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Home My WebLink AboutXR2022-2819 - PermitsagwnoRT City of Newport Beach @ Community Development Department- Building Division COMB Permit:XR2022-2819 X R 2 2 2 iDD Civic Center Drive, Newport Beach, CA 92660 0 2 8 1 9 Plan Check NO y. Permit Counter Phone: (949) 644-3288 Issued Date Inspection Requests Phone: (949) 644-3255 Inspection Area : 6 gc�Fon�' newportbeachca.gov/inspections Combination Type - SFP Work Class - Re -roof 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 : 1915 YACHT COLINIA Description: SFR- T/O CAL SHAKE ROOF Owner: PHILLIP HAMILTON Address : 1915 YACHT COLINIA NEWPORT BEACH, CA 92660 Phone Applicant: CMT SHEET METAL Address: 22732 GRANITE WY, STE C LAGUNA HILLS, CA 92653 Phone : (949) 916-3520 Owner/Builder : Address : Phone Legal Desc : N TR 9261 BLK LOT 22 ThY1.oR- INSTALL 30# FELT. USE (E) SOLID SHEATHING. INSTALL 40 SQ STANDING SEAM METAL ROOF Contractor: CMT SHEET METAL Architect Address : 22732 GRANITE WY, STE C Address LAGUNA HILLS, CA 92653 Phone: (949)916-3520 Phone: Con State Lic : 382310 State Lic: Lic Expire: 06/30/2023 Bus Lic: BT30053552 Engineer: Bus Lic Expire : 12/3112022 Address Workers' Compensation Insurance - Phone: Carrier: CYPRESS INS CO Policy No: CMWC353223 Designer W. C. Expire: 6/30/2023 Address Phone: Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3,U No of Units : 1 Bldg Height: No of Stories : 2 Building Setbacks : Front: 5 Flood Zone : X Use Zone : PCB`- BBroadmoor & Pacific view PROCESSED BY: `�' SPECIAL CONDITIONS: td� �T7R Construction Valuation : $25,000.00 Added/New/TI sq. ft. Bldg Alteration sq, ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg: 0 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the appllcableReal cilon 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 the applicantfor permit to file a signed statement that fin 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 lessons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044, ROSS 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 built or roved for the purpose of sale). L 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 ly 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 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 year prior to completion of the in sell a structure that I have built as an ownanbuildor if it, has not been constructed in its entirety by licensed contractors. I understand that a copy of the appl Professions Code, is available upon request when this application is submitted or at the following Web site;http:/Iwww.leginfo.ca.gov)calaw:html. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Sectiog7000) of Division 3 of the Business and and effect. License Class License No �Iractor Signa IIVORKERS' COMPENSATION DECLARATION rents covered by this permit, I cannot law, Section 7044 of the Business and YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,000). IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'a FEES. hereby affirm under penalty of perjury one of the following declarations: -1 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 t1)qe1Ltffo\Tormance of the work for which this permit is issued. Policy No. Ill, ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor DOUG. for the performance of the work for which this permit is issued. My workers' compensatior ns ance carrier and policy number are: .artier Policy Number Expiration Date Jame of Agent Phone # -11 cartify that, in the performanc 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 workers' compensation laws of California, and ogre hat, if t should become subject t t. workers' compensation revisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. 3lgnature of Applicant _ Dal LO—-2s�,_�—. XCLARATION REGARD TRACTION LENDING AGENCY hereby affirm under penalty f p Bury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civil Code). -ender's Name Lender's Address. 3y 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 information I have provided is correct. I agree to comply with all applicable city and count r ' antes and state laws relating to buldino - ustruction. _ I authorize representatives of this city or county to r the above-Iderttif or inspection purposes. 3i nature of Property Owner or Authorized Agent Print PropertyOwoei s or Authorized A ent's Nam Date ACTION DATE BY I IVCLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OFTITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO PERM IT CANCELLED —IIfiPA PER,MITFINAL 11V13ESTOS TIFICATION IS NOTAPPLICABL£ TO CERTIFICATE OF �i^Z^2� �I'" �`�) PROPOSED DEfOIyTION OCCUPANCY ISSUED SIGNALUR� I /l // .Q h LO E 00 3 x z o x Z 30 `0 Pa W m 4 Z Z CDO o W zv��rn aQ m � J QwSZco CP co cc — VU� o Z o om aWa W Amy a'UQ) % A a 3 V W o UJ co z w o �' 0 � I 00 U Y U J U o o Q . 0 V% w L.: m N a) 3 0 PEACH E 0 U 0 - Z ' O a) 0 a) o U � A117 m` 0 0 •c 'Oa N U) a)S m o .�� 0 a) -O 0 m Eli E 5 ° o m m N n o Q a) En 7En 0 ° N L L U m O .0 N U T N (a)n a) ° a) 3 R ._ mo arm fl cc Ce 3a mp-E a) oaN cxp a)a)o L0 ai` ai 0E oEo co O ° CEO N!= 3 C aQ 4a�� C'i+ m QO E U LU c N° CL zy 0 Uco 300 0' mE`°N i0 o� Q. 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