HomeMy WebLinkAboutXR2022-2003 - PermitsWPoRr City of Newport Beach
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COMB Permit:XR2O22-Z003
off'. Comm unity Development Department - Building Division
u
F- 1 i y 100 Civic Center Drive, Newport Beach, CA 92660
-`PT
Plan Check No
Permit Counter Phone: (949) 644-3288
Dc �. Inspection Requests Phone: (949) 644-3255
� .Eimer"'
1NS"P
Issued Date:
Inspection Area : 4
�CTOR
q<�Foa" newportbeachca.govlinspections
-
Combination Type - MFP
Work Class - Re -roof
PERMITS EXPIRE 180 DAYS AFTER ISSUANCIE
-0R 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: 2112 DESCANSO
Legal Desc : N TR 5741 BLK. LOT 35 TR 5741
(LL84-214029) PAR 35
Description: MFR REROOF: T/O (E) SHAKE. INSTALL LIGHTWEIGHT
TILENEWPOINT(BORAL) SAXONY600 5.9 PSF (UES 412) 16 SQUARES.
owner:
Contractor: OWner- Q1i 14f (_
Architect
Address :
Address :
Address ^"
Phone:
Phone:
Phone:
Con State Lie:
State Lie
Applicant: WALKER JEANNE M TR J M
Lie Expire
Address: 2112 DESCANSO NEWPORT BEACH, CA
Bus Lie :
Engineer
92660
Phone :
Bus Lie Expire :
Address
Workers' Compensation Insurance
Phone
Owner/Builder: WALKER JEANNE M TR J M
Carrier :
'
Address: 2112 DESCANSO NEWPORT BEACH, CA
Policy No :
Designer:
92660
Phone :
W. C. Expire :
Address
-
- Phone :
Code Edition : 2019
Fire Sprinklers : NO -
Construction Valuation : $25,000.00
Type of Construction : V-B
Fire Hazard Zone: Y
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : R-3,U
No of Units : 2
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage : 0
Building Setbacks
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
VYYINCK-MUILUCK UCULAKAI JUN
I hereby affirm under penalty of perjury that I am exempt front the Contractors' Stale License Law for the resson(s) indicated below by the chackrnark(s) I have placed next to the applicable tterri
(Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, Improve, demolish, or repair any structure, pdor to its lssuanoe, also requires the applicant for
die permit to file a signed statement that lie or she is licensed pursuant to the provisions of the Contractors' Slate Licenso Law (Chapter 9 (commencing with Section 7000) of Division 3 of Umc Business and
Professions Code) or that he or she is exempt from Iioensure and the basis for the alleged exemption, Any violation of Section 7031.E by any applicant for a permit subjects the appfoant to a civil penalty of
�no,t� re than five hundred dollars ($500).
hQ 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,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through -employees' or personal effort, builds or improves the property, provided that the
improvements are not Intended or offered for sale. If, however, trio 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' Slate License Law does not
apply to an owner of property who builds or improves thereon, and vift contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
lI am exempt from icensure under the Contractors' Stale License Law for the following reason,
By my signature belowI acknowledge that, except for my personal residence in which I must have resided for at toast one year prior to completion of the improvements
provomenls covered by this permit, Lcannoaot legally
sell a structure trial I have built as an owner-bu ldar if It has not been constructed in its entirety by licensed contractors. I understand that a Copy of Iha applicable law. Section 7044 of the Business and
Professions Code, Is available upon requestwhen a this pllcation is submitted or. t.lhe following INeb site:htip:i1www.Agmfo.ca.gov/ca lew.html.
Signature of Property Owner or AulhorizedAgent Date � —7" —�2z
LICENSED CONTRACTOR'S DECLARAT N
I hereby affirm under penalty of perjury. that I am llcansed der provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
end effect License Gass- License No Date Contractor signature
NORY.ERS' COMPENSATION DECLARATION
('ARN'Y ,: FAILUNE TO SECURE 1NORHFRS' COMPENSATION COVERAGE 19 UNLAWFUL. AND SHALT. SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONEHUNDREDTHOUSAND DOLLARS Ca 00,000), IN ADDITION TO THE
COST OF COMPENEATION. O kMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA80R CDOE, INTEREST' AND ATTORNEVS FEES,
hereby affirm ur Jir penalty of perjury one of the following declarations:
r thriveandry0i maintain a ceruRcata of consent to sale -insure for workers' compensation, issued by the Director of lodustriat Relations as provided for by Section 3700 of the Labor Cade, for the
3erform nca of?he evcrk for which this r it Is issued. Policy No.
Fav� 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'
rant carrier and rillcy number are:
Policy Number
or Agent _ _
Date
certify that,, In theperformanceof the work for which this permit Is Issued, I shall not employ any person in any manner so asto become subject to the workers' compensation laws of California, and
, If 1 should become subject to the workers' compensation provisions Of Section 3700 of the Labor Code, I -shall forthwith comply with those provisions.
of
Dat� %'2S"�cZz
I hereby.alri under papally Iof perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
Lenders Name _ _ Lender's Address
By nay signature below, I certify to Each or the following:
I am the property owner or authorized to act on the properly owner`s behalf.
I have read this application and the informatlon I have provided is correct.
I agree to comply with all applicable city And county ordinances and stale -laws relating la building construction,
I authorize representatives of this city arcounty to enter the aboDe"iden( d property for Inspection purposes. x
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agents Name
ACTION DATE By CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USEONLY
i €€ EG ULATIONS PART 51. OF TITLE 40 AND AQMO RULE
1403
PERMA'CANC€LLED I I I-JuA All required alarms, latches gates and fences which serve as part of a pool/spa barrier,. shall
PERMIT EXTENDED �W ' QMD be In place prior to approval to fill pool/spa &shall remain In place & be maintained for the
PERMITFINAL ,/'/;2,3 A58LSTOS NOTIFICATION 15 NOT APPLICABLE TO life of the pool.
CEBTIFicArr OF /// PROPOSED DEEM .ITtON
OCCUPANCYI55LIV) SIGNATURE: "I irl/ T d'o 12/7 i A
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