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HomeMy WebLinkAboutXR2024-0862 - Permits�EWPo�, City of Newport Beach 111111p1111111111111111111111111111111111111111111111111jj COMB Permit : XR2O24-0$s2 Community Development Department- Building Division X R 2 0 2 4 0 8 6 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 04/03/2024 newportbeachca.gov/civic Final Date: CqC/F00.N`P Combination Type - SFP Permit Status: Issued Work Class - Other 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 : 1747 IRVINE AVE Legal Desc : A TR NEWPORT HEIGHTS BILK LOT 248 NEWPORT HEIGHTS L Description: SFR REROOF T/O TORCH DOWN AND REPLACE W/ COMP SHINGLES 38 SOS Owner: ELBETTAR JIHAD & TESSA Contractor: ULTIMATE ROOFING SYSTEMS Architect ; Address : 1747 IRVINE AVE Address : 320 PUTTER DR Address NEWPORT BEACH, CA SANTA ANA, CA 92703 Phone: (949) 287-9134 Phone: (714) 631-3101 Phone Con State Lic : 1099013 State Lic Lic Expire : 11/30/2024 Applicant: ULTIMATE ROOFING SYSTEMS Bus Lic: BT30084008 Engineer: Address: 320 PUTTER DR Bus Lic Expire : 04/30/2025 Address SANTA ANA, CA 92703 Phone: (714) 631-3101 Workers' Compensation Insurance Phone: Carrier: STATE COMP Owner/Builder : Policy No: 9327125 Designer Address : W. C. Expire : 4/15/2024 Address : Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $8,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10 Flood Zone : X Use Zone : R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: € hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 7031,5, Business and Professions Cade: 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 he 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 'rofessdons Code) or that he or she is exempt from 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 lot more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, fusiness 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 Tiprovements 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 mproved for the purpose of sale). 1, 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 City 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 I am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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-bui{der if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:httpJlwww.leginfo.ca.gov/celaw.html, signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) o ivisi n 3 f the Business and Pro a d. my license is in full force Ind effect. License Class License No Date 2 Contractor Signature VORICERS' COMPENSATION DECLARATION EARNING: 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 IS100,00i IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 tt rlrfonpance of the work for which this permit is issued. Policy No. ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permitis issued. My workers' compensatiol surance carrier and policy number are: Carrier S" )—ram Fiv + Y'1 Policy Number CI �, Zi 2.� '— Z 3 Expiration Date d V Z `� Naame of Agent Phone # 'ry �11 certify that, in the erf rmance o for which this permit is issued, I shall not employ any person in any manner so as to become subject 10 the workers' mpensaten laws of California, and agre :hat, If I should becom s the work s compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant _ .__._.___. _.___.,,..,,.m Datxo'de). n 4 I o) 2y DECLARATION RE:G4 ON LENOtNO AGENCY 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, '_endar s Name Lenders Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to Got on the property owner's behalf. I have read this application and the informatio I have pro 'dad is correct. I agree to comply with all applicable city and C u ordinan es and state laws relating to building construction. I authorize representatives of this city or eou enter t above -identified property for inspection purposes, Signature of Property Oviner or Authorized Agin Print Property Owner's or Authorized A ent's Nam O pate O 2' ACTION DATE BY icbk5CLARATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / ?. REGULATIONS PART 51 OFTITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SCBMITFEJ AoBFSTtS NOTIFICATION TO PERMIT CANCELLEO n P,1 PERMIT EXTENDED IJAGMD PERYHTFINAL ZN ASaEST 5 TIFICAY'fON 5 NUt APPLICABLE TO CERTIFICATE OF PROPOSF.O OLITIO_�= OCCUPANCY YSSUEO SICNATtidE:��L