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Home My WebLink AboutXR2023-0610 - PermitsCity of Newport Beach a��PoRT Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 G yMj S Permit Counter Phone:(949) 644-3288 a.� Inspection Requests Phone: (949) 644-3255 °g4con�'P newponbeachca.gov/inspections Combination Type - SFP Work Class - Other 111��III��III ��IIIIIIII��III�III11111111111111111111111111 COMB Permit : XR2023-0610 Plan Check No: Issued Date : 03/06/2023 Inspection Area : 2 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 : 1315 BONNIE DOONE TER Legal Desc : N TR-1700 BLK LOT 63 Description: SFR REROOF T/O ASPHALT; REPLACE SHEATHING AS NEEDED;: REPLACE WITH MODIFIED BITUMEN 35 SQ Owner: BARRY SUSSMAN Address : 1315 BONNIE DOONE TER CORONA DEL MAR, CA 92625 Phone : (973) 632-1652 Applicant: BARRY SUSSMAN Address : 1315 BONNIE DOONE TER CORONA DEL MAR, CA 92625 Phone: (973)632-1652 Owner/Builder: BARRY SUSSMAN Address: 1315 BONNIE DOONE TER CORONA DEL MAR, CA 92625 Phone: (973)632-1652 Contractor Address: Phone: Con State Lie Lie Expire Bus Lie: Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Architect Address Phone: State Lie: Engineer: Address Phone: Designer: Address Phone : Code Edition : 2022 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: 12, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: C_AL_� rn t SPECIAL CONDITIONS: ;"•y _ it L-_ 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) 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, after, 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 Contractors' State License Low (Chapter 9 (ooalmencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis far the alleged exemption. Any violation of Section 7031,5 by any applicant for a permit subjects the applicant to a civil penalty of ,n�otAnore than five hundred dollars ($500), 2,} I, as owner of the property, or my employees with wages as their sole compensation, will do (Vall of or (_) portions of the work, and the structure is not Intendedor offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not Intended or offered for sale. If.,. however, the building or improvement is sold within one year of completion, the Owner -$wilder will have the burden of proving that it was not built or Improved for the purpose of sale). © I, as owner of the property, are exclusively contracting with licensed Contractors to construct the project.{Section 7044, Business and Professions Code: The Contractors' Stale 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 plurrssuant to Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: � ;V,� I, " _...,.,. 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 legally soli a structure that I have builtas an owner -builder if it has not been constructed in Its onbroly by licensed coneactors. I understand that a copy of the applicable law, Section 7044 of t D Business and Professions Code„ is available upon request whe th lication issubmitt rat the following WebsiW;httpa/wvwr.teginfo.ga.gov/caiaw.html. ..� Signature of Property Owner or Authorized Agent Date -_ LICENSED CONTRACTOR'S DECLARATI I hereby affirm under penally of perjury that I am Ilcensed under provl ions of Chapter 9 (Commencing with Section 700M -f Division 3 of the Business and Professions Code, andmy license is In full force and effect. License Class License No Date _ _ Contractor Signature _ WORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,000I. IN ADDITION TO THE COST OFCOMPTNSATIJ1., JI MAOES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under pa,latly of perjury one of the following declarations. 13 1 have and wPI maintam a certificate of consent to self -insure for workers compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the pernrmance of the wo.k for which this permit is issued. policy No,. has and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for Which this permit is issued. My Workers' -ancn carrier and pmi,y number mar Policy Number Date -E rf Agent Phone # uuniiy that, in the performance of the work for which this permit is issued, I shall notemploy any person In any manner sous to become subject to the workers' compensation laws ofCaiffomia, and I.: •Lt.aui l become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Appliecrt Data®,_ CLARATION PEGA 1NG CCNSTWUCTION LEND -0 AGENCY aieoy affirm under pen€ by of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). orders Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on theproperty owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this City or CountyA 4m the abaveAdemiliNd property for inspection purposes. BY I DECLARATION'OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 4 REGULATIONS PART 51 OF TITLE 40 AND AQMDRULE PERMIT CANCELLED LIEPA FEWHIT EXTEND€D IIMD PERMIT FiNAc "4�T ASaESTOS NOTIFICATION I$ NOT APPLICABLE TO CERTIFICATEQF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: