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HomeMy WebLinkAboutXR2023-2118 - PermitsCity of Newport Beach ��EWPOhiT Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u N« r Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic cgoMN�r Combination Type-SFP Work Class - Repair COMB Permit: XR2023-2118 Plan Check No : PC2023-1830 Issued Date : 0810112023 Final Date: Permit Status: Issued 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 : 2066 VISTA CAJON Legal Desc : N TR 5463 BLK LOT 2 TR 5463 (L.L.84-214025) PAR 2 Description: ATT SFR RE -ROOF WITH COMPOSITION SHINGLES 7 SQUARES Owner: JOE MEYERS Contractor: ROOFING AND MORE LLC Architect Address : 2066 VISTA CAJON Address : 11275 MATHILDA LANE Address NEWPORT BEACH, CA 92660 RIVERSIDE, CA 92508 Phone: (214)729-4850 Phone: (909)438-4111 Phone: Con State Lie : 1082733 State Lie Lie Expire : 10/31/2023 Applicant: ROOFING AND MORE LLC Bus Lie: BT30079004 Engineer: Address : 11275 MATHILDA LANE Bus Lie Expire : 08/30/2024 Address RIVERSIDE, CA 92508 Phone: (909) 438-4111 Workers' Compensation Insurance Phone: Carrier: STARNET INSURANCE COMPANY Owner/Builder : Policy No : BNUWC0159653 Designer Address : W. C. Expire : 4/3/2024 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 : 1 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: 1105 SPECIAL CONDITIONS: $4,200.00 0 0 0 t 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 item(s) Section 7031.5, Business and Professions Code: Any city or county Thal requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofesslons Code) or that he or she is exempt from lieensure 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 than five hundred dollars ($500) 1 [,as owner of the property, or my employees with wages as their sole compensation, will do i_) all of or U portions of the work, and the structure is no( intended or offered for sale (Section 7044, Usinass 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 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 properly who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I I am exempt front lieensure under the Contractors' State License Law for the following reason _ iy 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, all 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 'rofesslons Code., is available upon request when this application Is submitted or at the following Web site:http://www.leginfo.ca,govYcalaw.html, ti9nRLIm of Property Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am ncensed under provisions of Chapter 9 (commencing with Section 7000) f Division 3 of the Business and Contractor Code, an@1 my lice as is In full force no effect. License Class License No Date o t (% 3 Conactor Signature ,�- VORKERS' COM'.PENSATION DECLARATION IARNING: 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 I11100,000), IN ADDITION TO THE DST 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 following declarations: I have and will maintain a Certificate of consent to selPritaire for workers compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for lh erformance 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' ,ante carrier and policy number are: Policy Number Expiration Date of Agent Phone tf _ certify that, in the performance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and , if I should become subject to the woflcers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. or Ireby affirm under penalty of perjury that thereW a constructfoDAending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code), irises Name Lenders Address my signature, bdio,v, I certify to each of the following: I amthe property owner or authorized to act on the property owner's Denali. I nave read 11is �.f.plication and the information I have provided is correct. I anre , to cor.pl; .vitlT all applicable city and county ordinances and state laws relating to building construction. i authorize representatives of this city or countyjo enter the 60ove-dentifled property for inspection purposes. ACTION DATE BY DENLARATMN OFICOIMPUANCI( ITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART-6t OF TITLE 40 AND AQMD RULE 1403 PERrvf TEXPIRED f I LII SUBMITTED ASBESTOS NOT FICATION TO PPIVII CANCFLLTD L„LL,pA PFR'vrIT EXTENDED OMD rER'v°IT FINAL ... f.� .-._ .- _....._ ..._.._ _... 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