Type - MFP
Work Class - Repair
11IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 11 COMB Permit: XR2023-1823
Plan Check No:
Issued Date : 07/05/2023
Inspection Area : 5
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
�i V_ i'rL;�J B
Job Address: 411 GOLDENROD AVE Legal Desc : A TR CORONA DEL MAR BLK 333 LOT 11
Description: DUPLEX REROOF, T/O COMP, INSTIL (1) LYR OF DECK DEFENSE, R/R SHEATHING AS NEEDED, INSTIL COMP (25 SOS)
Owner: OLIVE CHIANG TRUST
Contractor: NEW VILLAGE ROOFING
Architect
Address : 1 LEESBURY CT
Address : 1225 W PINE
Address
NEWPORT BEACH, CA 92660
SANTA ANA, CA 92703
Phone: (714)745-1307
Phone: (714)586-4797
Phone:
Con State Lic : 1079987
State Lic
Lic Expire : 08/31/2023
Applicant : NEW VILLAGE ROOFING
Bus Lic: BT30082062
Engineer
Address : 1225 W PINE
Bus Lic Expire : 07/31/2024
Address
SANTA ANA, CA 92703
Phone: (714) 586-4797
Workers' Compensation Insurance
Phone:
Carrier: STATE FUND
Owner/Builder :
Policy No: 9303901
Designer:
Address :
W. C. Expire : 8/18/2023
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers: NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
Occupancy Groups : U,R-3
No of Units : 2
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS
$14,300.00
0
0
0
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
Section 7031.5, Business and Professions Code: Any city or county chat 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
professions Code) or that he or she is exempt from licensors 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).
1, 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,
rosiness 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
nprovements are not intended or offered for sale. It, however, Ilia 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
nproved for the purpose of sale).
1 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
ppty to an owner of property who builds or improvesthereon, 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:
ly 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)
ell a structure that I have built as an owner -builder it it has not been constructed in its infinity by licensed contractors. I understand thata copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http.,If w .ieginfo.ca.govlcalaw.htmi.
Pgnature of Property Owner or Authorized Agent _ Date _
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 D Divi ion 3of the Business and Pfessions $yrp a of my license is In full force
nd effect Lics i_, L Class License No trDContractor Si re �' J
VORKERS CMARENSATION DECLARATION I N
ws3/*/� IAPN/N FAILUCL E TG bELURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CMFINES UP TO ONE HUNORED TH AO OLLARS f51DD,000), IN ADDITION TO THE
DST 07 COMPEMSAf €ON, DAMAGES AS PROVIDED FORIN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
heresy affirm under penalty of perjury one of the following declarations:
3 1 nave and a T: ,ii.aimain 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 in
orfor.nance of thr"virk for which this permit is issued. Policy No.
4 ve and v.i;:.nawfain 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' compensatoor
1., rdi ice carne, an. policy number are:
;anion Policy Number Expiration Date
.^afura of Agent _ _ Phone ff
JI certify that in the performance of th 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 agree
hat, if I should become �Ubiect to thIkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f
ii nature ofA PRIA ateM.
ereby affirm under)tenalty of pg)urt/at 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 below, I certify to each of the following:
I am Ilia property owner or authorized to act on the property owner's behalf. Z
I have read this application and the information I have pravi d is correct. ,I agree to comply with all applicable city and county or a e and state laws relating to building construction.
I authorize representatives of this city D,Lcounty toe r cve-identified property for inspection purposes. /'
ACTION I DATE 0Y1 1/01E iLnTloA`O� 5 PART�6INOF PLIANCE DF TITLE AoTANnODE OF AOMn R FEDERAL I FOR OFFICE USE ONLY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
NOTIFICATION TO
PERMIT FINAL I`-3`EU
CER TrFICATE
` PROPOiM,. ICAILE TO
OCCUPANCY SUED 4