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HomeMy WebLinkAboutXR2023-3213 - PermitsagWPORT City of Newport Beach IIIIIIIIIIIIIIIII IIIIIIIIIIIIII II COMB Permit XR2U23-3213 Community Development Department- Building Division X R 2 0 2 3 3 2 1 3 F n100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1888 Issued Date : 11/1312023 U ems. newportbeachca.gov/civic Final Date: C,C/F00.N�P Combination Type - SFP Permit Status: Issued Work Class - Repair Inspection Area : 5 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: 224 POINSETTIA AVE Legal Desc : A TR RESUB OF CORONA DEL MAR BILK 143 LOT 24 RESUB Description: SFR RE -ROOF - T/O COMP SHINGLES. REPLACE PLYWOOD AS NEEDED. INSTALL 1 LAYER 30# FELT, INSTALL 14 SQ COMP SHINGLES Owner: SALLY-JAN SCHOEN Address : 224 POINSETTIA AVE CORONA DEL MAR, CA 92625 Phone: Applicant: WESTECH CONSTRUCTION ENGINEERING Address: 25 PACIFICA #5300 IRVINE, CA 92618 Phone: (949)345-3330 Owner/Builder : Address : Contractor: W E S T E C H ENGINEERING Address : 25 PACIFICA #5300 IRVINE, CA 92618 Phone: (949) 345-3330 Con State Lic : 1076883 Lic Expire : 06/30/2025 Bus Lic : BT30082470 Bus Lic Expire : 08/31/2024 CONSTRUCTION Architect: Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9333637 W. C. Expire: 2/18/2024 Ph one '0N S-r9jj. 9 Io�J State Lic: ' pv Engineer Adores Phone : �l Designer Address Phone: Phone" Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/Newts 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: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: $B4O00.00 0 0 0 ! hereby ahinn under penalty of perjury that I am exempt from the Contractors' State Lice nsa Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item (a) Section 7031.5. Business and Professions Code: Any city or cow nty'that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for he permit to file a signed statement that he or she is licensed pursuant to the provisions of theContractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofess ons 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 penotty of Idt more than five hundred dollars ($500). 1, as owner of the property, army employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044, 3usiness 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 properly, provided that the mprovemenls 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 builtor mproved for the purpose of sale). 1 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 apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 3 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: 3y 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 of 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 Irofess ons Code., is available upon request when this application is submitted or at the following Web site:hitpi/M'ww.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date _ICENSED CONTRACTOR'S DECLARATION / hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Pro essons Code nd may license is In full force urd effect. License Class License No Dates Contractor Signature PORKERS' COMPENSATION DECLARATION l/`1 t -�� `­� rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND'. OLLARS ISt00,000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ 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 the erfo ranee of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date I certify that. in the performance of the rk Or which this permit is issued, I shall notemploy any person in arty manner so as to become subject to the workers' compensation laws of California, and agre, L if I should become subject to thew rs compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply *In those provisions. nature of Applicant _ Datd/ `C) �, � CLARATION REGAR I CONS U N LENDING AGENCY -1 7—iZ 3reby affirm und'EKY Gi perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). ides s Name Lender's Address my signature below, I certify to each of Ilse 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 proyidey Is correct. I agree to comply with all applicable city and county ordi be a and slate Yaws relating to building construction. I authorize representatives of this city or couofyyloanter s Identified property for inspection purposes. A signature of Property Owner or Authorized Agen Print PropertypOwner's or Authorized A ACTION f DATE. BY LARA IONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY '. REGULATIONS PART 610E TITLE. 40 AND AQMD RULE 11403 PERMOr EXPiREO I f j ISJBMI7fEDA5BE'.,TOS,40rIFICA';IONTJ PERMITEXTENDED UAQMD PERNIi'PiNA1 CERTIFICATE OF 1 2� 6t (� ASBESTOS NOTIFICATION ISN 7"APPLICABLE TO JR R OSI'DPEMOLITION OCCUPANCYISSUEO 1 SIGNATUR:t C Date