HomeMy WebLinkAboutXR2023-2045 - Permits�wPogr
City of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
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newportbeachca.gov/civic
Combination Type -
Work Class - Other
COMB Permit : XR2023-2045
Plan Check No :
Issued Date : 07/2512023
Final Date:
Permit Status: Issued
Inspection Area : 3
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 : 2312 FAIRHILL DR Legal Desc : N TR 2516 BLK LOT 6
Description : ""RENEW EXPIRED PERMIT X2021-1660" SFR T/O (E) SHINGLES REPLACE W/ COOL SHINGLE 31 SO CLASS "A" INSTALL SYNTHETIC UNDERLAYMENT
ON ENTIRE ROOF
Owner: HAYES DAVID J TR
Contractor: CERTIFIED ROOFING SPECIALISTS
Architect
Address : 2312 FAIRHILL DR
Address : 9281 LARKSPUR DR
Address
NEWPORT BEACH, CA 92660
WESTMINSTER, CA 92683
Phone: (949)400-7460
Phone: (714)668-0757
Phone:
Con State Lie : 956843
State Lie
Lie Expire: 01/31/2025
Applicant: HAYES DAVID J TR
Bus Lie: BT30053068
Engineer
Address : 2312 FAIRHILL DR
Bus Lie Expire :
Address
NEWPORT BEACH, CA 92660
Phone: (949) 400-7460
Workers' Compensation Insurance
Phone:
Carrier: STATE COMPENSATION INSURANCE FUND
owner/Builder: HAYES DAVID J TR
Policy No: 1949902
Designer
Address : 2312 FAIRHILL DR
W. C. Expire: 12/1/2023
Address
NEWPORT BEACH, CA 92660
Phone: (949)400-7460
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
Occupancy Groups : U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 1
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 20
Flood Zone : X
Use Zone: R-1-7200 - Single -Unit Residential (7200 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
I hereby affirm under penally of perjury that tam exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicableitem(s)
,(Section 7031.5, Business and Professions Code: Any City or county that requires a permit to construct, aher, improve, demolish, 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 licensors and the basis for the alleged exemption Any violatfon 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).
0 I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 property, provided that the
ifriprovements 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
iy
toed for the purpose of sale).
s owner of the property, am exclusively contracting with licensed Con rac t o construct the project titan 70 44 in Professions. T p p y, s y D gContractors !ors o +, e p DI {Sac 0 ,Bus ass and Code, he Contractors' State License Law does not
o an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Lew).
m exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my persollot residonce in which I must have resided for at least one year prior to completion of the improvements covered by this permit, 1 cannot legall!
sell a structure that I have built as an owner -builder if it h4nPon constructed in its entirety by licensed contractors. I understand that.a copy ofthe applicable. taw, Section 70" ofthe Business and
Professions Code, is available upon request when this as submitted or at the following web site:httpJfw .leginfo.ca.govlcalaw.fitmi,
Signature of Property Owner or Authorized Agent DateLICENSED CONTRACTOR'S DECLARATION1 hereby affmr under penalty or perjury that I am licensevisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full farce
and effect, License Class License No Data Contractor Signature
COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORNERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL EWES UP TO ONE HUNDRED THOUSAND DOLLARS JlfYN,000L iN ADDITION TO T
'COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR Cone INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of par)ury one of the following declarations:
I 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
arformance of the work for which this permit is Issued. policy Ni
have and will maintain workers' Compensation insluanoo, as required by Section 3700 of the Labor Code, for the performance of the work for which thispermit is issued. My workers'
ranee carrier and policy number are:
a of Agent
s izi fy that, in the p
if I should become
Policy Number
Date
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' oompensatlon laws of California, and
workers' twmpensatiorl provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant _.._....... ... _._-..__.e_.-........._....._..._.,—_ Date.,,..,...,Q.
CI.ARATtON REGARDING STRUCTION LENDING AGENCY
herby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name _ Lender's Address
my signature below. I certify to each of the following:,
I am the property owner or authorized 10 act on the prd rty owner's behalf.
I have read this application and the information I have p vided is correct.
I agree to comply with all applicable city and county o ncDa and state laws retattng to budding construction.
I authorize representatives of this city Dr cnunty to ant a above identified property for inspection purposes —
nature of Properly Owner or Authorized Avant Print Prooertv Owner's a' Authorized Anent's Name AAJLV jM.I.I ./u.< Hale I371 ti A7
ACTION I DATE
PERMIT EXPIRED
PERMt7 fXTFNDFC � _. I
PERM T ONAL ,
CERTIFICATE Of
OCCUPANCYISSUEI3
REGULATIONS PART fil OF TITLE ao AND AQMU RULE
ASBESTOS NOTIFICATION TO
ISNOTAPPLifiAet,£ TO
FOR OFFICE USE ONLY