HomeMy WebLinkAboutXR2022-2126 - Permitsof Newport Beach
II IIII I I II I II I III II II III II COMB Permit : XR2O22-2126
100 Civic Center Drive, Newport Beach, CA 92660OCommunity Development
mnt- Building Division
Permit Counter Phone: (949) 644-3288 Plan Check No
15, Inspection Requests Phone: (949) 644-3255 Issued Date : 08/08/2022
'newportbeachca.gov/inspections � � .m. r � s� �"'""'s`` `�'= Inspection Area : 4
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: 15 EDGEWOOD DR
Legal. Desc : N TR 15391 BILK LOT 39
Description: SFR REROOF: T/O (E) WOOD SHAKE. INSTALL
2-LAYER 30# FELTUNDERLAY W/ BORAL SAXONY600(SHAKE) LIGHTWEIGH TILES (ER412). 30 SQUARES
Owner: VANDEVEER KENNETH R TR
Contractor: ABOVE ]TALL ROOFING INC
Architect
Address : 15 EDGEWOOD DR NEWPORT BEACH, CA
Address.: 3943 IRVINE BLVD #297 IRVINE, CA
Address
92660
92602
Phone:
Phone: (714).731-3911
-Phone:
>- Con State Lie : 908069
State Lie:
Applicant : ABOVE IT ALL ROOFING INC
Lie Expire: 12/31/2023 ..
Address: 3943 IRVINE BLVD#297 IRVINE, CA 92602
^c Bus. Lie:, BT30079423
--Engineer:
Phone: (714) 731-3911
Bus Lie Expire : 08/30/2023 -
` Address
Workers'.. Compensation Insurance
Phone:
Owner/Builder:
Carrier; CALIFORNIA INSURANCE COMPANY
Address:
Policy No-; 4664447601
::Designer:
Phone:
W. C. Expire: 10/1/2022 -
Address
Phone:
Code Edition : 2019
<. Fire Sprinklers : `NO
Construction Valuation : $37,750.00
Type of Construction : V-B
Fire Hazard Zone :. No
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : R-3,U
No of Units: 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :-2
Added/New sq. ft. Garage : 0
Building Setbacks : Front: 5, Side: 5, Side: 5, Rear: 3
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Flood Zone: X
Use Zone: PC - Aeronutronic Ford
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SPECIAL CONDITIONS:
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasori(s) indicated below by the checkmark(s) I have placed next to the applicable Ronnie)
Section 7031.6, Business and Professions Code: Any oity or county that requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to Its issuance, also requites the applicant for
he permit to file a signed statement that he or she is lieonsad pursuant to the provisions Cf the Contractors' Stale License Law (Chapter O (commencing with Section 7000) of Division 3 of the Business and
'rofesslons Code) or that he or she is exempt from licensure and the basis forth alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
rot more than five hundred dollars ($500).
1, as owner of the property., or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure Is not intended oroffered for sale (Section 7044,
3usiness 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
mprovements are not intended or offeredfor 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
mproved for the purpose or sale).
1 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 mL
apply to an owner of property who builds or improvesthereon, and who Contracts for the projects with a licensed Contractor pursuant to the Contracture' State License Law).
1 am exempt from licensors under the Contractors' Slate 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 owner -builder If it has not been constructed in its entirety by licensed contractors. I understandthat a copy of the applicable law, Section 7044 of the Business and
professlons Code, is available upon request when this application is submitted or at the following Web site:httpaAw-Ieginfo.Ca.govlcalaw.hfml.
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 Chapter (commencing with Section 700(p,t•'1 +v i _ of the Business and Profes�51'a1 BI d m license is in full force
and effect. License Class License No Date`�r,� Contractor Signature ' � /L'
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION.. COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND OPAL FINES UP TO ONE HUNDRED THOUSAND DOLLARS LS100.0001, IN ADDITION TO THE
COST OF COMPENSATION. DAMACESAS PROVIDED FOR IN SECTION 3704 of THE LABOR CODE, INTEREST. ANDATTORNEY'S FEES,
I hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain 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
pr1e�Irformance of the work for which this permit Is issued. Policy No.
Ki,thave and will maintain workers Compensation insurance, as required by Section 3700 of the Labor Code, for the performance of:ths work for which this permit is issued. My workers` componsatiol
insurance Carrier and policy number are:
Policy Number
Date
as of Agent 1-1 -
11
certify that, in 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 CalifOrnla, and Stirs
if I should become bje `vprkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / I
tature of Applicant. /,der Dale/ 2�
lCGLPdSHIIVIY RLVIUxL4xV yvlx+'+,.nw.rv,.. ,-" ..:.• r,..�. -..
hereby affirm under penalty of perjury that there is a construction lending agency -For the performanceof the work forwhtctt this permit is Issued (Section 3097, Civil Code).
ender's Name Lenders Address
ty my signature. below, I certify to each of the following:
I am Ehis- Merty owner or authorized to act on the property owner's. behalf.
I have sSaw0s application and the Information I have provided is Correct.
I agre&too9mply with all applicable city and county ordina "a and state taws relating to building construction.
° I autl wzq [e msentatives of this city or county to ent;; � ve-IdenUperly for Inspection purposes. ^ �� ��-
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'CERTIFICATE OF
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OCCUPANT Y 10&
USE
REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE
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TTED ASBESTOS NOTIFICATION TO
All required alarms, latches gates and fences which serve as part ofa pool/spa barrier, shall
D be In place priarto approval to fill peol(spa & shall remain in place & be maintained for the
3S NOTIFICATION 15 NOT APPLICABLE TO life of the pool.
DEMOLITION A .
Fee Name
Transaction Date Payment Method
Building
Building Permit Fee
Green Building Fee
GRAND TOTAL:
PERMIT FEE DETAILS FOR PERMIT XR2022-2126
Fee Amount Fee Paid Amount
Trans. Paid Amount Paid By