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Home My WebLink AboutXR2024-0866 - Permits�EWP0,4� City of Newport Beach Community Development Department - Building Division F n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 hewportbeachca.gov/civic Combination Type - SFP Work Class - Repair iiiiiiiiiiCOMB Permit : XR2024-0866 Plan Check No: Issued Date: 04/03/2024 Final Date: Permit Status: Issued 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: 20151 BAY VIEW AVE Legal Desc : N TR 1507 BLK LOT 8 Description: SFR - RE -ROOF. T/O (E) COMP SHINGLES. INSTALL 30# SYNTHETIC BLEND FELT. R/R SHEATHING AS NEEDED. INSTL 22 SQ COMP SHINGLES Owner: EDWARD FITCH Contractor: ONE STOP DEVELOPMENT INC Architect Address : 2406 FRANCISCO DR Address : 5377 HERITAGE OAK DR Address NEWPORT BEACH, CA 92660 TRABUCO CANYON, CA 92679 Phone : (619) 921-0033 Phone : (949) 254-2636 Phone Con State Lie : 1085006 State Lie Lie Expire : 12/31/2025 Applicant: ONE STOP DEVELOPMENT INC Bus Lie: BT30077977 Engineer Address : 5377 HERITAGE OAK DR Bus Lie Expire : 02/28/2025 Address TRABUCO CANYON, CA 92679 Phone: (949) 254-2636 Workers' Compensation Insurance Phone: Carrier: STATE FUND Owner/Builder : Policy No: 9314699 Designer Address : W. C. Expire: 3/18/2025 Address Phone: Phone: Code Edition : 2022 - Fire Sprinklers : NO Construction Valuation : $15,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/NewlTl sq. ft. Bldg : 0 Occupancy Groups : U,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: 20, Side: 5, Side: 5, Rear: 25 Flood Zone : X Use Zone: SP-7 - Santa Ana Heights Specific Plan PROCESSED BY: SPECIAL CONDITIONS: :.w' ,y OWNER -BUILDER DECLARATION 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 item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to fife 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 Exemptfrom fieensure 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). - 0 I, as owner of the property, or my employees with wages as their sole compensation, will do t_) all of or (_) portions of the work, and the structure is not intended or offered for sale jSection 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 not built or improved for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to constrict the project (Section 7044, Business and. Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improvesthereon, and wfio contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt front licensure, under the Contractors' State License Law for the following reason: _ By 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 Cove€ed by this permit, I cannot Iegafl sell a structure that I have built as an owner-buiCer if it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:htipifiw w.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION // I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of wisi n 3 of the Business and Professions a, and 11 '55' 11➢ force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 IS166,6661, IN ADDITION TO THE COST OF COMPENSATION., DAMAGES AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I 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, forth ormance 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 permitis issued. My workers' compensatio in ranee carrier and policy number are: /=O/ /v Carrierf%r97G Co /rl/�cNS�T/C.�/ Policy Number 3o �j��zz Expiration Dale /Z(I2o 2-6 Name of Agent Phone # 01 certify that, in the performance 5 the work for whi 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 that, if I should become subject t a woXQNLER_1D)sNG aLion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 Signature of Applicant fData DECLARATION REGA D G CONSTR AGENCY I 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, Civi Code). Lender's Name Lender's Address By my signature below, I certify to each of the following; I am the property owner or authorized to acton the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with ail applicable city and cou [y ordin F es a slate law relating to building construction. I authorize representatives of this city or court ante a a'. a-ide ifi property for inspection purposes. Signature of Property Owner or Authorized Agent '�'�- Print Pro e1T Owner's or Authorized Agent's Name O/t Date ACTION DATE ! eY DECLARATION Elf COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OFTITLE AO AND AQMD RULE 1403 PERMIT EXPIRED I SUdM,TTED ASRES":OS NCTIF:CATICN TO PERMIT CANCEUED _MA PERMIT EXTENDED QMD ..._.._._ . ..... _ _�xx __._ ......_..T _.___ ..... ___ ....... _ PERMIT FINAL (//� L•t %ESTOSNCTIFICAT NI5N ,A PPPL iE TO CERTIFICATE OF � PROPOSED DI't,, IT X OCCUPANCY ISSUED SIGNATUR , I