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Home My WebLink AboutXR2023-1273 - PermitsaEwvo�r City of Newport Beach II IIIIIIII II IIIIIIIII I IIII III I IIIIIII II COMB Permit : XR2O23-1273 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : ? Permit Counter Phone: (949) 718-1888 nIssued Date : e5/'16/2023 ewportbeachca.gov/civic r5�/FORN�p Combination Type - SFP Inspection Area : 3 Work Class - Other 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: 20401 BAY VIEW AVE Legal Desc : N TR 1501 BLK LOT 28 Description: SFR - T/O EXIST'G COMP. ASPHALT SHINGLES AND INSTALL OWENS CORNING "DURATION" SHINGLES "CLASS A" 20 SQ Owner: JIM AUSTER Contractor: HENALA ROOFING INC Architect Address : 20401 BAY VIEW AVE Address : 2973 HARBOR BLVD, #217 Address NEWPORT BEACH, CA 92660 COST MESA, CA 92626 Phone: (970)618-7692 Phone: (949)610-4883 Phone: Con State Lie : 1098371 a "" State Lie Lie Expire : 11/3012024 Applicant : HENALA ROOFING INC Bus Lie : BT30080092 Engineer Address : 2973 HARBOR BLVD, #217 Bus Lie Expire : 02/29/2024 Address COST MESA, CA 92626 Phone: (949) 610-4883 Workers' Compensation Insurance Phone: - - - - - - Carrier: STATE COMP Owner/Builder : Policy No: 9326605 Designer Address : W. C. Expire: 10/25/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,000d9G " Type of Construction : V-B Fire Hazard Zone : NO Added/New[T] sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 25 Flood Zone : X Use Zone : SP-7 - Santa Ana Heights Specific Plan PROCESSED BY: SPECIAL CONDITIONS:1Q,1111 Lin...& ! `d _1 .11 9 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable ftem(s) 3eclion 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 is 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 rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Suction 7031.5 by any applicant for a permit Subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not Intended or offered for sale (Section 7044, ',usiness 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 nprovements are not intended or offered for sale. If, however, the building orimprovemant is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 3 I, 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 pply 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). 3 1 am exempt from licensure under the Contractors' State License Law for the following reason:----- ;y 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 improvements covered by this permit, I cannot Iegail) oil a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and rofessions Code, is available upon request when this application Is submitted oral the following Web site:http!li w .leginfo.ca.govlcalaw,html, signature of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjuryry Gthat I am licensed under provisions of Chap er 9 commencing with Section 7000) of Division 3 of the Business and Profess; s , and my license is In full force nd effect. License Class C S ! License.No ��`1 Data S i6/2-S Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (3100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the fallowing declarations: j I have and wit 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 erform&nce of the work for which this permit is Issued. Policy No. 5JI 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 Durance earn @r�a. iu. oLl;..y mber are: r' :enter J-t�.� 2 U r'iGt Policy Number 'I -SZ % �J Expiration Date � lame of Agent , _ - Phone N At certify that, in in performance of the work for which this permit is Issued, I shall not employ any person to any manner so as to become subject to the workers' compensation laws of California, and ogre ,.at, if I s'7ouid become subject tot kers' compensation provisions of Section 3700of the Labor Code, I -shall forthwith comply with those provisions. u '. ig-ii'•e of Applicant _ _ Dale_ ICCLARATION 7Et4AROING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section3097, Civil Code). tinder's Name Lender's Address ly 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county tg Spj,3t(e above-Ideniifled property for inspection purposes. of P PERMIT CANCELLED PERMIT EXTENDED PERNDT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE BY 3 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE X SIGNATURE: NOTiFICAl ION 15 ROTAPPUCABL£ TO Name