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HomeMy WebLinkAboutXR2023-1154 - Permits�gWap @ Community Development Department - Building Division IIIIIIIIII III IIIII IIIII IIIII IIIIIIIIII IIIII IIIII III II COMB Permit : XR2O23-1154 R, City of Newport Beach 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0007 u S Permit Counter Phone: (949) 718-1888 newpor[beachca.gov/civic Issued Date : 5/04/2023 C1�IF00.N�P Combination Type - SFP Inspection Area : 8 Work Class - Other 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 : 304 MORNING STAR LN Legal Desc : N TR 4224 BLK LOT 165 Description: SFR- REMOVE EXIST'G ROOF TILE AND REPLACE W/ASPHALT COMP SHINGLES 3 SQ (PV2023-0003) Owner: NEW DAVID L TR THE D L & J E NEW FAMILY Contractor: ALL- PRO ROOFING INC Architect TR Address : 304 MORNING STAR LN Address : 10979 SUMAC COURT Address NEWPORT BEACH, CA 92660 FONTANA, CA 92337 Phone : Phone: (626) 827-5985 Phone Con State Lie : 856860 State Lie Lie Expire : 04/30/2025 , Applicant: ALL - PRO ROOFING INC Bus Lie : BT30081469 Engineer Address : 10979 SUMAC COURT Bus Lie Expire : 05/31/2024 Address FONTANA, CA 92337 .' Phone: (626) 827-5985 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No: 1799871 Designer: Address : W. C. Expire : 3/1/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $2,500.00 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 : Bldg Height: No of Stories: 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front; 10, Side: 6, Side: 6, Rear: 6 Flood Zone : AE, 8 FT; X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: r_1 r--,. r OWNER -GUILDER 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 Rem(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to conslrucL 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 )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 lot more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044, ILISIneSs 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 T7provemenls 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 nproved 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' Stale License Law does not ipply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt team Iicensure-under the Contractors' State License law for the following reason: 3y 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 bythls permit, I cannot legally .oil a structure tht I have built as an ownar-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 )rofesslons Code is z*41abie upon request when this application is submitted orat the following Web site:http://www.teginfu.ce.gov/calaw.htmi, :ignatun; of ProDArty Owner or Authorized Agent Date .ICENEED CGNSRACTOR'S DECLARATION h^reb; affirm under penalty of perjury that I am Ilcensed under provisions of Chapter g (commencing with Section 700 of ivision 3 of the Business and P essio tend my license is in full torte Ind effect. License Class License No Date S 4 Contractor signature VORKE'RS' COMPENSATION DECLARATION lARNINC-' FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS OD RS t5100,0001, IN ADDITION TO THE :DST OF COMPENSa7,GN. DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm undo, penalty of perjury one of the following declarations: ,,,) I ha))P 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 In Frio, ranee of the work cur which this permit Is issued. Policy No. ZI hi• r -Ind 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' compensatiol I. urance carrier end polity number are: ;airier Policy Number Expiration Date d�ame of Agent Phone S 1 JI 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 agra hat, if I should become tee r P/r'�compamalice provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. 3ignalure of Applicant®_ Date )ECLARATION REGARDI STRUC GN LENDING AGENCY hereby affirm under penaltyof perJ sere is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). .ender's Name Lender's Address _ 3y rey signature below, I Badly 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 or as d at - s relating to building construction. I authorize representatives of this city or county to 'ter the d property for action purposes. 3ignalura of Property Owner or Authorized A ant Print Property Owner's or Authorized A ent's Name "' Date AC ON I DATE BY I DECLAR TI OF COM IANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATI I OF TITLE 40 AND AQMO RULE. EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMI7 FINAL CERTIFICAtEOF OCCUPANCYLSSUED SIGNATURE: NOTIFICATION TO ISNOTAPPLICABLE TO