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Home My WebLink AboutXR2023-2644 - Permits�EWPo T City of Newport Beach ��p��Il��p��►�p��►��111111111111111111 ill COMB Permit : XR2O23-2644 pF A Community Development Department - Building Division X R 2 0 2 3 2 6 4 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No S Permit Counter Phone: (949) 718-1888 Issued Date : 09/20/2023 newportbeachca.gov/civic Final Date: Combination Type - SFP Permit Status: Issued Work Class - Repair 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: 2601 ALTA VISTA DR Legal Desc : N TR 4893 BLK LOT 108 Description: SFR REROOF, T/O EXISTING SHINGLES, INSTL SYNTHETIC UNDERLAYMVNTREPLACE SHEATHING AS NEEDED, INSTL NEW COMP SHINGLES (57 SQS) Owner: ROUSSELOT THOMAS TERRY TR Contractor: ALL SERVICE ROOFING Architect ROUSSELOT QPRT Address : 2601 ALTA VISTA DR NEWPORT BEACH, CA 92660 Address : 16371 HEMLOCK ST FOUNTAIN VALLEY, CA 92708 Address Phone: Phone: (714) 457-0906 Phone: Con State Lie : 1070058 State Lie Lie Expire : 10/31/2024 , Applicant : ALL SERVICE ROOFING Bus Lie : BT30075513 Engineer Address : 16371 HEMLOCK ST Bus Lie Expire : 06/30/2024 Address FOUNTAIN VALLEY, CA 92708 .. , Phone: (714) 457-0906 Workers' Compensation Insurance Phone: , Carrier: STATE COMPENSATION INSURANCE FUND , Owner/Builder: Policy No: 9284028 Designer: Address : W. C. Expire : 9/14/2023 Address Phone: Phone: , Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $40,000.00 .. , Type of Construction : V-B Fire Hazard Zone : NO Added/NewITI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: L SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury, that I am exempt from the Contraclors State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable fterl (Section 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 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 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt from ticensureand 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 L) all of or L) 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 improvements 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 improved for the purpose of sale). ri 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 not 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 I am exempt from licensure under the Contractors' State License Law for the following reason By my signature below 1 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-legall, sell a structure that I have built as an owrtor-builder if it has not boon constructor] in its entirety by licensed contractors. 1 understand that a copy of the applicable low, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site;tlttpr/hvW'svaeginfo.ca.gav/aalaw.html. Signature of Property Owner or Authorized Agent _ (late _ LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of p urn {at i am licensed under provisions of ChApter ( endng with a`tc on 77 % f Qh Sion 3 of the Busoess d Professoory^+ - oda, and q tcDOES is In full force and effect.License Class (.,`-5�\ License No (�/li S� \ / O n�J Contractor Diur¢ %/L/�l��z-ir� WORKERS' COMPENSATION DECLARATION WARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES_. I hereby affirm ends, Lnafty of perjury one of the following declarations: 13 1 Itsvp and will matntain a certificate of consent to self -insure lot workers compensation, Issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for ih u.0 iai ee of the work orwhich this permll Is Issued, Policy No. av^ and will maintain workers' compensation insuran a as required by Section 3700 of the Labor Code.. for the performance of the work for which this permit is Issued. My workers' compensatioi Ins rrncocarrier ens olio numberare., r rZ / policy 1 �/' Carrier G.{)tM C �v'15, `Policy Number � (/� � Expiration Date Npma rf Agent IPhone k ❑ vui I"y that, in the performance of the work for which this permit's issued, I shell not employ any person in any manner so as to become subject to this workers' ompensalion laws of California, and agra ih t, ti' ;haul co sub' t to the war rs' compensation provisions of Section 9700 of the Labor Code, I shall forthwith comply with those provisions. 012 � &tnavls if Ap �t t.-.'� � Dal � nit -A ARAIN f2F • IFPdNC rnNS�ENntNG AGENCY It 3J, u;'flrm under I}eInally of perjury that there is a construct ion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ir'e-`; Name Lender's Address my signature below, I car* 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 mfomtetion 1 have provided is correct. pp I agree Io comply with all applicable city and County ordinances and state laws relating to building construction. I authorize representatives of this city county tD r a above-� �e tified property for inspection purposes. nature of Property Owner or Author ed Agent //�>%'--��Y_ Print Property Owner's or Authorized Ate ACTION i DATE. - BY DECLARAT€ t4OFCOMPLIANCEUUTHCOOK.OFFF.DERAL FOR OFFICE USE ONLY r REGULATIONS PART 51 OF TITL£ 40 AND AOMD RULE / 1403 PERMS F EXPIRED I I I iJI SURMITTFD ASBESTOS NOTIFICATION TO FERMt7 ENTENDED (� ' P[R,YHT PiNAI - �-- 3 ESE 5 NOTd FICAITON I5 NO7 APPCICAt1tk t0 CERTIFICATE OF pp CCC p DE OCCUPANCY 155U€A k € S GNAT