HomeMy WebLinkAboutXR2022-2811 - Permits�wwPo� City of Newport Beach II�IIIIII� I�III II I IIIII �IIII III IIIIIIIIIII II COMB Permit : XR2O22-2811
Community Development Department- Building Division
> 100 Civic Center Drive, Newport Beach, CA 92660 X R 2 0 2 2 2 8 1 1
Permit Counter Phone: (949) 644-3288 Plan Check No : PC2022-2349
Issued Date: 1012412022
Inspection Requests Phone: (949) 644-3255
�9c,�opN`P` newportbeachca.gov/inspections Inspection Area : 6
Combination Type - SFP
Work Class - Reoair
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 : 9 GENTLE BREEZE
Description: SFR REROOF W/ASPHALT SHINGLES FOR
Owner: RANDALLODZER
Address : 9 GENTLE BREEZE
NEWPORT COAST, CA 92657
Phone
ra l
Applicant: ONE STOP DEVELOPMENT INC 1
Address: 5377 HERITAGE OAK DR i
TRABUCO CANYON, CA 92679
Phone: (949)254-2636
Owner]Builder : {
Address :;d
Phone:
Code Edition : 2019
Type of Construction : V-B
Occupancy Groups: R-3
Bldg Height:
Building Setbacks :
Flood Zone : X
Use Zone: PC - Newport Coast
N TR>.16462 BLK LOT 57
AME 10 SQ
ONE STOP DEVELOPMENT INC
Architect
5377 HERITAGE OAK DR
Address
TRABUCO CANYON, CA 92679
(949)254-2636 -
Phone:
is : 1085006
State Lic
12/31/2023
BT30077977
Engineer:
ire : 02/28/2023
Address
mnencatinn. Incnranra
P6nnu
t-ire spnnKlers : .NU rConstruction Valuation : $0.00
Fire Hazard Zone i YES Added/New/TI sq ft Bldg •
s : : 1 " Alteration sq. ft. Bldg
ies 2 Added/New sq. ft. Garage
TOTAL sq. ft. Bldg
PROCESSED BY:�
SPECIAL CONDITIONS:
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I hereby affirm under penalty of penury 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 items)
:ctlon 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any, structure, pno€ to its issuance, also requires the applicant for
more than two nunored dollars (�kbuu)...
I, as owner of the property, or my employees with wages as their sole compensation, will do i_} all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
:iness 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
rovements are not intended or offered for sole. If,, hawever, the building or Improvement issoldwithin one year of completion, the Owner Builder will have the burden of proving that it was not built or
roved for the purpose of sale).
I, as owner of the property, am exclusivelycontracting with licensed Contractors to construct the project(Sectlon 7044, Business and: Professions Code: The Contractors' State License Law does not.
lyto 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),
I am exempt from ficensure under the Contractors'State License Law for the following reason: _ -
my signature below I acknowledge that except for my personal residence in which ) must have resided for at least one year prior t0 completion of the improvements covered by this permit, I cannot. ieg
e of Property Owner or Authorized Agent., Date:,
iED CONTRACTOR'S DECLARATION
affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 00) of Main 3 of the Business and Pr e ions Code, and
ct. License Class License No DaI ( Z I; -'-Contractor Signature
;RS' COMPENSATION DECLARATION
SHALL. SUBJECT AN EMPLOYER TO cRMRAL PENALTIES AND CM PINES UP TO ONE HUNDRED THOUSAND DOLLARS FI100,0061; IN ADDITION TO THE
Ir INTEREST, AND ATTORNErS FEES.
hereby affirm under penalty of perjury one of the following: declarations:
3 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
erfonnance of the work for which this permit: is issued. Policy No,
will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Coded for the performance of the work for which this: permit is issued, My workers'
ier and policy number are:..
Date
ne of Agent. Phone. #
certify that. in the p rf .manse of the work for which this permits Issued. I shall notemploy anyperson in any manner SO as to become subjectto the workers' compensation laws of California; and agre
i, if I should become dVDect to the workers' compensationprovisionsof Section 3700 of the Labor Code, I shall forthwith comply with those provisions. V//
nature of Applicants Dat 1 D( Zi�ZZ
CLARATION REGG NSTRUC'TION LENDIN A DING AG NCV
ireby affirm under penalty of perjury that there is a construction tending agency for the performance of the work forwhich this permit is. issued (Section 309 ,Civil Code).
idol's Name. Lender's Address
my signature below, I certify to each of the following::
I am the property owner or authorized toast on the Property owner's behalf.
I have read this application and the Information I have provided is correct.
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 coulity to enter the above-id6ntihed property for inspection purposes. (r; w ) V �O /�
DATE BY J J-DECLARA'nONOFCOfIPLIANCEW&rODEOF FEDERAL I FOR OFFICE, USE ONLY
I REGULATIONS PART 61 OF TCfLE 40 AND AQMD RULE
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PERM T EXTENDEp • • • gtEl ' • • • • • s
PEWIT RIVAL BE OTIFICATIQN I$ NOT APPLICABLE TO
CERTIFICATE OF -�7"� PR€}POSE EMOUTNDN
OCCUPANCYISSUEO 5lfiNA'R!R . • •••
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