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Home My WebLink AboutXR2022-2396 - PermitsO� EwPoAe City uo'f NDewport Beaman[ -Building Division II IIII I I III II I III III IIII II COMB Permit : XR2O22-2396 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: x Permit Counter Phone: (949) 644-3288 Issued Date : 09106/2022 c . r Inspection Requests Phone: (949) 644-3255 Inspection Area : 1 5�/F00.N� newportbeachca.gov/inspections p Combination Type - SFP Work Class - Re -roof 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 Description Owner: Address Phone 107 07TH ST Legal Desc : A TR EAST NEWPORT SFR REFOOF W/ ASPHALT SHINGLES 17 SQ CL "A" T/O ASPHALT SHINGLES FALLON BRENNA GREGORY TR IRREV TR Contractor: BARNETT ROOFING 3LK`8 LOT 2 Architect 130 HILLCREST DR FULLERTON, CA 92832 Address: 16581. DELTONCIR #3 HUN(I ING I ON Address BEACH, CA''.92647 Phone := (714)724-1938 Phone: Con State Lie : 661981 State Lie Applicant: ROBERT HOLTZ Lie Expire : 12/31/2022 Address : 1601 INDIAN SPRINGS DR. LONE PINE, CA Bus Lie BT30069528 Engineer 93545 Phone: (714) 329-2629 Bus Lie Expire : 10131/2022 Address Workers' Compensation Insurance Phone: Owner/Builder: Carrier: STATE+COMPENSATION+INSURANCE+FUN D Address : Policy No: 1816874 Designer : o Phone: W. C. Expire : 4/29/2023 Address : a • ° Phone: °• • • Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $13,990.00 Type of Construction : V-B Fire Hazard Zone : 's NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3,1_1 '. No of.Units: - 1 -Alteration sq. ft. Bldg : Bldg Height : No of Stories: -. 2 - Added/New, sq. ft. Garage: 0 Building Setbacks : Front: 7, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone : R-1 - Single -Unit Residential q�� NO CONSTRUCTION NOISE PROCESSED BY: SPECIAL CONDITIONS: ON THE WEEKEND I LE CT0 oaeo•• ° • ° o° • oe°• • 0000• 0000® o a • aoo• t hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s). indicated below bythe checkmark(s) I have placed next to the. applicable iteri Section 7031,5, Business and Professions Coder Any city or countythat 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 heor 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 otmore than five hundred dollars ($500),: 11, as owner of the property, or my employees with wages as their sole compensation, will do t_) all of or t_ ) portions of the work, and the structure is not intended or offered for sate (Section 7044, ustness and Professions Code: The Contractors' State License Law does notapply to an owner of property who, through employees' or personal effort, builds or improves theproperty, 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-Builderwill have the burden of proving that it was not built or n roved 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. poly to an owner of property. who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law), I I am exempt from lieensure under the Contractors:. State 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 bythis -permit, I cannot legal oil a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors:. j understand that a copy of the applicable law, Section 7044 of the Business and rofessions Code, is available: upon request when this application issubmitted or at the following Web site:http:/fwnwaleginfo.ca.govicalaw.html. ignature of Property Owner or Authorized Agent Date. .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I ant licensed under provisions of Chapter 9 (commencing with Sectio 7000) f Division 3 of the Business and Pr a top my licanse, is in fall force rideffect. LicerSB tT��ss C 4A LicenseNo &6/y&/ DaiE�4Za4/zz Contractor Signaler JORKEUiS` CO -•NSATION DECLARATION A M". QAA.URE Jd §VUJE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJEOT AN EMPLOYER TO ORM4INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000): IN ADDITION TO TH BST OF C. MPENSAT"16 CAMAOE3 AS PROVIDED FOR IN SECTION 3704 OF THE LABOR CODE, INTEREST, AND ATTORNEY'3 FEES. )f4ifirm undei penalty of perjury one of the following--declaratipns: ae and. WO fu8fitlain a certificate of consent to Solt•insure for workerscompensation, issued by the Director of Industrial. Relations as provided for by Section 3700 of the Labor Code, for fin, lice of 01!6work forwhich this Permit is issued. Policy No, VI; and will, 11, 1h%n workers' compensation insurance. asrequired by Section 3700 of the Labor. Code., for the performance of the work for which this. permit Is issued. My workers' compensation n ceicfarrierend paiicy number are: rr, y�{.� ,,,,,,Q Policy Number /,F/K3?741'an022 Expiration Date /#R;/Qf CVIAA �->s of Igent _�• • • Phone # suss that, in the performance Of the work for which this permit is issued, I shalt not employ any person in any manner sous to become subject to the workers` compensation laws of California, and agree @Rouid bacbrne'sjlbjec4iai pensaiion provisions of Scotian 3706 of the Labor Code, tsltalt forthwith comply with those provisions. .. ure of Applicant ....11,Y�1 CCl±I1 ht1Jf� (ltAfCTO YY.I I CLlhrNl_ Anrkt M1v ueby affirm under penalty of perjury that thereis a. construction lending agency for the performance of the work for which this permit is. issued (Saction 3097, Civil Code).. ider's Name Lenders 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 state laws relating to building construction. I authorize representatives of this city Or county to a96a who identified property for inspection purposes. , ACTION DATE BY DECLARATTM OF COMPLIANCE WITH CODE of FEDERAL I FOR OFFICE. USE ONLY REGUUt77DN5 PRAT 5t OFTITLE 40 AND AO,MA RULE 1408 PERMIT EXTENDED PERMIT FINAL CERTIFICATE or �'I S(ZZ,J6� C. PROPOSED DEMOLITIONtON.IS NOT APPLICABLE TO