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Home My WebLink AboutXR2023-0597 - PermitsEWIPoRr City of Newport Beach o� @ Community Development Department -Building Division Civic Center Drive, Newport Beach, CA 92660 U s P Permit Counter Phone: (949) 644-3268 <,'zv:• Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - Work Class - Repair COMB Permit : XR2023-0597 Plan Check No: Issued Date : 0310312023 Inspection Area : 2 PERMITS EXPIRE 100 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 : 125 OPAL AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 9 LOT 15 Description: DUPLEX TEAR OFF (E) ROOF AND INSTALL NEW COMPOSITION SHINGLES *22 SQUARES* Owner: CHARLESJOHNSON Address : 125 OPAL AVE NEWPORT BEACH, CA 92662 Phone: Applicant: WENCES ROOFING TEAM INC Address : 209 PRINCE LANE SANTA ANA, CA 92704 Phone: (714)586-2321 Owner/Builder : Address : Contractor: WENCES ROOFING TEAM INC Address : 209 PRINCE LANE SANTA ANA, CA 92704 Phone: (714)586-2321 Con State Lic : 1081202 Lic Expire : 09/30/2023 Bus Lic : BT30080717 Bus Lic Expire : 02/29/2024 Workers' Compensation Insurance Carrier; STATE COMPENSATION INSURANCE FUND Policy No: 9303975 W. C. Expire: 8/19/2023 Architect Address Phone: State Lic Engineer: Address Phone: Designer: Address Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $24,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : 2,200 Bldg Height : No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 - Flood Zone: X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: 1 5 �/v� NO I.�ONSTPl K- i ICON NOOSE,., ..' . SPECIAL CONDITIONS: HIGH DENSITY ZONE; LIQUEFACTION & A01 FLOOD ZONE , ON THE WEEKEND .: ; 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 cheokmark(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 to construct, alter. improve, demolish, or repair any structure, poor to its issuance, also requires the applicant for is 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 'rofessions 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 of more than five hundred dollars (S500). 1 I, asowner 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, 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 nprovements are not Intended or offered for sate, 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 n'lproved for the purpose of sale). „I 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 poly to an owner of property who builds or Improves thereon, and who contracts for the projectswith a licensed Contractor pursuant to the Contractors' State License Law). 3 1 am exempt from licensure under the Contractors' Slate License Law for the following reason: _ ____— ______ _......_ __ ly my signature below t acknowledga 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 legail- ell 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 'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http:l,' w .leginfo.ca.govlcalaw.html. lignature of Property Owner or Authorized Agent Date. .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700Division 3 of the Business and Professions e, and my license is in full force 0 of nd effect. License Class License No Date Contractor Signature PORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), iN ADDITION TO THE 03T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, ANDATTORNEY's Fees. hereby affirm under penalty of perjury one of the following declarations: 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 crmance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the workfor whichthis permit Is issued. My workers' compense rance carrier and policy number are: Policy Number of Agent Date 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 , if I shouldbecome subject t we, r compensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. iature of Applicant Dale % ^I AMATI^M GFrADMIIJ IrTInIJ i C1UnnUr'_ er CMr"v 1V��TT _ hereby 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. Civil Code). ender's Name Lender's Address y my signature below, t cartlfy to each of the following: I am the property owner or authorized to act on the properly 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 slate laws relating to building construction. I authorize represLntatives of this city or county to enter the Id tified property for inspection purposes. E f/ :ipnatare of PrODerty Owner or Authorized Aeent ,/� Print Prooertv Owner's or Authorized Auent's Name /) f004 1 9 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40AND AQMD RULE PFRf SITEXPIRFO _ I U I SUBMITTED ASBESTOS NOTIFICATION TO P DEPA lET.' rIT EXTENUEP ,AQM D FE.1'.417FINAL WSBESTOSNOTIFiCATiON IS NOT APPLICABLE TO CE4'19CATE OF rdrIWAnlrYRS,iFO jjl'i )0. -6 h tI� PROPQSEDDEMOUTNHIO xl / un cIIATor. 7/ ///