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Home My WebLink AboutXR2023-3242 - PermitsLaEWPo5 City of Newport Beach IIIIIIIIIIIII I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II CU. B ?ecrr.it : XR2®23-3242 Community Development Department- Building Division X R 2 0 2 3 3 2 4 2 10 ReOrmt O enter Drive, Newport gBeach, CA 92660 Plar Check NO: to,( ) Issued Date : 11/15/2023 newportbeachca.gov/civic Final Date: R-' P -q<iFo a" Combination Type - Fermit Status. issued Work Class - Repair Irspeatiou Aru:.: 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 Description : 2021 TAHUNA TER Legal Desc : N TR 2813 BILK LOT 97 SFR T/O AND REROOF 55 SQ, R/R SHEATHING AS NEEDED, INSTALL DAVINCI SHAKE ROOF (ICC-ESR-2119) Owner: MORRIS KAREN L TR Address : 2021 TAHUNA TER CORONA DEL MAR, CA 92625 Phone: Applicant: JH ROOFING Address : 2415 SANTIAGO ST SANTA ANA, CA 92706 Phone : (714) 402-6481 Owner/Builder : Address : Phone Contractor: JH ROOFING Architect: Address : 2415 SANTIAGO ST Address SANTA ANA, CA 92706 Phone: (714)402-6481 Phone: Con State Lie : 1008577 State Lie Lie Expire : 03/31/2024 Bus Lie : BT30071516 Engineer Bus Lie Expire : 04130/2024 Address Workers' Compensation Insurance Phone Carrier: STATE FUND Policy No: 9326596 Designer: W. C. Expire: 10/2912024 Address Phone : Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U,R-3 No of Units : Bldg Height: No of Stories: Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: Y // SPECIAL CONDITIONS NO Construction Valuation : $45,000.00 NO Added/New/Ti sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 LJVVINCK-0IJILUCK UrLs4AKikl JUN- ' I hereby affirm under penally pf pGrur,, fhz I arm ex^m% torn The Cpntramars' State License Law for the reason(s) indicated below by the checkmark(s) 1 have placed next to the applicable item(s) (Section 7031.5, Business and Frofesciors Chd Am, dtv or county III at regt,:res 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 ..La L.:Lens-6 purluantto ths� F-ovisions 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 for the alleged exemption. Any violation of Section 7031.6 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 emple,'ces vit!, wage^,'3 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, Business and Professions Code: The Cant-ac,ors State Llce.l..e L:-w dues riot apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended ornhered to ode. If, howl ier, drz building -)r 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). ' ❑ 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). I am exempt from licensure under the Contractors' State License Law for the following 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 legall! 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:llwww.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 I am licensed under provisions of Chapter 9 (commencing with Section 7000) Divis' n 3 of the Business and Professi Code, a license is In full force and effect. License Class License No Date/ T 23 Contractor Signature NORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CPAL FINES UP TO ONE HUNDRE OUSAND DOLLARS I3100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 270 OF THELABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: 3 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 in )erkrmance of the work for which this permit is issued. Policy No. 41ave 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 workerscompensatioi Nance carrier and policy number are: rier Policy Number Expiration Date ne of Agent Phone # certify that, in the performance of th work for which t is It 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 if I should became sutrject to the rkers' compen J n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iature of Applicant —— _ _ - Date )ECLARATION REGARQING CON$TRUCTION LENDING AGENCY - J hereby affirm under penatty of arj ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code .ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and slate)aws relating to building construction. I authorize representatives of this city or county to enters above -id d property for inspection purposes. _ ii nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name /6C— (_ L S_ Date ACTION DATE By LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY �VGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL ' O O4 4'.(� ROPOSED DEMO NOTIFICATION IS NO pLFCABLE 70 CERTIFICATE OF �7, !� � �/�q�p/ OCCUPANCY ISSUED j ✓ •� /I/ SIGNATURE! �. 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