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Home My WebLink AboutXR2023-0728 - Permits?��wroRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Community Development Department- Building Division X R 2 0 2 3 0 7 2 8 100 Civic Center Drive, Newport Beach, CA 92660 .`. = Permit Counter Phone: (949) 644-3288 e. Inspection Requests Phone: (949) 644-3255 °g4cna�`p newportbeachca.gov/inspections Combination Type - MFP Work Class - Other COMB Permit : XR2U23-U72$ Plan Check No: Issued Date : 03/20/2023 Inspection Area : 2 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 : 4215 PATRICE RD Legal Desc : N TR 4692 BILK LOT 95 TR 4692 LOT 95 TOGETHER WITH AN UND 1/9 8 INT IN Description: MFR REROOF T/O TORCH; REPLACE WITH FLAT TORCH IN WEATHERED WOOD; SHEATHING REPLACED AS NECESSARY; 12 SQ'S Owner: PHILIP PAGORIA Contractor: TOP ROOFING SERVICES Architect Address : 4215 PATRICE RD Address : 17762IRVINE BLVD, 7 Address NEWPORT BEACH, CA 92663 TUSTIN, CA 927BO , Phone : (949) 922-2525 Phone : (866) 828-1886 Phone Con State Lie : 1088483 State Lie Lie Expire: 03/31/2024 Applicant: TOP ROOFING SERVICES Bus Lie : BT30079668 Engineer Address : 17762IRVINE BLVD, 7 Bus Lie Expire : 09/30/2023 Address TUSTIN, CA 92780 Phone: (866) 828-1886 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No: 9312952 Designer: Address : W. C. Expire: 2/11/202# Address Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $12,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : U,R-2 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : RM - Multiple Residential PROCESSED BY: SPECIAL CONDITIONS:�� 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 ftem(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construe€, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for the permit to rrlo 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 of the Business and Professions 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with %"gas 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, 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 witha licensed Contractor pursuant to the Contractors' State License Law), 11 I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below V 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 sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a 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:http:l/www.leginfo.ca.gov/calavnhtml. Signature of Property Owner or Authorized Agent _T _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under perety of pe%a that I am licensed under provisions of C apter 9 corn_ encing with Section 000)o£ Division 3 of the Business and Professio Cc Ne slrrfull_force and effect License Llass C t� ti License. No `-1 yS Date Z�7 Contractor Signature �/ VVORKERS' COMCENSATION DECLARATION A'ARNING 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 t5100,D001, IN ADDITION TO THE CEST OF CIMPENSATICy, DAMAGES AS PROVIDED FOR ]N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm under prralty, of penury one of the following declarations: I nR,e and will maintain a Certificate of consent to self -insure fur workers' compensation, Issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for flit d-571crinancD of the wad; for which this permit is issued. Policy No. �111`1 Fes 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' compensation iTs Ice carrier anu policy number are! rtA Cxrrla�.Plicy Number C ,'I S 0 Expiration Date Noma or Agent (1 4 C C-11 Phone # �,: ,0- C li ca.Cry that, ir, thu performance of the work for which thi 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 that, if I should become subject to them anon pl9visionsvFSa�ction 3700 of the Labor Code, I shall forthwith comply with those provisions. ` Dates - - ; c: - ; 3 of 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, Civil Code). _enders Name Lender's Address 3y 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 state laws relating to building construction. I authorize representatives of this city or county `to e�er ed pproparty for inspection purposes. p 7 ZO 3i nature of Pro, erty Owner or Authonzad.Agent `Y � Print Property Owner's or Authorized Age Namey ✓G Z �/W 2 Dat�.b ACTION DATE BY DECLARATION NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 63 OF TITLE 40 AND, RULE TO PERMITCAMCELLED PER917 ENFENDEO CERTIFICATE OF�S�Z� OCCUPANCYISSUED ♦< �'