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Home My WebLink AboutXR2022-2026 - Permits� t 4 NE 'o^r . City of Newport Beach e� 6+ Community Development Department -Building Division COMB Permit : XR2022-2026 ¢>Fy 100 Civic Center Drive, Newport Beach, CA 92660 �; r n �, ,t. Permit Counter Phone: (949) 644-3268 Plan Check No '�t*'^ Issued Date Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections p^y R—? sea^`°" s`?, Inspection Area : 2 ��ryPEa Combination Type - SFP INS �y g ya,�p 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 : 123 VIA ORVIETO Legal Desc : N TR 907 BLK LOT 526 Description: SFR REROOF: REMOVE (E) TILES, REPLACE UNDERLAYMENT W/'2,LAYERS 40# Owner: JOHANNA STAPLE , Contractor: J R ROOFING Address : 2547 XANTHIA CT DENVER, CO 80238 'Address : 3464 BROKEN FEATHI 92860 Phone: Phone: (951)256-6716 Con State Lie : 895627 Applicant : J R ROOFING Lie Expire;: 09/30/2023 Address : 3464 BROKEN FEATHER DR NORCO, CA.Bus Lic : BT30075139 92860 Phone: (951) 256-6716 Bus Lie Expire : 07/31/2023 Owner/Builder: Address Phone: Code Edition : 2019 Type of Construction : V-B Occupancy Groups : R-3,U Bldg Height : Building Setbacks Flood Zone Use Zone: PROCESSED BY: -' worKers C Ompensation Insurance Carrier: STATE COMPENSATION: INSI Policy No: 9153810 _. W. C. Expire : 3/1/2023 Fire Sprinklers : _ NO - Fire Hazard Zone : '�:Y No of Units: _1 No of:Stories : 2 Front: 0, Front: 4, Side: 4, Side: 4 - -- X R-1 - Single -Unit Residential SPECIAL CONDITIONS: N 907 LOT 526(AND NELY1/2 LOT 527 LT AND RE -INSTALL (E) TILES. (7 SQUARES) Architect DR NORCO, CA Address: Phone: State Lie ,Engineer Address Phone: '.ANCE FUND' Designer Address Phone: Construction Valuation : Added/New1TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage $16,000.00 0 0 OWNER -BUILDER DECLARATION t hereby alfNm under penalty of perjury that tam exempt from the Contractors' State License Law forthe reason(s) indicated below by the checkmark(s) I have placed next to the applicable ism(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 the 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 Professions 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 not more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all Of or L) portions of the work, aril the structure Is not intended or offered for sale (Section 7044, j 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 improvementis sold within one year of completion, the Owner-Builderwili have the burden of proving that It was not built or unproved for the purpose of sale). ❑ 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 apply to an owner of properly who builds or improves. thereon, and who Contracts for the projects with a. licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt. from licensure. under the Contractors' State License Law for the following reason: _ _ By my sigrof;re below I acknowledge that, except for my personal residence in which 1 must have resided for at least o a year prior to completion of the improvements covered by this pconu cannot legally Solt a strrIc %Iplil I have built as an owner-bultder 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 • --- [By Code is available upon request when this application is submitted or at the following Web site:http:pwww.Ie mfo.ca,govlcalaw.htmi. '�•• jgnalureyefProperty Owner or Authorized Agent_Date__ _ • 410EN:SEt) CONTRACTOR'S DECLARATION �J 1 I hereby affirkr under penalty of perjury that I am licensed under provisions of Chapterg (commencing with Secfron 001J of Division 3 of the Business and Prof ssfons C � ,and my licen Is in full Force • and effect. • License Class License No Date — 7 �� Contractor Signature ,•. MRKERFi6 COMPENSATION DECLARATION • WARNING: NAILUr�RD SECURE WORKERS' COMPENSATION: COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO.ONE HUNDRED O D DOLLARS FoPeA0Ul, IN ADOIAON TO THE • • • LOST Or COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, JRTEREST, AND ATTORNEYS PEES. s • • lehereby affirm under penalty of perjury one of the following declarations: • •+ 9iI have i4nd Y'W 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 thi pail name ohlhe work for which this permit is issued. Policy No.. • have aryl wiy rrnair tam workers' compensation insurance, as required by Section 3700 of the Labor Code, for thg performance of the work for which this permit is issued. My workers' compensatiior • •.-Nsurance Barrier died policy number are: Carrier • • • Policy Number Expiration Date Name of Agent Phone If DI certify that, in the performance of the work for which this permit is. issued, I shall not employ any person in any man er so as to become subject to the workers' compensation laws of California, and agree that, if I should become s✓ub'ect/tJg�t/hq�,workers' compensa/l}J prowl of Section 3700 or the Labor Code, I shall forth th comply With those provisions. �n Signature of Applicant , r� / / ✓ Date,p,_ Z hereby affirm under per{alty 9f perjury that there is a construction lending agency for the performance of the workfor vA ender's Name lj Lenders Address. ly 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 correct, I agree to comply with all applicable city and county ordinn s and state laws relating to building construction. I authorize representatives of this city or county to ante r h above-idenfifief property for Inspection purposes, >i nature of Property Owner or Aulhorzed A on - /�{> i Print Pro a Owners or 1CTION DATE BY DFECLARATION OF COMPIANCE WITH CODE OF FEDERAL FOROFF I REGULATIONS PART 61 OF TITLE 40AND AQMD RLILE PERIVITF.XPiREU PERA4fT EXTENDED PERMI r PINAt. CERTIFICATE OF OCCUPANCY fSSUED NOT TO All re be in life a this permit is Issued (Section 3097, Civil Code), 2 e, If 2-�--- USE ONLY d alarms, latches gates and fences which serve as part of a pool/spa barrier, shall prior to approval to fill pool/spa & shall remain in place & be maintained for the pool.