HomeMy WebLinkAboutXR2023-0901 - Permits��tiWPORT
City of Newport Beach
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Community Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone. (949) 644-3288
Inspection Requests Phone: (949) 644-3255
CCU F00.H�P
newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Repair
COMB Permit : XR2023-0901
Plan Check No :
Issued Date : D4/07/2023
Inspection Area : 8
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
1nh Address . 20nA HAVFnI of I Peal Desc : N TR 1718 BLK LOT 12
Description: MFR REROOF. T/O (E) SHINGLE ROOFING AND INSTALL COMPOSITION SHINGLES WITH 2 LAYERS OF 15# FELT UNDERLAYMENT. 44 SQUARES.(CRRC
0668-0148)
Owner: CONANT O C PROPERTIES L P Contractor: LION ROOFING INC Architect
Address : 20322 SW ACACIA ST STE100 Address : 413 S NUTWOOD ST Address
NEWPORT BEACH, CA 92660 ANAHEIM, CA 92804
Phone :
Phone : (714) 904-5188
Phone :
Con State Lic : 1018956
State Lic:
Lic Expire: 10/31/2024
Applicant: LION ROOFING INC
Bus Lic: BT30065698
Engineer
Address : 413 S.Nutwood St.
Bus Lic Expire: 01/31/2024
Address
ANAHEIM, CA 92804
Phone: (714) 904-5188
Workers' Compensation Insurance
Phone:
Carrier: STATE FUND
Owner/Builder :
Policy No : 9333499
Designer
Address :
W. C. Expire: 2/14/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$33,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups : U,R-2
No of Units : 5
Alteration sq. ft. Bldg :
_
Bldg Height:
No of Stories: 2
Added/New sq. ft. Garage:
0
TOTAL sq. ft. :
0
Building Setbacks: Front: 20, Rear: 0
Flood Zone : X
Use Zone : RM - Multiple Residential
PROCESSED BY:
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 ctieckrnark(s) I have placed next to the applicable tern(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 toits issuance, also requires the applicant for
:hc permit to file a signed statement that lie 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
�rofossions 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).
1 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; and the structure is not intended or offered for sale (Section 7044,
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
'.mprove ri 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 built or
Improved 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' Stale License Law does not
apply 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),
:1 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 most have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall,
soil astructure that I have built as an owner -builder if Ithas not been constructed in its entirely, by licensed contractors. I understand that a copy of theapplicable law. Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web siteihttp:IIWWwJeginfo.Ga.govlcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 1000) f (vision 3 of the Business and Proteaslo s Code, d y license is in full force
and effect. License Class License. No Date Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TOONE HUNDRED TH AND DOLLARS (6100.000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS Fees -
hereby affirm under penalty of perjury one of the following declarations:
.J 1 have and will maintain a certificate of consent tD self-imwro for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
TerforTince of the work for which this permit is Issued. Policy No,
have 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 compensatioi
trance carrier and policy number are:
Tier Policy Number Expiration Date
me of Agent Phone ff
certify that. in rho performanc of the work or w ich this permit is Issued, I shall not 6ei any person in any manner so as to become subject to the workers' compensation laws of California, and ogre
t, if I should become subledt t the work o ansation provisions of Seddon 3700 of the Labor Code, I shall forthwith Comply with those provisions.
nature of Applicant - Date If
CLARATION REGARD NS.. LENDING AGENCY �—
areby affirm under penalty f perjury t. at thl is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade).
ider's Name Lenders Address
my. signature balow I certify to each of the following:
I am the properly cv,ner or authorized to But an the properly owner's behalf.
I heve read this apvlication and the Information I have pro Ided is c'N t.
I agrea tocomply with all applicable city and county ordln ncos ands lay relating to building construction.
auhmrize representatives of this city or county to enh r,I aabove-id4 III roperty fur inspection purposes. A
Owner or Authorized Age
DATE E I Uy
1
PERm,i EXPIRED
PE+Nq LANCEUED
PERMIT EXTENDED
PE4MIT'Nt'AL L�T4NEST0:
CEROFICATE OF .� L3
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OCCUPANCYISSUED I SIGNA7uRE:
WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
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FOR OFFICE USE ONLY
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