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HomeMy WebLinkAboutXR2024-6593 - PermitsW° o` City of Newport Beach Community Development Department- Building Division x R 2 0 2 4 6 5 9 3 COMB Permit:XR2024-6593 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 10/1612024 �+ newportbeachca.gov/civic �- „ ., -T- Final Date: Combination Type -SFP i ,,..e permit Status: Issued Work Class - ADDITION/ALTERATION 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 : 107 COLLINS AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BILK 15 LOT 16 BALBO Description: SFR REROOF. T/O (E) SHINGLES. R/R SHEATHING AS NEEDED. INSTALL COMPOSITION SHINGLES 13 SQUARES Owner: JOHN R MARTINEAU Contractor: TG ROOFING AND ROOF REMOVAL Architect: Address : 107 COLLINS AVE Address : 960 N ENTERPRISES ST Address NEWPORT BEACH, CA 92662 ORANGE, CA 92867 Phone: (970)275-8802 Phone: (714)637-1530 Phone: Con State Lic : 657689 State Lie Lic Expire : 12/31/2024 Applicant : KEVIN CARSTENSEN Bus Lic: BT30084297 Engineer: Address : 960 N ENTERPRISES ST Bus Lic Expire : 05/31/2025 Address ORANGE, CA 92867 Phone: (714) 637-1530 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder: Policy No: WC112580505 Designer: Address : W. C. Expire : 1213112024 Address Phone: Phone: Code Edition: 2022 Fire Sprinklers: NO Construction Valuation : $10,300.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Tl sq. ft. Bldg : 0 Occupancy Groups : U,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: 1, Side: 3, Side: 3, Rear: 5 Flood Zone: X; AO 1 Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: HIGH DENSITY ZONE i`AO 00NgTRUGTIQN WORK ,�N SATURDAYS I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reasons) 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 he 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 for a permit subjects the applicant to a civil penalty of rot more than five hundred dollars (S500). ❑ 1, as owner of the property, or my employees with wages 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. 3uslness and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the properly, provided that the mprovements 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 mproved for the purpose of sale). ❑ 1, 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 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' State License Law for the following reason: By my signature below I acknowledge that. except for my personal residence in which 1 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'htip:Ywww.leginte.ca.gov/Calaw.himl. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of Chapter!) (commencing with Section 7000) of Division 3 or the Business and Profession e, antl myy�an�e is in full force and effect. License Class License No Date ��-(i,.7_q_ Contractor Signature /;+�—�— WORKERS' COMPENSATION DECLARATION— NARNRIG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRININAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 151012.0001, IN ADDITION TO THE Cost OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 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' compensationissued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for onnance 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 Trance career and policy number are: Policy Number of Agent L�FID 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 if I should become subject to the workers" comptIn4ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. M - Date /E7 ` /(,�._ 111 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). ender Name Landers Address y my signature below, I certify to each of the following: I am the pi uiA,r.y owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. Iagree le comply with all applicable city and county ordinances and state laws relating to building construction. / I authorize representatives of this city or county to he above-i /pd property for inspection purposes.//J ionature of Prouertv Ownr¢etl Owner or AumoAgent ��T.x— Print Property Owner's or Authorzed Aaent's Name _1 J1)dG ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 ANDAOMD RULE 1403 PER?.irTEXPInED Ut SUBMITTED ASBESTOS NOTIFICATIONTO PERMIT CANCELLSD —� EPPAA - - IJAgryIp ➢ERI:rlTEXFENfEO "- --- PfwxI FI74AL ASBESTOS NOTIFICATION IS NOT APP CABLE TO CERT'FICATE nF /o-,?ti^a.y OCCUPANCYI55U ,; , ( P/L-�— PROPOSED DEMOLITION / SIGNATURE: 'Q ��WIP�RT u erg'' r e� CqC/FoPL %1" CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 SMOKE DETECTOR AND CARBON MONOXIDE SELF -CERTIFICATION (this certification is to be filled out by the permittee or homeowner) Project Address: Permit Number: Property Owner: /o -� a//14f S , I � LEiu M /3, rUVI 10 (, /-L4 Licensed Contractor: -- is P-66F to t✓ Lic #: fps 7 6 ?7 The State of California now requires that smoke and carbon monoxide detectors must be installed in all residential buildings California Residential Code (CRC) Section R314.1, CRC R315.2 states in part that existing dwellings be "retrofitted with smoke detectors and carbon monoxide detectors. CRC Section R314.3, CRC R315.3 defines required locations. Both boxes below must be checked. ❑ Carbon Monoxide Alarm: On the ceiling or wall outside of each separate sleeping area in the immediate vicinity of bedrooms or in each hallway outside of the rooms, and each level of the dwelling. Detectors are also required in bedrooms with gas fired appliances ©❑ Smoke Alarms: Installed in each room used for sleeping purposes, outside each sleeping area, and on each level of the dwelling unit. Retrofitted detectors may be battery operated for buildings where no alterations are performed on the interior. Multiple -purpose alarms (carbon monoxide and smoke alarms) shall comply with all applicable standards and must be approved by the State Fire Marshall. The devices must be installed per manufacturer's specifications. I, the undersigned, hereby certify that I am th permitteeo r homeowner of the project. I further certify that smoke alarms a d_ carbon monoxide alarms are present and tested to be functional in all the following locations: Signature: X %vca ✓ Date: NOTE. This self -certification is only used for projects to the exterior of the structure where access to the interior of the dwelling by the City of Newport Beach Building Inspector is not achieved during the course of construction. Forms\Smoke DetectorandCarbonMonoxideSelfCert 08/12/16