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HomeMy WebLinkAboutXR2022-1866 - Permits,v-w;y City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive,'Newport Beach, CA 92660 ow Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections II III I I I II I II I III II I II II II COMB Permit : XR2022-1866 Plan Check No: CombinatioWork Class n Type : MFP Repair Issued Date : 07/11/2022 Inspection Area : 2 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 : 309 BAY FRONT N Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 6 LOT 5 Description: MFR- T/O COMP, USE (E) SHEATHING. INSTALL 1 LAYER 15# FELT. INSTALL 25 SO COMP SHINGLES aa`` Owner: Contractor: RAY'S ROOFING CO Architec \I1\_ Address : Address : 14571 HIGHCREST CIR IRVINE, CA A{jo�C 92604 vpof- Phone : Phone : (714) 271-5692 oNone :\� Con State Lie . G State Lic ® Applicant: RAY'S ROOFING CO Lic Expire 07/3112024 `v GG Address : 14571 HIGHCREST CIR IRVINE, CA 92604 Bus Lic: BT30079214 En e Phone: (714) 271-5692 Bus Lic Expire : 07/31/2023 �Al►d Workers' Compensation Insurance one Carrier: Policy No W. C. Expire: Code Edition : Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : Y Occupancy Groups : No of Units : 2 Bldg Height : No of Stories : 2 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone ; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island Processed By: � Public Works Approval: Zoning Approval: Grading Approval: SPECIAL CONDITIONS: Plan Check By: Approval To Issue: Designer: Address Phone : Construction Valuation : $0.00 Added/New sq. ft. Bldg : Added/New sq. ft. Garage 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 checkmark(s) I haye placed,next to the applicable item(s) (Section 70315, Business and Professions Code: Any city or county that requires a permit to construct, after, 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 licensure and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a 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 U all of or (_) 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 [hat 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 or sale). ❑ 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License law). ❑ lam exempt from licensure under the Contractors' State License Law for the fallowing reason: _ By 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 sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Av .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of Perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess) Code, my license is In full force and effect. License Class C _-Q� License No _'3 /_ i to Date - 6 Contractor Signatur vf37tli/�-- WORKERS' COMPENSATION DECLARATION NARNING: 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 1$100.000p IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 th off%rmance of the work for which this permit is issued. Policy No, e 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' compensatio ns once carrier and policy number are: -arner Policy Number Expiration Date Name of Agent Phone # :3I certfy 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 '.hat, it I should become suoecl to the Workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant_- Qo�il��Lq�� - A.7 l`_.,Z DECLARATION REGARDING CON CONS LENDING AGENCY 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). -tinder's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county enter the above-IdentiRed property for inspection purposes. Si nature of Pro tilt Owner or Authorized A ant Print Property Owner's or Authorized Agent's Name i.L Datr:�. - Z� 92 - - ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE PERMITEXPtRED - - , Lii I SUBMITTED ASBESTOS NOTIFICATION TO All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool. PERMIT 7AIVOCL I E, PERMITEXTENDED 1 PERMIT FIPJAL CERTIFICATE OF OCCUPANCY ISSUED 2-ZZ DEPA QMD 6Z. FoA- '; ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLIT SIGNATURE, p.Gv