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HomeMy WebLinkAboutXR2022-2287 - Permitsp�a6WPpR @ - Community City of NDewport BPamient-Building Division II III I I I III II I III II II I II II COMB Permit : XR2O22-2287 yy 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: ? Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Issued Date : 2022 Cqy Fp0.��P' newportbeachca.gov/inspections Inspection Areeaa : 1 1 Combination Type - SFP Work Class - Re -roof 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 : 436 SEVILLE AVE Legal Desc : N TR-948 BLK LOT 32 TR 948 LOT 32 SLY 26.25 FT(AND NLY 17.50 FT LOT Description: SFR REROOF COMP. ASPHALT SHINGLES 26 SQ. Owner: JASON STARKS Contractor: SOLIT CONTRACTING Architect Address: 2830 E MILLCREEK CANYON RD SALT LAKE Address.: 6562i'INDIANA ST, 2 BUENA PARK, CA - Address CITY, UT 84109 90621 Phone : Phone :- (310)'612-7477 '.Phone : Con State Lie: 1093566 State Lie Applicant: HO J LEE Lie Expire: 07/31/2024 Address : 10041 ELIZABETH LN BUENA PARK, CA 90620 Bus Lie,: BT30079548 Engineer: Phone: (310) 612-7477 Bus Lie Expire :-0813112023 Address Workers' Compensation Insurance Phone: Owner/Builder: Carrier: STATE COMPENSATION INSURANCE FUND Address: Policy No: 9319153 Designer: Phone: '- W. C. Expire : 6/7/2023 Address Phone: Code Edition : 2019 Fire[ Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone .•" No Added/New/TI sq. ft. Bldg Occupancy Groups : R-3,U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage $9,000.00 0 Building Setbacks : Front: 6, Side: 4, Side: 4, Rear: 0 �i A Flood Zone: X �3 L CjTO Use Zone : R-1 - Single -Unit Residential PROCESSED BY: .� NO CONSTRUCTION NOISE SPECIAL CONDITIONS: ON THE WEEKEND eaae. 9GGaf I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law for the reason(%) indicated below by the checkmark(s) 1 have placed next to the. appilcagleiternf%) Chun 7031.5. Business and Professions. Code. Any city or county that requires a permit: to construct, altar,. improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for permit to file a signed statement that heor she is licensed pursuant to the: provisions of the Contractors State License Law (Chapter 9 (commencing with Section 7000) of Division 3,df the Business and fessions Code) or that he or she Is exempt from Ifcensum and thebasis for theallegedexemption. Anyv olation of Section 703't;5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500): 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of orU portions of the work, and the structure is not intended or offeredfor sale (Section 7044, mess and Professions Cade: 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 rovements are not intended or offered for sale. If, however,, the building or improvement is sold within one year otcompletion, the Owner -Builder will have the burden of proving that it not built or roved for the purpose of sale). 1, 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 ly to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt Pm;Wcensure under the-Contractors'.State License Law for the following reason: Try jpignaturd'6+3& I acknowledge that, except formy personal residence in which I must have resided for at least one: year prior to completion of the improvements covered bythis permit, I:cannot legal],. -xetmoturethatPhave built as an owner-buitdor if It has not beenconstructedin its entirety by licensed contractors. I understand :that a copy of Ina applicable law, Section 7044 of theBusinessand fessions Code, it .available upon request when this application is submitted or at the fallowing Web site:http:tA d .leginfo.ca.gov/calaw.htmi. latyre of Proppay Owner or Authorized Agent. Date- MNSED CONTRACTOR'S DECLARATION rofby of irm'g%iar genalty of perjury that I am licensed. under provisions of Chapter 9 (commencing with :Section 7O. ).af Division'3 of the Business and Prof s lons. - nd - lice in fuil force .effect. License Class License: No Date 2q('✓%Z- Contractor Signature' "d ERS' CO?#VfNSATION DECLARATION :NNIO: FAS-UAE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT. AN EMPLOYER TO CRIMINAL. PENALTIES AND CIVIL FIRES UP TO ONE HUNDRED THOUSAND DOLLARS (SII10.0001, IN ADDITION TO THE htrebf affirm jihd,r'ffpnalty of perjury one. of the following declarations: !. wave and w71 maintain a certificate of consent toself-insure for workers'. compensation; Issued by: the Director of Industrial. Relationsas provided for by Section 3700 of the: Labor Code; for to r` nee of tN AD( for which this permit is issued, Policy. No. ave and will malnta n workers' compensation insurance, as required by Section 3700 of the Labor Code, for the: performance of fine work for which this permit is. issued. My workers` compensatie insurance carder and policy number are:. _ Cartier. PolioyNumber Expiration Date lame ofAgent Phone If 0i certify that, in the performance of the work for which this permit is issued. I shall not employ any person in any manner so asto become subject to the workers' compensationtaws of California, and agre that, if I should become subject t or rs' comp _ : lion provisions of Section 3700 of the Labor Code; I --shall forthwith comply with those provisions. Signature of Applicant _ Dater-. DECLARATION REGARDIN INSTRUCTION LENDING AGENCY I hereby affirm under pen of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cods):. Lender's Name - Lenders' Address By 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 applicationand the: information I havo providedis con'ect. 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 court to en a ov itlen' property for Inspection purposes. Signature of Property Owner or Authorized Agent Print Property"Owner's or Authorized Agent's. Name Dat $/7 4/ ACTION .DATE By RATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 CANCELLED l:aA. All required alarms, latches gates and fences which serve as part of a pool/spa barrier,. shall I be in place priorto approval to fill pool/spa & shall remain in place & be maintained for the I life of the pool. E7 rE vDED I �y�QM PWAl 15 -n rc 77y t� ( yEyH3ae5'rOS NOTiFIGAtION IS NOTAPPLICABLE TO