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
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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