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HomeMy WebLinkAboutXR2023-3282 - Permits�EWPORr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit : XR2O23-32s2 D� @ Community Development Department- Building Division X R 2 0 2 3 3 2 8 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 11/17/2023 S newportbeachca.gov/civic Final Date: cq[iFoaN�r Combination Type - SFP Permit Status: Issued Work Class - Other 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: 308 ENCINA Legal Desc : N TR 5878 BLK LOT 87 TR 5878 (L.L.84-214031) PAR 8 Description: ATT SFR -REMOVE TILE, INSTL NEW SYN UNDERLAYMENT, REPLACE SHEATHING AS NEEDED, RELAY TILE 24 SQS izicoo' - Owner: RAYMOND TAYLOR Contractor: BUMBLE ROOFING Architect Address : 308 ENCINA Address : 6800 OWENSMOUTH AVE, 410 Address NEWPORT BEACH, CA 92660 CANOGA PARK, CA 91303 Phone : (323) 765-9297 Phone : (844) 728-6253 Phone Con State Lie : 1063764 State Lie Lie Expire : 02/29/2024 Applicant: BUMBLE ROOFING Bus Lie : BT30078254 Engineer Address : 6800 OWENSMOUTH AVE, 410 Bus Lie Expire : 03/31/2024 Address CANOGA PARK, CA 91303 Phone: (844) 728-6253 Workers' Compensation Insurance Phone: Carrier: STATE FUND Owner/Builder : Policy No: 9271362 Designer Address : W. C. Expire : 2/22/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $14,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq, ft. Bldg : Bldg Height : No of Stories : 2,022 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: a*"T SPECIAL CONDITIONS: ' ,IA 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 have placed next to the applicable items) 3eclion 7031.5, Business and Professions Codo: 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 licensurs and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of of more than I ve hundred dollars ($500). 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 or offered for sale. If, however, the building or Improvement is sold within ona year of completion, the Owner -Builder will have the burden of proving that it was not bullt or nproved for the purposeof sale). 3 I, as owner of the property, am exclusively contracting with licensed Contractors IG construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pity 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: ___ ._______________ ,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 legal], 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 orat the following Web site;hltp:liw .leginfo.ca.govlcalami.btml. .ignature 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 70 0)of Di ''srgn 3 of the Business and Profess]' 9 Cod�R&TrrTft5nse is In full force nd effect. License Class License No Date /� 1 ?lt > Contractor Signature VORKERS' COMPENSATION DECLARATION WANING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOREO THOuSANo DOLLARS ($100,0001.1N ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the fallowing declarations: and wilt maintain a certificate of consent la self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the. Labor Code, for :a of the work for which this permit is issued. Policy No,. have 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` lance carrier and policy number are: Policy Number Date to of Agent Phone # certify 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 if I should become sub he Workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � �� lature of Applicant _ Date / hereby affirm and malty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). ender's Name Lenders 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. C717p� / Gh �(�� r_ ��- I agree to comply with all applicable city and county ordinances and state laws relating to building construction. k I authorize representatives of this city or coun�e above 'iie6-gigpeny for inspection purposes. % ionature of Proper[, Owner or Authorized Aaant Print Property Owner's or Authorized ADenfs Name / Da ACTION DATEDECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT CANCELLED' j LJE,PA PERMIT ENTENDEU r-tA_ ___ 4MD.--_.__._ PERi'vfrT FINAL _ _ IJEST05 NOi IFICArioN ISJOT APPLICABLE10 CERTIFICATE OF PROPOSED OFJ OCCUPANCYISSUED ? s GNATURE: rn m �y H FW W N X N Z Uo @O@ o L N m,4 G Z N Z A mO G� av Q d Z V o V 0 LL a q Oa4XU m z o Amy <w �U= q pa-3 a a U W o © F � >E; Wfn�, w o w ro W lq1 J a� D N N L N N o m ,. 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