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Home My WebLink AboutXR2023-0740 - PermitsaeW o, City of Newport Beach 111IIIIIIII11111111111111111111111111111111ill IIIII11111 XRZOZ3-0740 � �" � Community Development Department- Building Division X R 2 0 2 3 0 7 4 0 COMB Permit : F ,n. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: 949 644-3288 ( ) Issued Date : 03/2112023 o .� Inspection Requests Phone: (949) 644-3255 Inspection Area : 1 -HP,",`P, newportbeachca.gov/Inspections ,' Combination Type - �"��`s—g-,r•r Work Class - Repair' 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 : 123 33RD ST Legal Desc : A TR NEWPORT BEACH CITY BILK 33 LOT 22 UN 1 NEWPORT BEACH, BL K 33, LOTS 22 & 23 OF PROJECT Description: DUPLEX REROOF. TEAR OFF (E) ROOF AND INSTALL GAF TIMERLINE COMPOSITION SHINGLES W/ 30# FELT UNDERLAYMENT. 21 SQUARES Owner: REINHARDT ROBERT TR & :REINHARDT Contractor: LEMUS ROOFING Architect FAMILY TR Address : 123 33RD ST Address : 2016 WALLACE AVE UNIT B Address: NEWPORT BEACH, CA 92663 COSTA MESA, CA 92627 Phone : Phone: (949) 735-2377 Phone Con State Lic : 826813 State Lic: Lic Expire : 10/31/2023 Applicant : LEMUS ROOFING Bus Lic : BT30077539 Engineer Address : 2016 WALLACE AVE UNIT B Bus Lic Expire: 12/31/2023 Address COSTA MESA, CA 92627 Phone: (949) 735-2377 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No : 1845899 Designer Address : W. C. Expire : 5/27/2023 Address Phone: Phone: Code Edition : 2D22 Fire Sprinklers : NO Construction Valuation : $11,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg Bldg Height : No of Stories: 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks : Front: 5, Side: 4, Side: 4, Rear: 5 - Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: 35 NO CONSTRUCTION' NOISE, , , . SPECIAL CONDITIONS: HIGH DENSITY ZONE ON THE WEEKET40 I hereby affirm under penalty of periury 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 items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alterr improve, demolish, or repair any structure, prior to its 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 70001 of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for Inc alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 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 proffered far 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 proffered 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 k was not built or improved for the purpose of sate). 10 1, 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 trot 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). I am exempt from licensors under the Contractors' State License Law for the following By my signature below !. acknowledge that, except for my personal residence in which I must have melded 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 entirely 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 Issubmitted or at the fallowing Web silo:http:llwww.leginfo.aa.gov/calaw,leml. Signature of PToperty 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 7000) of Division 3 of the Business and Profes i ns Cod al Of m`y license is in full force and effect. License Class License No Date a I. LA `Z 3 Contractor Signature p rz A\u>6i L. WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GYR. FINES UP TO ONE HUNDRED THOUSAND DOLLARS d,100,00s, IN AUCTION TO THE COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 0706 OF THE LABOR. CODE, INTEREST, ANDATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 th performance of the work for which this permit is issued. Policy No. I have 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' compensatio Insurance Carter and policy number are: Camer d-cite }-D rid Policy Number i $ `i S'qa5. Expiration Dale Name of Agent Phone # 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 agre that, if I should become sub' of t0 the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant N�F �TW~ L Dail, DECLARATION REGARCH G CONSTRUCTION LE DING AGENCY I hereby affirm under penalty of perjury thatthere is a construction lending agency -for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). Lenders Name Lender's Address By my signatura 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 and the Information I have provided is Correct. I agree to comply with all applicable city and county ordinances and state laws miating to building construction. I authorize more, entatives of this city or County t to the amoq -Identified property for Inspection purposes. '''') \ _ ` _ Sionature of Prooertv Owner or Authorized Agent 1� 1tA'tii e/i 3iA4i6t. L. Print Proaerty Owner's or Authorized AoenCs Name �, rl in> e, ` ZIA IDL1 L Date j FOR OFFICE USE ONLY REGU ATIONS PART 61 OF T(TL€40 AND ACMD RULE PFRM7T fXTENPEP VAQVID PERMIT F'INAL� �� q 4ASHE5tO5NOTIPICATI0N IS NOI APPLICABLE 7U CERTIFICATE Of V PROPOSED DEl>TypN OCCLnAN6Y1_SU€O SIGNATURE: �(��(,E,�