HomeMy WebLinkAboutXR2023-2639 -�Evuao City of Newport Beach IIIIIIIIII II IIII IIIIIIIII IIII IIIIIII III II COMB Permit: XR2023-2639
D4 ;i b Community Development Department- Building Division X R 2 0 2 3 2 6 3 9
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO
Permit Counter Phone: (949) 718-1888 Issued Date
newportbeachca.gov/civic Final Date:
y9,ci FrH�r Combination Type - Permit Status: Applied
Work Class - Repair Inspection Area : 8
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: 3226 BROAD ST Legal Desc : P BK 263 PG 24 PAR 1 UN 1 PM 263-24, PAR. 1 OF PRO
Description: DUPLEX REROOF, T/O (1) LYR ASPHALT SHINGLES, INSTL (1) LYR OF SYNTHETIC UNDERLAYMENT, REPLACE SHEATHING AS NEEDED, INSTL PRES
SHINCaLVS (23 SQS)
Owner: MAURER BRIAN FORREST TR ISLAND Contractor: JH ROOFING
FAMILY TR
Address :
31681 ISLE ROYAL DR
LAGUNA NIGUEL, CA 92677
Phone:
Applicant:
JHROOFING
Address:
2415 SANTIAGO ST
SANTA ANA, CA 92706
Phone:
(714)402-6481
Owner/Builder
Address :
Phone
Address : 2415 SANTIAGO ST
SANTA ANA, CA 92706
Phone: (714)402-6481
Con State Lic : 1008577
Lic Expire : 03/31/2024
Bus Lic : BT30071516
Bus Lic Expire : 04/3012024
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No: 9326596
W. C. Expire : 10/29/2023
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone:
Designer
Address
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-3 No of Units : 1 Alteration sq. ft. Bldg :
Bldg Height : No of Stories : 2 Added/New sq. ft. Garage:
TOTAL sq. ft. :
Building Setbacks : Front: 15, Side: 4, Side: 4, Rear: 10
Flood Zone : X
Use Zone : R-2 - Two -Unit Residential
PROCESSED BY: a� 11
SPECIAL CONDITIONS:
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) Indicated below by the checkmark(s) I have placed next to the applicable items)
3ect'lon 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 licensors 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 ($500).
3 1, as owner 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,
•usiness 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 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 it was not built or
nprovod 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 Contractors' State License Law does not
poly 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).
1 I am exempt from licensure 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 prior to completion of the Improvements Covered by this permit, I cannot legalf
oil a structure that I have built as an ownonbuilder if IIhas not been constructed in its entirety by liconsed 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:liwww.leginfo.0 .govlcalaw.html
signature of Property Owner or Authorized AgentDate
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section o Divi on 3 of tX
ss and ProfessialT de, and nee is in full force
nd effect. License Class License No a 2.0 Z'i CSignature
VORKERS' COMPENSATION DECLARATION
EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINENE HUNDRED T OUS ND DOLLARS p1I00,000), iN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
I have and Wj r.i„intairn a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for
(mance of Ina wa ,k for which this permit is issued. Policy No.
and will n,amtoin 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'
carrier,: j :Dlicy number are:
e of Agent _ _ _
.amfg that. in u,e perform
if I shoul becu rle FvI
=11 rt of APp c3le ._.__.:
h Dreoy a -firm under ren7ItyDfPE
endni s Name _ _
ly my slgralue below, Der �y to
Policy Number
Date
le work € -which this permit Is issued. shall not employ any person in any manner so as to become subject to the workers' compensation taws of California, and agrE
corkers o ensahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
_ oat 9 o Z`�_,�
UCT1UN LENDING AGENCY
that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 ,Civil Code).
Lender's Address
I am the propsriy cr,ner 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 county ordi , nces and to laws ralating to building construction.
I authorize representatives of this city ounty to enl he above- ntified property for inspectfon purposes.
nature of Pro art Owner or Authoriz A enl Print Property Owner's or Au[
ACTION DATE Y i EC ARATION OF COMPLIANCE WITH CODE OF FFDERAL FOR OFFICE
RFGI LATIONS PART 51 OFTITLE 40 ANDAOMp RIJI.F
PERMIT EXPUIED 1J I SUBMITTED ASRFSTOS NOTIFICATION TO
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