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Home My WebLink AboutXR2022-1933 - Permits�EWPoRr City of Newport Beach Community Development Department- Building Division NF r y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °9<icoaN•r newportbeachca.govfnspections Combination Type - SFP Work Class - Re -roof COMB Permit : XR2022-1933 Plan Check No: 0857-2022 Issued Date: 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 : 1935 PORT NELSON PL Legal Desc : N TR 7028 BILK LOT 50 Description: SFR REROOF: T/O (E) SHAKE. INSTALL LIGHTWEIGHT TILES (EAGLE IAPMO#1900 6.OPSF) W/ 30# FELT UNDERLAY. (34 SQUARES) Owner: JASON JO Contractor: TERRAZAS ROOFING Architect Address : 1935 PORT NELSON PL NEWPORT BEACH, Address: 2528 TRAVERS AVENUE LOS Address CA 92660 ANGELES, CA 90040 Phone: (562)587-6588 Phone: (323)842-2442 Phone: Con State Lic: 852568 State Lic Applicant: TERRAZAS ROOFING Lic Expire: 01/31/2023 Address: 2528 TRAVERS AVENUE LOS ANGELES, CA Bus Lic: BT30073298 Engineer: 90040 Phone: (323) 842-2442 Code Edition : 2019 Type of Construction : V-B Occupancy Groups : R-3,U Bldg Height: Building Setbacks : Front: 18, Side: 5, Side: 5, Rear: 10 Flood Zone: X Use Zone: PC - Harbor View Hills YZ PROCESSED BY: k7� SPECIAL CONDITIONS: Bus Lic Expire: 10/31/2022 Address Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9111485 Designer: W. C. Expire : 6/8/2023 Address : Phone: �- Fire Sprinklers : NO Fire Hazard Zone : Y No of Units : 1 No of Stories : 2 Construction Valuation Added/New/Ti sq. ft. Bldg Added/New sq. ft. Garage o.. . . .. $24,000.00 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 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 to its issuance, also requires the applicant for 1e 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 licensure 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). 11, as owner of the property, or my employees with wages as their sole compensation, Will do U all of or (_) 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 one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 3 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 property who builds or improves thereon, and who Contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7 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 or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html. 'signature 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 700 ) of ivi i n 3 of the Business and Professions Code, is in full force nd effect. Lisame� lass License No Date ' v Contractor Signature VORKERS' CMIDENSATION DECLARATION "4JI;G: FAILURE TO -SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL suairCT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100.000), IN ADDITION TO THE CST OF COMPWTIDN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. + hemby affirm under penalty of perjury one of the following declarations: +, J1•have and will trt$intain 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 %F"rrance dl work for which this permit is issued. Policy No. Yhave and willl.rpaQttain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this pe it is 'ssued. My workers' compensatio ISl Aripe, cam and policy n ber a,,r(�. !a4r1e'r 421 A�CY� �w ` Policy Number ��(Y � � Expirahon Date Z. able of Agent • • • Phone # ��cejtjfy that, A the performance of thew or which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensatio laws f California, and agre Iat�f (should pecgp5gsubject to the compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^� ignature of Applicant Dat / �' ( Z 1' sr, we wrenu ecr_eenr��ererrrmrn�-4o�mmr_ wr_cury I hereby affirm under penalty of perjur)-tpaLIbsFei55`a Construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders 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 application and the information I have provided is correc I agree to comply with all applicable city and county ordinances and 'ng to building construction. I authorize representatives of this city or county to enter the lied operty for inspection purposes. i ^ Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name 'n_�if✓CtZ /\ � Date l ACTION DATE BY DEtM11AT14N OF C LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATION T 61 OF TITLE 40AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTI FICATION TO PERMITCANCELLED UEPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMIT EXTENDED L1AQMD be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the PERM(TFINAL ,� {� SBE5T05 NOTIFICATION 15 NOT PU LE TO fife of the pool. CERTIFICATE OF -IB w i�; OPOSEDD OCCUPANCYISSUED SIGNATURE: