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Home My WebLink AboutXR2024-0446 - Permits�EWPpRT City of Newport Beach II IIIII I IIII IIII I IIIIII IIIIIIIIIIIII II COMB Permit : XR2024-0446 D� @ Community Development Department -Building Division X R 2 0 2 4 0 4 4 6 F r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No >~ z Permit Counter Phone: (949) 718-1888 Issued Date : 0212312024 *n newportbeachca.gov/civic Final Date: cq</FURN�P 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 : 2025 VISTA CAJON Legal Desc : N TR 5480 BLK LOT 41 TR 5480 (L.L.84-214026) PAR 4 Description: ATT SFR REROOF; T/O FLAT ROOF; INSTALL FIBERGLASS BASE SHEET AND 6.4 SQ TORCH APPLIED WHITE BITUMEN Owner: LEWIS LOIS R TR Contractor: BRANNON'S ROOFING Architect Address : 2025 VISTA CAJON Address : 1600 EMERALD COVE WAY Address NEWPORT BEACH, CA 92660 SEAL BEACH, CA 90740 " Phone : Phone : (714) 504-6704 Phone Con State Lie : 609940 State Lie: Lie Expire : 09/30/2024 , Applicant: BRANNON'SROOFING Bus Lie: BT300083701 Engineer: Address : 1600 EMERALD COVE WAY Bus Lie Expire : 02/28/2025 Address SEAL BEACH, CA 90740 Phone: (714) 504-6704 Workers' Compensation Insurance Phone: •. , , , , Carrier: STATE+COMPENSATION+INSURANCE+FUN D Owner/Builder : Policy No: 9237581 Designer Address : W. C. Expire: 9/4/2024 Address Phone: Phone: --• Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $4,300.00 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: 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 that requires a permit to construct, alter, improve, demolish, or repair any structure prior io its issuance, also requires the applicant for :he 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 ficensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicantto a civil penalty of not more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended proffered 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 that 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 of sala). ❑ 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: _ By my signature below f 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 legalh salt a structure that I have built as an owner -builder it it has not been constructed in its entirety by licensed Contractors. I understand that a copy of the applicable taw, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:(iwww leginfo.ce,govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Cha ter 9 (commencing with Section 7 ) f v" ion a he Business and Profes T Cc my license is In full force and effect. License Class License No ri t//T Date Iry Contractor Signature WORKERS' COMPENSATION DECLARATIONc WARNING FAILURE TU tlECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO' ONE HUNDRED THOUSAND DOLLARS (6100,0001, m ADDITION TO THE C'irTCF COMPENSATON r/MAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S PEES, I hereby affirm unes-peralty of perjuryone of the following declarations: Q I have and will maintam 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 performance of the wort: `or which this permit is Issued. Policy No. Ell hPvs 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 insurance carrier and policy number are: Policy Number Date ie of Agent Phone ff certif; that, ir, 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 agtt , if 1 should become subject to the workers compensation provisions Of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. miure of APPlicen Data ' rX areby 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) War's Name _ Lenders Address my signature below, I certify to each of ilia following: I am the property owner or authorized to act on the property owner's behalf. I have read this application andthe 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 to ��y,�7--d—emified property for inspection purposes. �/I ,a _ " nature of Pronertv Owner or Authorized Anent � t/ Print Property Owner's or Authorized Agent's Nam$(i C/ __. __.. DdkE`. ACTION I DATE. BY DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL J FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITFINAL UCATIONAPPLICABLE 10 CERTIFICATE OF k� PROPOSED N TUREUTY OCCUPANCY ISSUED 666