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Home My WebLink AboutXR2023-0768 - Permits��WPORT City of Newport Beach ¢ 0 @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 �q</FOFN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 111��III��1111111111111111111111111111111111111111111111 jjCOMB Permit: XR2023-0768 Plan Check No: Issued Date : 03/23/2023 Inspection Area : 4 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 : 3 INVERNESS LN Legal Desc : N TR 7638 BILK LOT 62 Description: SFR REROOF T/O WOOD SHINGLES AND REPLACE W/ NEW EAGLE LIGHTWEIGHT TILE 5.7 LBS ESR-1900 53 SQS Owner: WALKER BRIAN J TR THE WALKER FAMILY Contractor: BAJA ROOFING SOLUTIONS Architect REVOC LIVING T Address : 3 INVERNESS LN Address : 13308 CULLEN ST Address : d NEWPORT BEACH, CA 92660 WHITTIER, CA 90602 C Phone : Phone : (626) 628-3655 Phone : Con State Lie : 1043625 State Lie: Lie Expire : 10/31/2024 C-) Applicant: BAJA ROOFING SOLUTIONS Bus Lie: BT30081059 Engineer Address : 13308 CULLEN ST Bus Lie Expire : 03/31/2024 Address WHITTIER, CA 90602 Phone: (626) 628-3655 Workers' Compensation Insurance Phone: s Carrier: STATE COMP Owner/Builder : Policy No : 9238568 Designer Address : W. C. Expire: 9/21/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/NewITI sq. ft. Bldg Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone : X Use Zone : PC - Big Canyon — /7 PROCESSED BY SPECIAL CONDITIONS: $72,000.00 0 0 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 checkmaark(s) I have placed next to the applicableitem(s) clion 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 permit to rile 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 fessions 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 more than five hundred dollars ($500).. I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work; and the structure is not. intended or offered for sale (Section 7044, ;imess 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 rovements 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 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 dy to an owner of properly who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), J I am exempt from licensure under the Contractors' Stale 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 legally ell a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Lanese and !rofessions Code, is available upon request when this application is submitted or at the following Web site,http:lAvww.leginfo.ca.gov/calaw.html, tgnature of Property Owner or Authorized Agent. Da _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of peg'ury that I am licensed under provisions of Chapter 9 (commencing with Section ) of visio 3of the Business and Pr salons C , a license is In full farce nd effect. Liceme Clasp License No Date Contractor Signatur VORIKER.S' COMPENSATION DECLARATION rARNING: FAILURE TO SECURi WORHERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU D DOLLARS (5100.000), IN ADDmON TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. h�reb, affirm under penalty of perjury one of the following declarations: ] I have and wi,i h lntain a certificate of consent to saiNnsure for workers' compensation, Issued by the Director of Industrial Relations asprovided for by Section 3700 of the Labor Code, for thi kem.a.ice of the work for which this permit is issued. Policy No. -rtae and willmaintain workers' compensation insurance, es required by Section 3700 of the Labor Code., for the performance of the work for which this permit is issued. My workers` compensatior Isurance rrjer ann`dpolicy Dumber, are, :emir_ ,�'4--1 !f' 1� Policy Number Expiration Date lame of Agent _ _ _ 7i Phone # Certify that, in the performance of for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' componsatfon laws of California, and agree if I should be,gmz act tot o 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dal '' 2-� CLARATtpN REGA ING CTION LENDING AGENCY `" I, areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil Code). Ider's Name Lender's Address my signature below, I certify to each of the following: 's I am the property owner or authorized to act on the property own be. alf. I have read this application and the information shave proved d' corr t. I agree to comply with all applicable city and county rdinan rid I authorize representatives of this city or county�Q',�,(/e/nJter the a to taws relating to building construction. ratified property for inspection purposes. m 1/ nature of Property Owner or Authorized Aaent l /� r� Print Property Owner's or Authorized Aaent's Name J \ I (P 91 "" ,(/' p DAts T'Prr-Z Z PERMIT EXTENDED PERMIT F(P!A! CERTIFICATE OF OCCUPANCY ISSUED OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OFTiTLE40AND AOMD RULE TO APPLICABLE TO