HomeMy WebLinkAboutXR2023-2498 - Permits�gWPD,4r
City of Newport Beach
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XR2023-2498
COMB Permit :
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Community Development Department - Building Division
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1DD Civic Center Drive, Newport Beach, CA 92660
Plan Check No
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Permit Counter Phone: (949) 718-1888
Issued Date : 09/07/2023
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newportbeachca.gov/civic
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Final Date:
Combination Type - MFP
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Permit Status: Issued
Work Class - Repair
Inspection Area : 1
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 : 723 BALBOA BLVD W Legal Desc :
Description: MFR REMOVE (E) BUR ROOFING. R-ROOF BUR, R/R SHEATHING AS NEEDED. INSTALL 3 LAYERS MEMBRANE 20 SQUARES
Owner: 8TH STREET N B LLC
Address : 723 W BALBOA BLVD
NEWPORT BEACH, CA 92661
Phone
Applicant: ANGEL PAREDES
Address: 413 S.Nutwood St.
ANAHEIM, CA 92804
Phone: (714)904-5188
Owner/Builder :
Address :
Contractor:
LION ROOFING INC
Architect
Address :
413 S NUTWOOD ST
Address
ANAHEIM, CA 92804
Phone:
(714)904-5188
Phone:
Con State Lic
: 1018956
State Lic
Lic Expire :
10/31/2024
Bus Lic :
BT30065698
Engineer
Bus Lic Expire : 01/31/2024
Address
Workers' Compensation Insurance Phone
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No : 9333499 Designer
W. C. Expire : 2/14/2024 Address
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg,:
Occupancy Groups :
U,R-2
No of Units :
3
Alteration sq. ft. Bldg : -•
Bldg Height :
No of Stories :
2
Added/New sq. ft. Garage:,:
TOTAL sq. ft.
Building Setbacks
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
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PROCESSED BY:
SPECIAL CONDITIONS: HIGH DENSITY ZONE
$18,000.00
G,
0
0;
NO CONSTRUCTION WORK
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OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that € 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, alter, improve, demolish. or repair any structure, prior to its issuance, also requires the applicant. for
To 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 ficerii and 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
of more than five hundred dollars ($500).
I, as ewner of the property., or my employees with wages as their sole compensation, will do (_) all or or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code. The Contractors' Stale 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 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
nproved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState License Law does not
pply to an owner of properly 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 Iicensure under the Contractors' Slate License Law for the following reason
ty 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
all a structure that I have built as an owner-builderif it has not been constructed in its entirely by licensed contractors_ I understand that a copy of theapplicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the lollowing Web site:http:ffv�•nw.leginto.ca.goT9calaw.html.
Hgnatura of Property Owner or Authorized Agent ...-...._....._-
ACEN.SED CONTRACTOR'S DECLARATION
hereby affirm under penally of perfury that I am licensed under previsions of Chapter 9 (commencing wills Section 700 ) of ivision 3 of the Business and Professions ode, and a in full force
nd effect. License Class License No Date 'z Contractor Signature
VORKERS' 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 T110n,0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION S]OS OF THE LABOR CODE, INTEREST, "a ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following dec€arations:
I I 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 (m
ertorr Nnice of the work for which [his permit Is Issued. Policy No.
have andwill 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'
ranee carrier and policy number are:
Policy Number
of Agent Phone S
Dale
JI certify that, in the DOrformanc 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 agree
Tat, if I should become subI of
the workers' sauen provisions of Section 3700 of the Labor Code, I shall forthwith comply with (hose provisions.
.lgna Wre of ING 'idant ._J-_. .. •T I` ..___"___ Dale_
rECLARATION REGARDIN NSTR CTIA ENDING AGENCY
hereby affirm under penalty o that them l a construction lending agency far the performance of the work for which this permit is issued (Section 3097, Civil Code).
ent er's Name Lender's Address
w Illy signature hao—W. ] cerW-y-to aeoh_ of
I am the moperty owner or sulhorized to act on the property owner's behalf.
I have read this application and lie Information I have provided is correct.
I agree to comply with all applicable city and county ordinances state laws relating to building construction.
lat v^s I authorize represenof this city or county to erijibir the aI)gve-Ide tified property for inspection purposes.
Iiq nature of P,operty Owner or Authorzed Aqent `1\ Pont Property Owner's or Authorized Agents Name i—IA 16CL�QGDcC Date
ACTION
PERINIr EXPIRE?
PERMrT CAh4 ELl ED
PERMIT EXTENOEL'
PERV1it FINAL
CERTIFICATE Of
OCCUPANCY ISSUED
DArc By DonaURTION OP�COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 63. OF TITLE' 40 AND ACIMD RULE
1403
r SUBMITTED ASBESTOS NOTIFICATION TO
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PROPOSED D
SIGNATURE:'.
NOTIFICATION IS NQLA�PLICABL TO