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Home My WebLink AboutXR2022-2473 - Permits��WPoR City of Newport Beach a p . @ Community Development Department -Building Division > • - 100 Civic Center Drive, Newport Beach, CA 92660-.' S Permit Counter Phone: (949) 644-3288 o- Inspection Requests Phone: (949) 644-3255 Cgt�FOftN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Re -roof COMB Permit : XR2022-2473 Plan Check No : Issued Date: 09/15/2022 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 : 2101 YACHT WANDERER Leg Description: SFR T/O (E) SHAKE ROOF. INSTALL 7/16 OSB £ SQUARES) Owner: GARY GROSSLIGHT Cor Address : 2101 YACHT WANDERER Adc NEWPORT BEACH, CA 92660 Phone: Phc Cor Lie Applicant: PARAGON ROOFING INC Bus Address : 16542 POTTER CIRCLE Bus HUNTINGTON BEACH, CA 92647 Phone: (714) 393-1950 Wol Cari Owner/Builder : Poli Address : WA Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone: Use Zone : PROCESSED BY: 2019 V-B R-3,U Front: 18 X PC - Broadmoor & Pacific view SPECIAL CONDITIONS: 6-:5 Desc : N TR:9047 BLK LOT 36 IEATHING &'BORAL SAXONY 600'-LIGHTWEIGHT TILES W/ 2-LAYERS actor: PARAGON ROOFING INC ;. -Architect: ass : 16542 POTTER CIRCLE (Address HUNTINGTON BEACH, CA.92647 (714)393-1950 Phone: 'state Lie : 726753 State Lie :pire: 09/30/2022 ic: BT30079710 '. Engineer: is Expire : 09/30/2023 Address: ars' Compensation Insurance Phone: r': STATE COMPENSATION INSURANCE FUND ,No: 9034847 - Designer: Expire : 3/19/2023 Address - Phone: 30# FELT UNDERLAYMENT. (36 Fire Sprinklers : NO ::Construction Valuation : Fire Hazard Zone ::. NO -` Added/New/Ti sq. ft. Bldg No of Units : 1 Alteration sq. ft. Bldg : No of Stories : 2 - Added/New sq. ft. Garage ° • 4 °�y s �° ]OY9YR Q J9i . $20,000.00 0 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 items) 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 to permit to fife 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 lieensure 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). 11, as owner of the property, or my employees with wages as their sole Compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, klsiness and Professions Cade: 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 npravements are not intended or offered for sale. It, 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 m 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 �rply 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). J I am exempt fmm ticensure, under the Contractors' State License Law for the following reason: ly 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 entirely by licensed contractors- I understand that a copy or the applicable law, Section 7044 of the Business and 'rofessions Cade, is available upon request when this application is submitted or at the following Web site:httpl/w .iegdnfo.ca.govtcalaw.html. signature of Property Owner or Authorized Agent D t .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally at erjurythat am licensed under provisions p r,�..(co cing with Section T000) visi0 Of the Business and Prafe i e, an license n full force rid effect. License aClass License No / Date Contractor Signature VORKERSs'" PENSATIONDE fARNiIG: FARURE TO S CURE WORKER;` COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS pux,000), IN ADDITION TO THE MWVFCOMP€fiS�A. a DAMAGES AS PROVIOED FOP et SECTION 0705 OF THE LABOR CODE,. INTEREST, AND ATTORNEY'S FEES, hereby affirm LRBer penalty of perjury one of the following declarations: rave and wait maintain a ced'aBcate 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 in e onance gMI;ie. ark for which this permit is issued. Policy No. lave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this ermft is Is vad. My workers` compensatioi is,nO Ia 6r $ 90l' y number re: %J c7 n ;a� Lis? l ll^�� Policy Number y21 9 Expiration Date lamb of Agent Phone #F 9I CQIfy that, in tke perfo an if the work r which t is p rmit is Issued, I shelf not employ any person in any manner so as to become subject to the workers' ca77z:= ias if I should 'become su ct o e worke ompens provisions of Section 3700 of the Labor Code, I shall for comply with those provisions. gwature of A] jlif3nt' Date IECLARATiON REGARDING CONSTRUCTION LENDING ENCY hereby affirm under penalty of perjury that there is a constru ion landing agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lenders Address ly my signature below, 1 cerVy to each of the following: € am the property owner or authorized to act on the property, owner's behalf. I have read this application and the information I have pr ided. is correct. I agree to Comply with all applicable city and cou n noes d state I relating to building construction. I author¢e representatives of this city or county ti r a ab'denlif property for inspection purposes. ^� By DECLARATION OF COMPLI WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 O iTLE40AND AOMD ROLE NOTIFICATION TO PERMIT FINAL �t ErT05 N I T N IS NOT APPLI TO CERTIFICATEOF . (,� ROPOSED DE O ///� OCCUPANCYISSUE0 SIGNATURE A/�IY.I�L.� //.9