HomeMy WebLinkAboutXR2022-2906 - Permitsa£WPoR, City Of Newport Beach ��IIIIIIIIIIIIIilllll�lllllllllllllllllllllll�lllllllll �� COMB Permit : XR2022-2906
Community Development Department- Building Division X R 2 0 2 2 2 9 0 6
_ Y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO
Permit Counter Phone: (949) 644-3288 Issued Date
c9 0« H Inspection Requests Phone: (949) 644-3255 <iroa 'P newportbeachca.gov/inspections 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 : 1943 PORT LAURENT PL
Legal Desc : N TR 7031 BLK LOT 48
Description: SFR T/O WOOD SHAKE. RE -SHEATH WHERE NECESSSARY. INSTALL 2 LAYERS 30# FELT,
INSTALL 31 SO 5.9 PSF BORAL LIGHTWEIGHT TILE
Owner: HUGHES SCOTT TOR TR
Contractor: MIKE VOGT ROOFING
Architect
Address : 1943 PORT LAURENT PL
' Address [ 2658
VISTA':ORNADA
'. Address
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92660
Phone:
Phone: (714)736-6422
Phone:
Con State Lie : 1064773
State
Lie
Lie Expire: 03/31/2024
Applicant: MIKE VOGT ROOFING
Bus Lie : BT30072008
Engineer
Address : 2658 VISTA ORNADA
Bus Lie Expire : 05/31/2023
Address
NEWPORT BEACH, CA 92660
-
Phone: (714) 736-6422
Workers' Compensation Insurance
Phone:
Carrier: STATE FUND
Owner/Builder:
Policy No: 9273545
Designer
Address :
W. C. Expire: 3/26/2023
J
-Address " r
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation :
$28,000.00
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: '2 _
Added/New sq, ft. Garage:
0
TOTAL sq, ft. Bldg :
0
Building Setbacks : Front: 22, Side: 5, Side: 5, Rear: 10
Flood Zone: X
Use Zone : PC - Harbor View Hills
PROCESSED BY:
E -
SPECIAL CONDITIONS: 3
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I hereb
ation 71
permit
irovements are not intended or offered fc
,roved for the purpose of sale),
1, as owner of the p€operty,am exclusiv
gyto an owner of property who builds or
I am exempt: from licensure-under the. C
my signature below I acknowledge That,
of
below bythe checkmark(s),I
wages as their sole compensation, will do all of or (_) portions of the work, and the Structure is not Intended or offered for sale (Section 7044,
tip, License Law does not apply to an owner of property who, through>employees'-or personal effort, builds or improves the property, provided that the
however, the building: or improvement is sold withinone year of completion. the Owner -Builder will have the burden of proving that it was not built. or
:ling with licensed Contractors to construct the project (Section 7044, Business and Professions Coda: The. Contractors' State License Law does not
thereon, and who contracts for the projectswitha licensed Contractor pursuant to the Contractors''State, License Law)..
I evn
t am licensed under provisions of& haptar ( mmenang with5edtion 7000) of Division 3;of the Business and Professions Cod and �yylice n full force:
License No �/ /J �? Dam_ Contractor Signatures✓/
1 'i'f01d VV//�\
VSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED. THOUSAND DOLLARS IE100,0001, IN AUMTION TO THE
hereby affirm under penalty of perjury one of the following declarations
I nave andivfl( maintain a oerirficte. of consent toiself-insure Tnr workerss' npe�no„ Imo= ed ov'the Directorof Industrial Relafibnss provided for try S@ctioh 370tl of igeLabor Code, far the
'manes of the work forwhicit this permits issued. Polfcy. No.
eve and wAI maintafnwark@rs componsatian insurance, asrequired by Section 37tl0 a# the Lobar Code, for they perfarmanceot the war# far whlDh Uais:parmlt is issued. M1Ay workers' compensador
Su nce cardecand policy numb@r are:. !,
:a tar�'� %-'— �^�� PAlicy Number.. `I' Eupiration Date 2 `(� Z'�
tams of Anent _. Phpn@#
certify that, in the performance of the -work for which this
, if 1 should oecome„sub*t to the worke..rsjoomyensatio
is a construction Lending agency for the
I am the property owner or authorized -to act on the: property owner's ,behalf.
s have read this application and the information I have provided is correct.
1 agree to comply with all applicable Go and countyordinances a d state [a
I authorize representatives of this city or county t4 enter the abc'Ider
to
Arson in any manner so as to become subject to the workers' compensation laws of California, and
Code, I shalt forthwith comply with those provisions.
//— 0._m9
work for which this permit is issued (Section 3097,: Civil Code)..
purposes.
CERTIFICATE OF PROPOSED DJr_MdU7tON • • • • • = • • ,
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