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HomeMy WebLinkAboutXR2023-3384 - PermitsrF,W Pp�T City of Newport Beach COMB Permit : XR2023-3384 �¢ I p Community Development Department- Building Division X R 2 0 2 3 3 3 8 4 i y. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 2' Permit Counter Phone: (949) 718-1888 Issued Date : 11/29/2023 newportbeachca.gov/civic Final Date: Combination Type - SFP Permit Status: Issued Work Class - Repair Inspection Area : 4 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 : 50 BELCOURT DR Legal Desc : N TR 11451 BLK LOT 1 UN 1 TR 11451 LOT 1 UNIT 1 OF Description: ATT SFR RE -ROOF T/O FLAT ROOF AND WOOD SHAKE SHINGLES , R/R SHEATHING AS NEED. INSTL NEW CERDARLITE 600 TILE 24 SQ AND DOWN 16 SQ Owner: VIGNES LOUIS J TR Address: 50 BELCOURT DR NEWPORT BEACH, CA 92660 Phone Applicant: VALLEY VIEW ROOFING Address : 5399 SIERRA VISTA AVE RIVERSIDE, CA 92505 Phone: (949)426-9368 Owner/Builder : Address : Contractor: VALLEY VIEW ROOFING Address : 5399 SIERRA VISTA AVE RIVERSIDE, CA 92505 Phone : (949) 426-9368 Con State Lic : 1027194 Lic Expire : 05/31/2025 Bus Lic: BT30081150 Bus Lic Expire : 03/31/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 9210275 W. C. Expire: 5/9/2024 Architect Address Phone: State Lic Engineer: Address Phone: Designer: 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-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 Flood Zone: X Use Zone : PC - Aeronutronic Ford PROCESSED BY: SPECIAL CONDITIONS: m ^, $27,000.00 0 0 0 OWNER-GUIL©Eft DECLARAT104N ' I hereby; affirm under penalty of pd jury t1' at I 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 item(s) Section 703 ;.9. E t E-nes9 anu P1 ofGssions :ode: 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 ie 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 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 penalty of of more ,ha,i five hundred dollars ($500). 7 I, as nwnerof the prcpe-ty, or my emp yee: Nith wages as their sole Compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, fusiness anJ Prohssiors Code. The Cortractors' 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 nproverr is are'not inte,tJed of offerec for sole. 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). - 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 .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' Stale License Law). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions Code, is available upon request when this application Is submitted or at the following Web sfte:http:Uwww.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 D ision 3 of the Business and Prof bns�,idul' c in f orce nd effect. License Class G— 3 9' License No /G Z � (> cQ Date // 29 3contractor Signature VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE MUN0 THOUSAND DOLLARS (5700.0001, )N ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: J 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 thl r ante of the work for which this permit is issued. Policy No. ve 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' compensatior ran a artier and tcy umber are: gamier cl - -,�I c� Policy Number % P : c z �S Expiration Date � %/�r)i'`f lame of Agent /�-C-` � O, > _ Phone # � � 6r) -) II, Z i — I-)i"V � ]I certify that, in the perfor as nce of the 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 Califomla, and agrer tat, if I should become subject to th ers' sa ton PTOysions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Date_ 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 enders Name Lender's Address y 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 I have provided is correct. I agree to comply with all applicable city and county ordmani - nd state laws relating to building construction. I authorize representatives of this city or county to enter abov i ntified pro rty for inspection purposes. ionature of PrODertv Owner or Authorized Agen .—..c_; / �� �z Print Property Owner's or Authorized Agent's Name _. ACTION DATE BY DECLARATION O-rcoivi-PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED NOTIFICATION 15 Civil Code). Z3 t!) m W L C H � 00 LO Xo E Q U oa Z O C Y w A mco co OO E Er p a m a d Q ZrA a�w Z a :.± LL A OD mco C6 O 0 ZIYo Q A m N W N d W � O V- N .^�010 W 0 W w y zc ° W o � w 0 W O O O s Z E d N U J 0_ J C ° 0)( a fp E d L !C J-+ N c0 E E N N a)O itA N CO m L N N a ?� N 0. 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