HomeMy WebLinkAboutXR2024-5205 - Permits1�E oR ,, City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II COMB Permit : XR2024-5205
Q..; Community Development DepaRrtlent -Building Division X R 2 e 2 4 5 2 9 5�" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
ermit CdLh er,Phone: (949) 718-1888 Issued Date : 05/15/2024
newportbea gov/civic Final Date:
o�� Combination Type - MFP 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 1688 MARGUERITE AVE, BLDG 8 Legal Desc : P BK 35 PG 2 PAR 1
Description: MFR REROOF. REMOVE (E) BUR. INSTALL (N) ACRYLIC COATING SYSTEM (ICC ESR-3913 / CRRC 0656-0015) 40 SQUARES
Owner: BAYS APARTMENT NEWORT LLC
Contractor: SUPERIOR ROOFING COMPANY
Architect :
Address: PO BOX 2450
Address : 160 SOUTH LINDEN
Address
NEWPORT BEACH, CA 92658
RIALTO, CA 92376
Phone: (949)720-2520
Phone: (800)761-6272
Phone:
Con State Lie : 284880
State Lic :
Lic Expire : 12/31/2025
Applicant: DANIEL GUERRERO
Bus Lic: BT30062662
Engineer:
Address: 1655 S CLAUDINA WAY
Bus Lic Expire : 05/31/2025
Address:
ANAHEIM, CA 92805
Phone: (909) 562-5150
Workers' Compensation Insurance
Phone:
Carrier: ZURICH AMERICAN INSURANCE COMPANY
Owner/Builder:
Policy No: WC112579605
Designer:
Address :
W. C. Expire : 12/31/2024
Address
Phone:
Phone:
Code Edition: 2022
Fire Sprinklers : NO
Construction Valuation :
$5,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg:
0
Occupancy Groups : U,R-2
No of Units : 8
Alteration sq. ft. Bldg :
40,000
Bldg Height:
No of Stories : 2
Add/New sq. ft. Garage:
0
TOTAL sq. ft.:
0
Building Setbacks : Front: 20, Side: 25, Side: 25, Rear: 10
Flood Zone: X
Use Zone: RM - Multiple Residential
PROCESSED BY: J
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State 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. 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' State 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not Intended or offered for sale (Section 7044,
Business and Professions Cade: The Contractors' State License Law does not apply to an owner of property who, through employeesor personal effort, builds or improves the properly, provided that the
Improvements are not Intended or offered for sale. If, however, the building orimprovement 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 properly, 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 improves thereon, and who contracts for the projects with a. licensed Contractor 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 t 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,
sell 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
Professions Code, is available upon request when this application Is submitted or at the following Web site:hup:llwww.leginfo.ca.gov(calaw.htmi.
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) oj.D si n 3 of the Business and Profs��sslppngg e, a licans' is in full force
and effect. License Class License No Date 5 L ContractorSignature!gnd
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATWN COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOREO THOUSAND DOLLARS t61W,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
ve 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
rmance 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 permit is issued. My workers' compensa
rance carder and policy number are:
Policy Number
Dale
7e of Agent Phone #
certify (hat. 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
if I should became bject It; the orkers' cumpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of ApPlicanl _ Date
hereby affirm under penalty of perjur'y}Itat there Is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lender's Address
,y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the properly owner's behalf.
I have read this application and the Information I have provided is correct.
I agree to comply with air applicable city and county ordinances and state laws relating to building construction.
I authorze representatives of this city or county tt Titer the bo e-identified property for inspection purposes. i /'
rarature of Prooertv Owner or Authorized Aoent 1 1 P� � [MAW- -- Print Property Owner's or Authorized Agent's Name O(,�Ji 14,� F)UL LVl(1 Dale L,.
DATE I BY-DECLARATIO pF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATION PART 61 OFTITLE4DAND ACIMD RULE
PERMIT EAPIRt:D
PERIOITCAA'CELLED
PERMIT EXTFND D
PCRMIr FINAL _r1�"\ I JV.I ASBESTOS NNOOTIIFICCA��ONr15l �NOT
AAPPLICABLE TO
CEROCCUPANCY SUED �/ i SIGNATURE EI/L��AA/-1 Milt"