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HomeMy WebLinkAboutXR2023-1687 - Permits;;;���°°°atiWPoRT City of Newport Beach 111111p111111111111111111p11111111111111111111111111111111 COMB Permit : XR2O23-1687 £ Community Development Department - Building Division X R 2 0 2 3 1 6 6 7 m too Civic Center Drive, Newport Beach, CA 92660 Plan Check NO ' } } PermitCounter Phone: (949) 718-1888 Issued Date : 06/2012023 newportbeachca.gov/civic Inspection Area : 4 Combination Type - SFP 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 : 19 TURNBERRY DR Legal Desc : N TR 15387 BLK LOT 14 TRACT NO 15387 LOT 14 FOR OF LOT AND P OR LOT 15 Description: SFR REROOF; T/O 1 LAYER COMP; INSTALL 30# FELT; EXISTING SHEATHING TO REMAIN; INSTALL 30 SQ COMP Owner: FOX Contractor: ALLTOPS INC 1511 BAYLESS ST Architect Address URN 19 TURN Address : 19 BERRY DR Address : ANAHEIM, CA 92802 NEWPORT BEACH, CA 92660 Phone : (888) 525-5867 Phone: Phone: (949) 637-2196 Con State Lic : 722766 State Lic Lic Expire : 05/31/2024 : Applicant A Bus Lic: BT30081925 Engineer: Address LESS ST Address : 1511 BAYLESS Bus Lic Expire : 06/30/2024 ANAHEIM, CA 92802 Workers' Compensation Insurance Phone Phone: (888) 525-5867 Carrier: STATE+COMPENSATION+INSURANCE+FUN D Policy No : 1957500 Designer Owner/Builder : W. C. Expire: 1/1/2024 Address Address : Phone: Phone: Fire Sprinklers : NO Construction Valuation Code Edition : 2022 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Type of Construction : V-B 1 Alteration sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 2 Added/New sq. ft. Garage Bldg Height: No of Stories : TOTAL sq. ft. Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Aeronutronic Ford PROCESSED BY: - — C Cs+ 6_0: SPECIAL CONDITIONS: 1 $32,000.00 0 I hereby effort 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 Item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit 10 construct, after, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for the 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 Professions Code) or that he or she is exempt from ficonsure 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). © I, as owner of the property, or my employees with wages as their sole compensation, will do h) all of or ( ) Portions Of the work, and the structure is not intended oroffered for sale (Section 7044, 3usiness 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 mprovemenls 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). 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 5apply to an owner of property who builds or Improves thereon, and who contracts for the projects with if licensed Contractor pursuant to the Contractors' State License Law), 1 am exempt from licensure under the Contractors' State License Law for the following reason: _ 3y my signaturebalmI acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of theprovGmoMs covered by this permit, Lcanndt lagalh, :all 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 �rofossions Code, is avoilable upon request when this application is submitted or at the following Web sita:http:t,Www.leginfo.ca.govlcalaw.htmi. 31gnature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7U00) f Division 3 of the Baseness and Pro s for • and my nse' In 11 ksYca mtl Affect. License Class License.No Datev [� 3 Contractor Signature�is•... /T PORKERS' COMPENSATION DECLARATION IARNING; FAILURE TL SECURL WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRRAINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE OET OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 370$ OF THE LA9oR D THOUSAND DOLLARS (STD0,800), IN ADDITION TO THE cone, INTEREST, AND ATTORNEWS FEES. hereby aB!rm under to ,halty of perjury one of the following declarations: 3 1 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 tiv oftVm-ce of the work for which this permit Is issued. Policy No. Veroe and will ,nair,,alo 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 I o4nLL carder and policy number are: Policy Number o: Agent _ Date oo 0fy'naL in th5 polfArmance 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 Dt California.. and ogre t, If I should become subject to th rkers` ponsation provisions of Section 3700 of the Labor Code, I shelf forthwith comply With those provisions, nature of AppIlLant Do)( CLARAi10N RSURI NSTRUCTI BNDINU AQENCy neby affirm under penalty of perjury that there is a construction Fending agency for the performance of the work for which this permit is issued (Section 3097, Civil Gads), Ider s Name Lender's Address MY signature INNOW. I oem1Y 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 budding construction. I authorize representatives of this city or eou t/0 an abovgg-' n{if dproparty for inspection purposes. taiura Of PrOoedv Owner nr Anihnri>arI ancnr it /_ RY DECLARATioN 6F COMP6NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQlV D MULE RERMITEXTEVOEO IdflMD _ PEROFICATE � /f3 'r1 "KSTOS NOTIFICAT ON 15 APPLICAFIL£ TO CERS7ErCAFE di ✓ PROPOSEp�pMO �ry/('�' OCCUPANCY ISSUED .,.�....Y .(/ ,