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Home My WebLink AboutXR2022-2453 - PermitsCimy of Development Beach t- Building Division II IIII I I III II I III I IIIIII II COMB Permit : XR2O22-2453 F y 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 644-3288 Plan Check No Inspection Requests Phone: (949) 644-3255 Issued Date : 09/13/2022 Cq</FOAN�P newportbeachca.gov/inspections Inspection Area : 1 Combination Type - SFP Work Class - Re -roof PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS F $ ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAD HOLIDAYS IN ALL AREAS Job Address : 1304 BALBOA BLVD E Legal Desc': A TR-BALBOA.TR EAST SIDE ADD BLK 21 LOT 3 Bgge)3PA TR EAST!? E ADD LOT 3 BLK 21 ALL Description: SFR T/O WOOD SHAKE, INSTALL 112' RADIA Owner: GUY INZALACO Address: 11411 SOUTHERN HIGHLANDS PKWY STE300 LAS VEGAS, NV 89141 Phone: Applicant: UNDER COVER HOME IMPROVEMT Address : 19562 DITMAR LANE HUNTINGTON BEACH, CA 92646 Phone: (714)593-9840 Owner/Builder : Address : Phone Code Edition : 2019 Type of Construction : V-B Occupancy Groups : R-3,U Bldg Height : Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 0 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential Norkers'. C >B. 72# CAP SHEET, 30# FELT. 27 SO CLASS 'B' WOPSAKES� INDER COVER HOME IMPROVEMT 9562 DITMAR LANE Architect: AddressJUNTINGTO BEACH, CA 92646 714) 593-9840 687961 Phone -' State Lie 02/28/2023 BT30062506 Engineer: 03/31/2023 ' Address ensation Insurance - Phone: E FUND �, A. � W. C. Expire: 1/1/2023 Fire Sprinklers: NO Fire Hazard Zone,; NO No of Units : 1 No of Stories : 2. Designer: Address Phone: Construction Valuation " Added/NewiTI sq. ft. Bldg: 0 Alteration sq. ft. Bldg: Added/New sq. ft. Garage : 0 PROCESSED BY: eA� ^tea Y a was ®a a s e e a was ae c a a o SPECIAL CONDITIONS: a a.a a < a � a . .Q INSR"ELTOR t I hereby affirm under penalty of perturythat I am exempt from the Contractors! State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable i[em(s) 'Action 7031.5, Business and Professions Code; Any city or county that requires a permit to construct. niter, improve, demolish,. or repair any structure, prior to its issuance,' also requires the applicant for ie permit to file a signed statement that he or she is licensed pursuant to the provtstons of the Contractors' State Lfconse.. Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessions Code) or that he or she is exempt from licensure and tha 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 it more than five hundred dollars ($500j. I I, as owner of the property, or my employees With wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 iprovements are not intended or offered for sale. 11, however, the building or improvement is sold withinone year of corpplellon, this Owner -Builder will have the burden of proving that it was not btiitt or tproved for the purpose of sale). I L as owner of the property, am exclusively Contracting with licensed Contractors to construct the project (Section 704 4, Business and Professions Code: The Contractors' State License Law does not poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contrac i r pursuant to the Contractors' State License Law). ] 1 am exempt from licensors under the Contractors' State License Law for the following reason: y 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 all a structure that I have built as an owner -builder 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 'rofessions Code, is available upon request when this. application is; submitted or at the following Web site http://"w.ieginfo ca.gov/calaw:htmf. ignature of Property OwnerorAuthorized Agent. DateICEN,.._ herebyED affirm uunderCONTRACTOR'S a a?yof} eDECLARATIONam under provisions of Chapter (colt mencin with Section) 7 0 y penalty p n ri' p p g If isivn 3of the Business and P sic Code, and my license is In full force nd effect. License Class License No 1. Contractor S,neatnm VORKERS'COMPENSATIONDECLARAUON EARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CKM"L PENP.L?IES Atf6 CIVIL, PINES UP TO, ONE HUNDRED THOUSAND COLLARS t5�06,000j. {N ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3740.OF THE LABOR COBS, INTEREST, "a ATTORNEY'S Fees, I hereby affirm under penaltyof perjury one of the following declarations: i 3 I 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 Tiormance of the work for which this permit Is issued, Policy No„ �t Nave and -wA1 maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the., performance of the work for which this permit is issued. My workers' compensatioi policy number an re of Agent certify that, in the , if I should bacon fer's Name. Tysignature below, I oertify to each I am the property owner or auffrorur I have read this application and the i agree to: comply with all applicable I authorize representatives Of this c DATE PERMITFMAL CERTIFICATE Of Policy Number Date Work for which this permit is Issued, I shall not employ any personinany manner so as to become subject to the workers' Compe. atlon I ws of California, and ogre, 21-ONcompensation provisions of Secton 3700 ofthe Labor Code;I shall forth ith comply with those provisionsDat t ZNOING AGENCY A theca is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,. Civl Cade). Lender's Address f the following: to act at) the property owner's behalf. :formation I -have provided incorrect. Iity and county Or s and state Jews relating to building construction. ' ar County to a ove-identified property for inspection pumuses. � J ` , �, �� 3 �� d.AgeRtoft, Pnnl Pra e Owner's or AuthorizeBA Gnt's Name .Y' Data. BY RA ON OF COMPLIANCE wIrH CODE OF FEDERAL I FOR OFFICELISEONLY TEBPASBEKOS NOSIFICfATION TO• 4 O • • • i • 4 i5 NOTIFICA pN15 NOT APPLICABLE TO