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Home My WebLink AboutXR2024-5540 - Permits�E.vroRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2024-5540 4 Community Development Department- Building Division X R 2 0 2 4 5 5 4 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: > ? Permit Counter Phone: (949) 718-1888 Issued Date : 06/24/2024 e.newportbeachca.gov/civic Final Date: c9GIFOR��P Combination Type- SFP Permit Status: Issued Work Class - ADDITION/ALTERATION Inspection Area : 6 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 : 2727 WINDOVER DR Legal Desc : N TR 6113 BLK LOT 37 Description: SFR - RE -ROOF, T/O EXTG (1) LYR OF (E) ROOF SYSTEM, INSTL 1/2" PLYWOOD SHEATHING & (N) 30-YR. ASPHALT SHINGLES, 36 SQUP PFS Owner: STRONG MICHAEL C TR Address : 2727 WINDOVER DR CORONA DEL MAR, CA 92625 Phone: (949)644-8464 Applicant: AGUSTIN OCAMPO DELGADO ROOFING Address : 10032 ROSELEE DR. GARDEN GROVE, CA 92840 Phone: (714)341-6245 Owner/Builder : Address : Contractor: AGUSTIN OCAMPO DELGADO ROOFING Address : 10032 ROSELEE DR. GARDEN GROVE, CA 92840 Phone: (714)341-6245 Con State Lic : 1079514 Lic Expire : 08/31/2025 Bus Lic : BT30084633 Bus Lic Expire : 06/30/2025 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9350888 W. C. Expire: 12/16/2024 Architect Address Phone: State Lic Engineer: Address Phone: Designer: Address : Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $15,000.00 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 : 0 Bldg Height: No of Stories : 2 Add/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 15, Front: 20, Side: 6, Side: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: V TT SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the feason(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, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie 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 'rofessions 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 of more than five hundred dollars ($500). 7 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, IUsiness 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. 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 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). 1 am exempt from licensure under the Contractors' Slate License Law for the following reason: ''y 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 legal, ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a 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://www.leginfo.ca.gov/calaw.htmi. signature of Prcp4Ify'Jwner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION testy efrirm undo- p cnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70Q0) of D'visf ion 3 of the Business and Profession • license is in full force nd effect. License (lass License No Data t Contractor Signature ROEKERS' COMOENSATION DECLARATION —� 'ARMING: FAILURETV SEC'IPE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0ix IN ADDITION TO THE OS r OF :OMPENSF.TION, OA.MGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Kerety affirm under penalty of perjury one of the following declarations: nave and will mainiain 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 S,ra.nce of the work for which this permit Is issued. Policy No. leave snd will mainlein 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' compensa rance carrier and policy number are: Policy Number Expiration Date of Agent I certify that, in the performance of the 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 agre t, if I should become subject to the am compensa ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dafb �of.1 �29 CLARATION REG RDIN�G CONSCONST LENDING AGENCY treby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit Is issued (Section 3097, Civil Code). Ides s Name Lender's Address 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. I agree to comply with all applicable city and county ordinances and 1 slate laws relating to building construction. I authorize representatives of this city or count to en t J�rci tied property for inspection purposes. /�/1,, nature Of Property Owner or Authorized ADent T Print Prooe tv Owner's or Authorized ADent's Name iC 4'--- 5P�/ 0 CIAK--iee natwW / -v1v ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXTENDED LJAQMD PERMITFINAL �� ee11i ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF 'Nq4 Vv PROPOSED DEMOLI N OCCUPANCYISSUEO '1 Y' I SIGNATURE:K./C