HomeMy WebLinkAboutXR2022-3006 - PermitsEWP0", City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
- S Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
°9�rroer`P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
11111111111111111111111111111111111111111111111111111111 jjCOMB Permit : XR2O22-3oos
Plan Check No: PC2022-2677
Issued Date : 11/1512022
Inspection Area : 3
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 : 604 ST JAMES PL
Legal Desc : N TR 1218 BILK LOT 29
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Description: SFR REROOF T/O SHAKE ROOFING AND REPLACE W/ CEDARLITE600 TILE 5.96 LBS CRRC# 0942-0070
CLASS B MIN 40.5 SQS
Owner: YOUNG DAVID R TR YOUNG TR
Contractor : FINAL TOUCH CONSTRUCTION &
Architect :
�s
DESIGN
r,
Address: 604 SAINT JAMES PL
Address : 14860 ARROW BLDG
Address
NEWPORT BEACH, CA 92663
FONTANA, CA 92335
Phone:
Phone: (909)350-3658
Phone:
Con State Lie : 940343
State Lie :
Lie Expire : 08/31/2024
C)
Applicant : FINAL TOUCH CONSTRUCTION & DESIGN
Bus Lie : BT30076869
Engineer
Address: 14860 ARROW BLDG
Bus Lie Expire : 10/31/2023
Address
FONTANA, CA 92335
Phone: (909) 350-3658
Workers' Compensation Insurance
Phone:
Carrier: ZURICH+AMERICAN+INSURANCE+COMPAN
Y
OwnedBuilder :
Policy No: WC1268323
Designer
Address :
W. C. Expire: 6/1/2023
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation :
$0.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups : R-3
No of Units: 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories: 2
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby effirm under penalty of perjury that 1 am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
often 7031.5, Business and Professions Code: Any city or county that requires a permit. to construct, alter, improve, demolish, or repair any structure, poor to its issuance, also requires the 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
f susens 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 fore permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
;tress 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 sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not buih or
roved for the purpose of sale).
1, 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
fy to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
J I am exempt from licensure under the Contractors'. State License Law for the following reason: _
iy 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 in
oil a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the sopl
'rofessions Code., is available upon request when this application is submitted or at the following Web site:http:lfwvay.teginfo.ca.govlcalaw,html,
ignature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of Division 3of the Business and
nd effect. License Class License No Date 11( 191ZZ Contractor Siena
law, Section 7044 of the Businoss and
Date
and my licensaz i full force
PORKERS' COMPENSATION DECLARATION f
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUN EDT OUSAND DOLLARS ($100.000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjuryone of the following declarations:
I I have and will maintain a certificate of consent to seiNnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
erformance of the work for which this permit is issued. Policy No.
and will 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'
carer and policy number are:
is of Agent _
cartify that, in
if I should be
iature of Appl
Policy Number
Date
of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the
hq_workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
areby affirm under p{nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section
tder's Name �I Lender's Address
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 infor ati n I have provided is correct.
I agree to comply with all applicable city d aunty ordinances and state laws relating to building construction.
I authorize representatives of this city or 'IN,
o fy to egjui�tho above -identified property for inspection purposes.
ACTION DATE I BY ECLARAT€ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART fit OF TITLE 40 AND AQMD RULE
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PERMITEXPIRED {{ LISURN:ITTEDASRESTOSNOTIFICATIONTO
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PERMIT WEND Wvl
PERMIT FfNAI JC'-l��J A MUSTO N TIE CA"II IS NOT APPLICA84E TO
CERRHCATEOF Tom• PRO 5En 1) Oil�y�'p}µ
OCCUPANCYISSUEO S,GNATJRL:
worke ' cD pensation laws of California, and agm
Date L-
3097, - ivi Code).
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