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XR2024-0422 - Permits
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City of Newport Beach 1111111111111111111111111111111111111111111111111111111 111� 111 COMB Permit: XR2024-0422 p� d Community Development Department- Building Division X R 2 0 2 4 0 4 2 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No S Permit Counter Phone: (949) 718-1888 Issued Date: 02/21/2024 w newportbeachca.gov/civic Final Date: C'��F00.N�P Combination Type - Permit Status: Issued Work Class - Other Inspection Area : 2 PERMITS EXPIRE 18D 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: 121 TURQUOISE AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BILK 13 LOT 16 Description: DUPLEX REROOF; TEAR OFF SHINGLES AND FLAT ROOF; R/R SHEATHING AS NEEDED; INSTALL 9 SQ'S COMP AND 7 SQ'S GAF (FLAT) Owner: DON KING Contractor: BONDED ROOFING Architect Address : 121 TURQUOISE AVE Address : 5638 E Keynote St Address NEWPORT BEACH, CA 92662 Long Beach, CA 90808 Phone : (562) 665-4544 Phone : (562) 427-1604 Phone Con State Lid: 1083049 State Lic Lic Expire : 10/31/2025 Applicant: BONDED ROOFING Bus Lic: BT30079839 Engineer Address : 5638 E Keynote St Bus Lic Expire : 10/31/2024 Address Long Beach, CA 90808 Phone: (562) 427-1604 Workers' Compensation Insurance Phone: Carrier: NATIONAL CASUALTY COMPANY Owner/Builder: Policy No: WCC336356A Designer Address : W. C. Expire : 8/30/2024 Address Phone: Phone: " Code Edition : 2022 Fire Sprinklers : NO Construction Valuatio,t Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: NO CONSTRUCTION WORK ON SATURDAYS OWN € 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 items) (Section 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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000)of Division 3 ofthe 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 not more than five hundred dollars ($500). 13 1, as owner of the property, or my employees with wages as their sole compensation, will do (—) all of or L) portions of the work, and the structure is not Intended proffered for sale (Section 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)_ ❑ 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 apply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Cantractor pursuant to the Contractors' State License Law). © I am exempt from 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 covered by this permit, I cannot legally Roll a structure that I have built as an owner -builder if it has not been constructed in Its entiroty by licensed contractors. I understand that a copy of the applicable law, Section 7044 ofthe Business and Professions Code, is available upon request when this application is submitted or at the following VVeb site:http:Uwvwv.leginfo.ca.goalca[aw.html, Signature, of Property Owner or Authorized Agent _ Dale LICENSED CONTRACTOR'S DECLARATION t hereby affirm under penalty of perjury that I am iicensed under previsions of Chapter 9 (commencing with Section 70 0) f 'W 'd jhe Business and Professions . an Iicense is 1n full force and effect. License Class License No Date /Contractor Sign tune WORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND DOLLARS (6100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of p-ci one of the following declarations: :3 1 fiave and will mein in a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th )erformance of the work .or which tnis 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 permit is issued. My workers' ranee carrier and tollcl number are: Policy Number of Agent Date I eonify that, in the performance of hie work for which this permit is issued: 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomla, and agre that, if I should become subiect to tI u workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant ` __!-`�`pails v DECLARATION REEF l:Ot G NST;Z.UCTION LENDING AGENCY I hereby affirm under penx:., f pert iry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 act on the property owner's behalf. I have read this application and the information I have provided is correct. J�►>t�S Ir1 ty "C fp I agree to comply with all applicable city and county ordina CBS and state laws relating to building construction. IC I authorize representatives of this city or counant a above-i property for inspection purposes. Signature of Property Owner or Authorized Agent PiPro arty Owner's or Authorized Agent's Name pa ACTION DATE, BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RUI.1. 100, 1403 PERMIT EXPIRED 1 SUHMITTFD ASBESTOS NOTIFICATION TO PEflMi7CANCEICED EPA __ _ ...... ........... .. . _ .._ ._.—_ _.._ PERMITFINAL DED _ may, ���_ 5 OPPOSE 1) imOC TIONfON Q1'ARPLICAdLE TO CERTIFICATE OF �/} OCCUPANCY ISSUED «7 o> uj u7 X O N O o> lip O d -C i Q1 M ro �. Z z m V O> 0 w LYl �. 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