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Home My WebLink AboutXR2023-0651 - PermitstixPORT City of Newport Beach o� Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 �9cit�>sN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Repair ��III111111111111111111111111111111111111111111111COMB Permit : XR2023-0651 Plan Check No: Issued Date : D3/10/2023 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-: 2B01-EBB-TIDE-RD - —Legal-Dese-,. N-T-R-3660-BLIELaT-48 - - - Description : SFR T/O COMP SHINGLES. INSTALL 2 LAYERS 15# FELT, INSTALL 40 SQ COMP. RJR SHEATHING AS NEEDED Owner: SODEN MARY ANN TR Contractor: JH ROOFING Architect Address : 2801 EBBTIDE RD Address : 2415 SANTIAGO ST Address CORONA DEL MAR, CA 92625 SANTA ANA, CA 92706 Phone: Phone: (714)402-6481 Phone: Can State Lie : 1008577 State Lie Lie Expire: 03/31/2024 Applicant : JH ROOFING Bus Lie : BT30071516 Engineer Address : 2415 SANTIAGO ST Bus Lie Expire : 04/30/2023 Address SANTA ANA, CA 92706 Phone : (714) 402-6481 Workers' Compensation Insurance Phone Carrier: STATE FUND Owner/Builder : Policy No: 9326596 Designer Address : W. C. Expire : 10/29/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $17,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the mason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.6, Business and Professions Code: Any city or county that requires a permit la construct, alter, improve, demolish, or repair any structure, prior toits 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). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work; and the structure is not Intended or offered for sale (Section 7044, Business 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 improvements 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 improved for the purpose of sale). 0 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 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). ap u I am exempt from Iicensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have roslded for at least one year prior to completion of the improvements covered by this permit, I cannot legal 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:http:liwww.leginfo.ca.gov/calaw.html. 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 7p00 i " ion 3 of the Business and Pr essio�e, and a `e is In full force and effect. License Class License No Dat d Z Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOr(S O DOLLARS ($100,000), IN ADDITION TO TH'. COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION]706OF THE LABORCOnE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: 1I have 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 t1 forrnanee'Sf the work for which this permit is issued. Policy No. ave 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' compensatior isu rice carder and policy number am! ...arrier Policy Number Expiration Date Nacne of Agent Phone If :1I certify that, in the performance of th ark for which t ermit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogrel .hat, if I should become subject to th rkers' compe too provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant DECLARATION REGA CO T UCTION LENDING AGENCY hereby affirm under penalty of p rjury hat there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097, Civil Code). -ender's Name Lenders Address 3y my signature below, I certify to h 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 pro.' ed is correct. I agree to comply with all applicable city and county ordi ces and s fasys relating to building construction. I authorize representatives of this city or county to ent he above tified property for inspection purposes. Si nature of PropertypOwner Or Authorized Agent Pont Property Owner's or Authorized Agent's Name ACTION DATE j By ECL RATION OF COMPLIANCE WITH CODE OF Ei DEULF.RAL FOR OFFICE USE ONLY i IREG LATION5 PART 61 OF TITLE 40 AND A IMO R 4 _ PERMIT EXPIRED I I SUBMITTED ASBESTOS NOTI FIC, TIJN '� O PERMIT EXTENDED g "QMO PERMCERTIFICATION pl"APP LE E OF �1j7 SI OPO�p DE(�AOUFTION TO OCCUPANCYISSUEO 'Voo