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Home My WebLink AboutXR2022-2545 - Permits��EwPoRT City of Newport Beach C 11 Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C4C/pppN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Re -roof II III I I I II I II I II I I IIII II COMB Permit : XR2022-2545 IIsssued Da eC 09/ 212022 Inspection Area : 1 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 : 310 ISLAND AVE Legal Desc : A TR EAST NEWPORT BLK A BILK LOT 81 Description: SFR REROOF T/O COMP SHINGLES AND REPLACE W/ COMP SHINGLES 14 SQS AND B.U.R. FOR FLAT ROOF 2.5 SQS Owner: CCE HOMES LLC Contractor: ALL SERVICE ROOFING Architect Address : 3024 COUNTRY CLUB DR Address : 16371 HEMLOCK ST Address : ..,,, ✓ COSTA MESA, CA 92626 FOUNTAIN VALLEY, CA 92708 G Phone : Phone : (714) 457-0906 Phone 7 Con State Lie : 1070058 State Lie Lie Expire: 10/31/2022 > ) Applicant : ALL SERVICE ROOFING Bus Lie : BT30075513 Engineer: Address : 16371 HEMLOCK ST Bus Lie Expire : 06/30/2023 Address FOUNTAIN VALLEY, CA 92708 Phone: (714) 457-0906 Workers' Compensation Insurance Phone: m i Carrier: STATE+COMPENSATION+INSURANCE+FUN D Owner/Builder : Policy No : 9284028 Designer Address : W. C. Expire : 9/14/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $13,000.0' ' Type of Construction : V-B Fire Hazard Zone : NO Added/New/Tl sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg Bldg Height: No of Stories : Added/New sq. ft. Garage : 0 Building Setbacks : Front: 9, Side: 3, Side: 3, Rear: 5 - - Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dern0lGh, or repair any structure,prior to its issuance, also requires the applicant for the 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 Professions 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 properly, provided that the Improvements 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 thepurpose of sale). El 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 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). ❑ I 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 Improvements covered by this permit, I.cannot legall, sell a structure that I have built as an owner -builder it it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site;http://www.leginfo.ca.gov/calaw.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 Secti 0 A0 of ¢iv' ' nl�.3 of the Business and #RETHOUSAND o • nd rr� as is In full force and effect. License Class License No D t "1 G Contractor Signat WORKERS' COMPENSATION DECLARATION NARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO. ONE NUN DOLLARS ISID0,0001. IN ADC'PION 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: 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 gfmance 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' carrier and policy number are: Policy Number of Agent Date I certify that, in the performa e of the rk 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 Calffomia., and let, if I should become su ' to th or ompens revisions of Section 3700 of the Labor Code, I shall forthwith comply Wth those previsions. ignature of Appli:art ._ Date ECU.RATiON REOAR' G RUCTION LENDI AGENCY nereb= affirm ❑ndLr papa o perjury t is a c FIT, lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode). Finder's Name Lender's Address y my .,ignalu.re balow, I Certify to each of the following: I am the properly owner or authorized to act on the property owner's behalf. I hive read l.rs application and the information I have provided is correct. i agree to ec.rlply with all applicable city and county ordinances and state laws relating to building construction. A / J 1 acthoritives ze rep:ese,Itaof this city or county (,o gnt�a�Vo-1den)�yyuyroperty for inspection purposes. / \ r t , - t I J_ - AC71ON PERMIT EXPIRED PERMIT CANCELLED PER,VIT EXTENDED __...__._____ ._. - PERMfTfiNAL CERTIFICATE OF OCCUPANCY ISSUED r Owner or Authorized Adam - I I Print Property Owner's Or Authorized A DATE I BY ARATION OF COMP ANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS S PART 61 OF 71TLE 40 AND AQMD RULE 1403 LJ I SU13MITTED AS BFSTOS NOTIFICATION TO to/Vzt J ISNOTAPPSICA811i TO Z