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Home My WebLink AboutXR2022-2194 - PermitsCity of -Newport Beach a`��WPORr p A Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 cgGFp Inspection Requests Phone: (949) 644-3255 RN�P newportheachca.gov/inspections - Combination Type - MFP Work Class - Re -roof ra, COMB Permit : XR2022-2194 Plan Check No: Issued Date : 0811612022 Inspection Area : 6 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 r 27 HARBOR RIDGE DR Legal Desc : N TR 9587 BLK LOT 7 UN 1 TR 9567 LOT 7 UNIT 1 OF PROJECT LOC ATED ON AP Description: MFR REROOF: T/O (E). RE -SHEATH W/ OSB. APPLY 30# FELT UNDERLAY. INSTALL BORAL SAXONY 600 LIGHTWEIGHT TILE (ER#412). 41 SQUARES PITCHED. APPLY TORCH DOWN TO 11 SQUARES FLAT ROOF. Owner: BAZARGAN KAMAL TR Contractor': GREATER PACIFIC ROOFING INC =- Architect Address : 27 HARBOR RIDGE DR NEWPORT BEACH, CA Address : 1580'E EDINGER AVE UNIT F SANTA -: Address 92660 ANA,:CA 92705 Phone: Phone: (949)i836-1966 Phone: Con State Lie : 621368 State Lie Applicant: GREATER PACIFIC ROOFING INC Lie Expire : 0613012023 Address : 1580 E EDINGER AVE UNIT F SANTA ANA, CA Bus Lie: BT30063584 Engineer 92705 Phone: (949) 836-1966 Bus Lie Expire : 06/30/2023 Address Workers' Compensation Insurance Phone: Owner/Builder: Carrier'. CALIFORNIA INSURANCE COMPANY Address: Policy No: '4600150101 Designer: Phone: W. C. Expire : 611/2023 .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 : 2 ('Alteration sq. ft. Bldg : Bldg Height: No of Stories: 1 " Added/New sq. ft. Garage: Building Setbacks : Front: 5, Side: 5, Side: 5, Rear: 5 - Flood Zone: X Use Zone : PC - Harbor View Hills PROCESSED BY: Q — SPECIAL CONDITIONS: Lle .Ge® oGua ® r GG �G:G�. aGG a d . G ,Guo GGGv� Ce G3.: i9iGC� GG ¢ P9 C ,. au uuerua '.G»=� $58,000.00"Le• 0 OWNER-SUIILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkma€k(s) I have placed next to the applicable Rem(s) (Section 7031.5, Business and Professions Codes 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 the permit to file a signed statement that he or she is licensed pursuant to the provisionsof 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 licensure and the basis for the alleged exemption. Any violation c(Section 7031.5 by any applicant far a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500), 0 1, as owner of the property, or my employees with wages as their sole compensation, wi€I do C_) all of ar U portions of the work, and the structure is not intended or offered 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-Buitderwiil have the burden of proving that it was not built or improved for the purpose of sale). 0 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 rely 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). ff I am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legally sell a structure that I have built as an ownerbuitdor if if 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http*.Il w,leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent fa LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 Division 3 of the Business and Profes ons C de, and my Lice is' full force and affect. License Class License No Date ( —Z Contractor Signature WORKERS; 9Qjv1PENSATtON DECLARATION WARNING: FAILURE TO -SECURE WORXERa COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL . FINES UP TO ONE HUNOR n THOUSAND ODLLARs (5100,0001, IN ADDITIONTO THE + COS; OF COM WATtON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNEY's FEES. +^ 1•l2reby affijlT ullidegr penalty of perjury one of the following declarations: + I have on;will maintain a certificate of consent to selNnsure for workers' Compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for its �+ )iMmiance oi°the work for which this permit Is issued. Policy No. + have ea&willor6nitain workers compensation insurance,. as required by Section 370D of the Labor Code, for the performance of the work for which this permit is iszuad. My workers compensatior �gVftance carrier anti policy number are: ++ CisSrner ••+" Policy Number Expiration Date • , JVa of Ag9m • + Pion It certify that, in the performer) a of a work for whhich thi Il is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre at'if I shoyla bec`&e sublet; o th i Ike& compens an provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p • giilmiureaf,�ppliryapt Date_ 6— t d - 2 2 + L#,:LARA'fipN REGARD/ G CONSTRUCTION LENDING AGENCY I hereby afflrrrl Snde1 pena of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). Lender's Name Lender's 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 provi it is correct I agree to comply with all applicable city and county ordin c s and state laws rate ' o building construction. I authorize representatives of this city or county tD enter a ove-identified pr a for inspection purposes. �,.L�L �1 _. , _ _ �____. ,. '� i_ , . PdM PrnrxxrN (1wna2e nr AlrthnriTad AnantS Name — iiife'lL SCf NC rI/ .._ Date y=r OF COMPLIANCE WITH CODE OF FEDERAL � FOR OFFICE USE ONLY PART SI.OF TITLE 40AND AOMO RULE PERMIT EXPIRED IJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA All required alarms, latches gates and fences which serve as part Of a pool/spa barrier, shall PERMIT EXTEA10E0 p be in place prior to approval to fill pool/spa &shall remain in place & be maintained for the PERMITFINAL ASBESTOS NOTIN 10 €SNOTAPPLICAOL life of the pool. 2z.¢Z CERTIFICATE OF PROPOSEDDE E N OCCUPANCYtSSUED SIGNATURE: Sri ✓ Fee Name Transaction Date Payment Method ....,..,,._.............___,...,,...., ... .. Building Building Permit Fee Green Building Fee GRAND TOTAL: PERMIT FEE DETAILS FOR PERMIT XR2022-2194 %? 14arbar V , �� Dv-- Fee Amount Fee Paid Amount Trans. Paid Amount Paid By $358.00 $0.00 $3.00 $0.00