HomeMy WebLinkAboutXR2022-2173 - Permitswl RT City of Newport Beach
Ot Community Development Department - Building Division
100 Civic Center Drive Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone. (949) 644-3255
°ia Foa'�P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Re -roof
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VA91MY IN SFAU
NO CONSTRUCTION RELATED NOISE ON SATURDAY:OR SUNDAY IN HIGH
Job Address
Description
Owner:
Address
Phone:
Applicant
Address :
Phone
COMB Permit : XR2022-2173
Plan Check No : 0347-2022
Issued Date : 08/12/2022
Inspection Area :3
r NO, LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
408 HOLMWOOD DR
Legal Desc :
N TR 1136 BLK LOT 44
SFR REROOF (E) BUR DETACHED GARAGE
6.5 SQUARES
WITH FIBERGLASS BASE SHEET W/ CAP SHEET AND TORCH -DOWN.
CARTER ROBINSON
Contractor:
GREATER PACIFIC ROOFING INC
Architect
435 REDLANDS AVE NEWPORT BEACH, CA
Address :
1580 E EDINGER AVE UNIT F SANTA
Address
92663
ANA, CA 92705
Phone :
(949) 836-1966
Phone
Con State Lic
: 621368•.
State Lic
GREATER PACIFIC ROOFING INC
Lic Expire :
06/30/2023
1580 E EDINGER AVE UNIT F SANTA ANA, CA
Bus Lic:
BT30063584
Engineer
92705
(949)B36-1966
Owner/Builder
Address
Phone :
Code Edition : 2019
Type of Construction : V-B
Occupancy Groups: U
Bldg Height :
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 0
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY: B-,s
SPECIAL CONDITIONS:
Bus Lic Expire : 06/30/2023
Address
Workers' Compensation Insurance
Phone
Carrier: CALIFORNIA INSURANCE COMPANY
Policy No: 4600150101
Designer:
W. C. Expire : 6/1/2023
Address
Phone:
Fire Sprinklers : NO
Construction Valuation : $6,000.00
Fire Hazard Zone : No
Added/New/TI sq. ft. Bldg : 0
No of Units : 1
Alteration sq, ft. Bldg :
No of Stories : 1
Added/New sq. ft. Garage : 0
VYNNCK^tSUIL:V CK IHMULAKA I IVN
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 checkirark(s) I Have placednext to the applicable iteal(s)
(Section 7031.5, Business and Professions Code. Any city or county that requires a pormlt to construct, alter, improve; demolish, or repair any structure, prior to Its Issuance; also requires the applicant for
the permit to fife a signed statement that he or she is licensed pursuant to the provisions of the DDntractQrS` 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 bests 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).
El I, as owner of the property,or my employees with wages as their sole compensation, will do (_)all of or (_) portionsof the work,. and the structure Is not Intended or offered for sale (Section 7044,
Business and. Professions Code: The Contractors' State License. Lacy does not apply to an Owner of property who, through employees' or personal effort, builds or Improves the property; provided that the
Improvements are notintended 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
Irm roved tar (lie purpose of sale),
tJ as owner or the property, am exclusively contracting with. licensed Contractors to construct the project (Seclion 7044, Business and Professions Code: The Contractors' State License Law does not
apply 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),
C1 I am Exempt front licenswe under the Contractors' State License Law for the following reason•
By my signature. below I acknowledge that, except for try personal residence in which I must have msfdad for at least oneyear prior to completion of the improvements covered by this this permit., I cannot legalll
sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and
Professions Code, IF available upon request when this application Is submitted or at the following web site:Http:/Jwww,leginfc.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent — Da
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9-('commencing with Section 70DO) of Division 3 of the Business and Profession. Cod , and my lice s In full force
and effect. License Class License No Date "/Z— ZZConlractor Signature
COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE wORRERS' COMPENSATIpN COVERAGE IS UNLAWFUL. AN➢$HALL SUBJECT AN EMPLOYER TO CRIMIN
OaT Or COMPENSATIONI DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE. INTERFST,AND ATT'ORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH 4 SAND DOLLARS IS100,0001, IN ADDITION TO THE
have: and will maintain a certificate of consent to self -insure for workers' compensation,. issued by the Director of lnduslrtal.Relations as provided for by Section3100 of the Labor Code, for
armance of the work for which this permit Is. issued. Policy No.
have andwill maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which, this permit is issued. My workers' compensa
lance carrier and policy number are:
ne of Agent
certify that,. In the performance
, If I should beeonte Subject in
faiure of Applicant
Ireby affirm under penalty
Ider:s Name
Policy.Number
Date
for which this p Is Issued: I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
compensad p visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r�
Date` Z
STRUCTION LENDING AGENCY� CJ -' f Z " z
iry that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
Lenders Address
3y my signature below, 1 certify to each of the following:
I am the property owner or authorized to not on the property owner's behalf.
I have head this application and the information I have prow' e is correct,.
I agree to comply with all applicable city and county ordln nee and state laws. rel g to building construction.
I authorize representatives of this city or county to enter e a ove-identlfied or arty for Inspection purposes.
31 nature of Pro arty Owner of Authorized Agent Print Property Owner's or Aut
ACTION I DATE BY 1 p LARA71ON OF COMPLIANCE WITH CODE OF FEDERAL FOROFFICE
j R GOLAVON5 PART El OF TITIE aO AND AQMD RULE
PERMIT EX7 ENDLb
PLRMii FINAI.
CERTIFICATE OF
OCCI NCy (5SUEO
SUBMITTED ASBESTOS NOTIFICATION TO
PROPOSED
Civil Code).
Date tA--1
All required alarms, latches Batas and fenceswhich serve as part of apool/spa barrier, $hall
be In place prior to approval to fill pool/spa &shall remain in place &. be maintained for the
NOTAPPLICA 70 life of the pool.