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Home My WebLink AboutXR2023-0821 - Permitsa,WPoR" City of Newport Beach ��III 11111p11111p11111111111p1111111111111111 jj COMB Permit : XR2O23-os21 1 p Community Development Department- Building Division X R 2 0 2 3 0 8 2 1 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1888 Issued Date : 03/28/2023 newportbeachca.gov/civic Final Date: Combination Type -MFP '`�',' Permit Status: Issued Work Class -Repair a L_ 1; L t' a , Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELAT I URDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS 8• -2oz Job Address : 394 VILLA POINT DR Legal Desc : N TR14055 BLK LOT 1 UN 139 TRACT 14055, LOT 1 OF Description : R REPLACE UNDERLAYMENT AND RE -INSTALL (E) TILE ROOFING 54 SQUARES Owner: VILLA POINT CONDOMINIUM ASSOCIATION Contractor: CRANK WATERPROOFING Architect Address : 181 S. OLD SPRINGS ROAD Address : 134 COMMERCIAL WY Address ANAHEIM, CA 92808 COSTA MESA, CA 92627 Phone: (714)395-5245 Phone: (949)646-9356 Phone: Con State Lic : 1038420 State Lic Lic Expire : 04/30/2024 Applicant : OC Permit Services Bus Lic : BT30063958 Engineer Address : 2029 Via Solona Bus Lic Expire : 06/30/2024 Address San Clemente, CA 92673 Phone: (949) 412-0595 Workers' Compensation Insurance Phone: Carrier: FALLS LAKE FIRE AND CASUALTY COMPANY Owner/Builder : Policy No: FLA01345003 Designer Address : W. C. Expire: 1/26/2024 Address Phone Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $24,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-2 No of Units : 8 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : - Villa Point Apartments /PC IZ 5 PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION. I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placednext to the applicable items) Section 7031.5, Business and Professions Code: Any city or coun(y, Thal requires a permit to construct, alter, improve, demolish., or repair any structure, prior to its issuance, also requires the applicantfor to 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 'rofassions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil parialty of at more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do C_) all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, lusiness and Professions Code. The Contractors' Stale 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 or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built of nproved for the purpose of sale). 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 ply to 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 Law). I am exempt from licensors under the Contractors' State License Law for the following reason ty 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 improvementscoveredby this permit, 1 cannot legal all a structure that I have built as an owner -builder if 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:i/www.leginfo.ca.gov/ealaw.himl, Vignature of Property Owner or Authorized Agent Date, .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 vyyssylyqn 3 of the Business and Pr s 1 D fi ease'a .A full force nd effect. License Class License No Date "L7 Contractor Signature f/ORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGES UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OL RS IS100,0001, iN AODn10N TO TH' OST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 3706 OF THE LABOR CODE, INTEREST, Me 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 asprovided for by Section 3700 of the Labor Code, for ormance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whichthis permit Is issued. My workers' compansa� trance carrier and policy number are: Is of Agent _ certify that, in the if I should bacon of Applicant Policy Number Date 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 afire a ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions Date �� I `✓ CLARATION REGARDING{' Ctl TRU TII�NNJ7ING AGENCY Ireby affirm under penalty of per ry th the a is a Donsiruction 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 properly owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided' come I agree to, comply ,with all applicable city and county In ne and sea laws relating to building construction. I ::ulhorize represenlaldves of this city or county to to he above id lif' roperty for inspection purposes. n I �,✓Lr/1 nature of Prorerty Owner or Authorzed Anent Print Property Owner's or Authorized Aoani's Nam A JIV c- 1;.,,F/C IV �o �l Date E ACTION I DATE I BY r DECLARATI N OF NIPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY !! i RFGULATIO 5P T610FTITI,E40ANDAQMD RULE. l 1403 PfPNr1T EXPiREJ LJiSUBMITTFDASBFSTOSNOTIFiCATIONTO PMIT CANCEtI clr ` EPA i ° PNVT EXTENOLLL1A4MD !.P P9TFINAL �a3 r Mt-J+SBES'IOS NOT I FI AIIU A iCABLE TO i CERIIFtCATEOF penpngrn nrNnnl l 1/ I