HomeMy WebLinkAboutXR2023-1113 - Permits��EWPpRT City of Newport Beach
d 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
°q4 Fo n"`P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Re -roof
1111111111111111111111111111111111111111111111111111111 11111 COMB Permit : XR2023-1113
Plan Check No:
Issued Date : 05/01/2023
Inspection Area: 5
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 : 3311 SEAVIEW AVE Legal Desc :
Description : Remove existing torch down roll roof, replace damaged wood, install new 90# torch down roll.. roof' 5/03/23 REVISED TO ADD REPLACE INSULATION
Owner: RONNENBERG CLIFFORD R TR
Address : 11292 WESTERN AVE
STANTON, CA 90680
Phone
Applicant : Consumer Services Roofing
Address : 13632 carroll way
Tustin, CA 92780
Phone: (714)734-6917
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone:
Use Zone:
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : Consumer Services Roofing
Architect
Address : 13632 carroll way
Address
Tustin, CA 92780
• • • • ,
Phone : (714) 734-6917
Phone
Con State Lie : 905154
State Lie
Lie Expire : 10/31/2023
Bus Lie: BT30081426
Engineer
Bus Lie Expire : d41'aJ/t0?#
Address
Workers' Compensation Insurance
Phone:
Carrier: CALIFORNIA INSURANCE COMPANY
Policy No: 4687176701
Designer:
,
W. C. Expire: 5/1/2024
Address
Phone:
Fire Sprinklers : NO
Construction Valuation :
$7,800.00
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
No of Units : 1
Alteration sq. ft. Bldg :
No of Stories ;
Added/New sq. ft. Garage :
0
TOTAL sq. ft.
0
/ A.
I hereby aliirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicates
Section 703t_5, Business end Profession$ Code: Any city or county that requires a permit to construct, alter, improve, demobs
io permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law
rofassions Code) or that he or she is exempt from ricensure and the basis for the alleged exemption. Any violation of Section
of more than five hundred'. dollars ($500y.
3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_j all of or U portions of the v
=useess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emp
nprovements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of compietic
nproved for the purpose of sale).
3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bus
ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor For
I am exempt from llcensure under the Contractors' State License Law for the following reason: _
y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year
oil a structure that I have bruit as an owner -builder it It has not been constructed in its entirety by licensed contractors. I under:
`professions Code, is available upon request when [his application is submitted or at the following Web site:httpJhry Jeginfo.c.
ignatum of Property Owner or Authorized Agent
.10ENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of peg'ury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of On
nd effect. LtcensC Cuss License No Date O<_
COMPENSATION DECLARATION
Bow by the cheokmark(s) I have placed next to the applicable flem(s)
or repair any structure, prior 3o its issuance, also requires the applicant for
hailer 5 (commencing with Section 7000) of Division 3 of the Business and
31,5 by any applicant for a permit subjects the applicant to a civil penalty of
k, and the structure is not intended or offered for sale (Section 7044,,
ees' or personal effort, builds or Improves the property, provided that the
the Owner -Builder will have the burden of proving that It was not built or
and Professions Coder The Contractors' State License Law does not
to the Contractors' State License Law).
to Completion of the improvements covered by this permit, I cannot
that a copy of the applicable law, Section 7044 of the Business and
Date
3 of the Business and Professions Code, and icense is in full force
Contractor Signature �+
'A^NING: FAILURE P3 SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CfWINAL PENALTIES AND CIVIL. Fares UP TO ONE HUNDRED THOUSAND DOLLARS hL100,000), IN ADDITION TO THE
OST OF COMPENSATION, "I^MACES AS PROVIDED FOR 1N SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hore0y a"lrm under eenally of perjury one of the following declarations:
and wit n,Lh lain a certificate of consent to sell -Insure for Workers' compensation, issued by the Director of
,A of the Xn-k for which this permit is issued. Policy No.
and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the pe
carrier t.d pCey number are:
Policy Number
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is Issued. My workers'
I
.:. X, that, in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so to become subject to the workers' compensation laws of California, and
'f ' -hould become subject to the workers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith co ply With those provisions.
rature of Applicant. 00
hereby affirm tinder penalty of perjury that there is a construction lending agency for the performance of the work for which tho� permit is issued (Section 3097, Civil Code)
.endru s Name Lenders Address
ly my signature below, I Certify 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 andthe information I have provided is correct.
I agree to comply with all applicable city and county ordinances and slate laws relating to building construction.
I authorize representatives of this city or County to 95b;the above•Identil property for inspection purposes, r•
ACTION DATE i BY DECLARATION OF COMPU E WITH CODE OF FEDERAL FOR OFFICE USE ONLY �
€ REGULATIONS PART@t TITLE 40 AND AQMD RULE
`1 1403
PERMIT EXPIRED I SUBMITTED ESTOS NOTIFICATION TO
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