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Home My WebLink AboutXR2022-2914 - Permits�aEWPOR� City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII III COMB Permit : xR2o22-2914 @ Communitv Development Department - Building Division �q DO Civic 6enter Drive, Newport Beach, CA 92660 Plan Check No : > Permit Counter Phone: (949) 644-3288 Issued Date : 11/03/2022 e. Inspection Requests Phone: (949) 644-3255 g f'�., e� ��,� Inspection Area : 3 cbL/FO0.N\P newportbeachca.gov/inspections Combination Type - SFP Work Class - Re -roof _ 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE PERMITS EXPIRE NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS NO CONSTRUCTION RELATED Job Address: 1508 CORNWALL LN Legal Desc : N TR:1896 BLK LOT 10 ' Description: SFR T/O (E) ROOFING. RESHEET AND INSTALL 30YR COMPOSITION SHINGLES W/ SYNTHETIC UNDERLAYMENT. (32 SQUARES) Owner: CATHERINE GARLAND Contractor : RON ANDERSON ROOFING Architect Address : 1508 CORNWALL LN Address : 2570 GOLDEN AVENUE Address NEWPORT BEACH, CA 92660 LONG BEACH, CA 90806 ° c ° ° ° ° 0 Phone: (949)300-6499 Phone: (562)612-8591 Phone: a®,°„ • ° Con State Lie :.977979 State Lie Lie Expire: 11/3012023 ° °°•°®° Applicant: RON ANDERSON ROOFING Bus Lie BT30080007 Engineer: °°°•° •°®°° °° Address: 2570 GOLDEN AVENUE Bus. Lie Expire:'11/30/2023 Address: •° • ° °°••° LONG BEACH, CA90806 •° a ° Phone: (562) 612-8591 Workers' Compensation Insurance Phone: _ • ° • ° Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder: Policy :No: 9030195 Designer: °°°® Address: W.C.Expire :-10116/2023 - Address: ° °°•°°° Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $18,000.00 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 : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg: 0 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: b" SPECIAL CONDITIONS: I hereby affirm under penalty of perjury 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 [,he applicable items) chop 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 ,le applicant for 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 fessions 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 more than five hundred dollars ($500). LJ 1, as owner of the property, or my employees with wages as their sole compensation, will do ( 1 all of or U poltbns of th� Business and Professions Code: The Contractors' State License Law does not apply to an. owner of property who, through er improvements are not intended or offered for sale, if, however, the building or improvement is sold within one year of compy improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, S ly to an owner of property who builds at improves thereon,. and who contracts for the projects with a licensed Contractor I,app 1 am exempt from licensure under the Contractors' State 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 ye sell a structure that I have bull as an owner -builder if it has not been constructed in its entirety by licensed contractors. I undr Professions Code, is available upon request when this application is submitted or at the following Web site:httpJlwww.legmfo Signature of Property Owner or Aufharized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700i7�0/5f E and effect�Q �ilass License No Date Z / WORKERS' COMPENSATION DECLARATION &&VG: WORKERS" COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTR COST OF COMPENSATION DANAGES AS PROVIOED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNEY'& FEES. I,he?4y affirm under penalty of perjury one of the following declarations: Q I have aod•will ttlaintain a Certificate of consent to self -insure for workers' compensation, issued by the Director of It .r�nmuWlce a oLt4o work for which this permit is issued. Policy No. ve andwiy n%atain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perN career and policy number are: •r • Policy Number ofAgent,rlify that,11 the performance of the workfor w ich this porm' Issued, I shall not employ any person in any mannerso I should be :°su the workers' D ansatiort signs of Section 3700 of the Labor Code,. I shall forthwith c Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which Iders Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorised to act on the property owner's behalf. I have read this application and the Information f have provided is correct 1 agree fa comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to15" 's abavet r -' Iified proplorty for inspection purposes, REGULATIONS PART fit OF TITLE 40 AND AQMD RULE PERMIT EXPIRED 1403 LlsuamaTEDASBESTOTNOTIFICATION TO PERMIT C4NCELLED EPA PERMIT EXTENDED AfD PERMIT FINAL /t(t SRESTO6 NOTIFIfATtON IS NOT APP LE 70 CERTtFICATEOF OCCUPANCYISSUEO '�, LI/ FROPOSED DEMO / / R. and the structure is not intended or offered for sale (Section 7044, gees' or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that If was not built or and Professions Code: The Contractors` State License Law does not to the ContracoG& State License Law). Tlents covered by this permit, I cannot law, Section 7044 of the Business and Date _ he Business and Profe I ode, al cense is II force Contractor Signature CrAL FINES UP TO ONE HUNDRED THOUSAND DOLLARS HUK000), IN ADDITION To Relations a$ provided for by Section 37GO of the Labor Code, for of the work for which this permit is issued. My workers' .Expiration Date to become subject 10 the workers'compensation laws of California, and agre Iply with those provisions. rl %Date� �. -Z— permit Is issued (Section 3097, Cie). 7