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Home My WebLink AboutXR2023-0736 - Permits�a�WpoRT City of Newport Beach p Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 9266D Permit Counter Phone: (949) 644-3288 .�:Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - Work Class - Other ��III111111111111111111111111111111111111111111111COMB Permit : XR2023-0736 Plan Check No: Issued Date : 03/20/2023 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 : 124 BALBOA BLVD E Legal Desc : A TR EAST NEWPORT.BLK 1 LOT 19 Description: DUPLEX ROOF REPAIF; T/O ROLLED ROOFING; INSTALL 6.5S000MP SHINGLES (NO NEW SHEATHING); #123-0713 Owner: FRESQUEZ E J JR Contractor : Architect Address : PO BOX 4296 Address : Address NEWPORT BEACH, CA 92661 , Phone: (702)528-8310 Phone: - Phone: , Con State Lic : State Lic Lic Expire Applicant : FRESQUEZ E J JR Bus Lic: Engineer Address: PO BOX 4296 Bus Lic Expire : Address NEWPORT BEACH, CA 92661 Phone : (702) 528-8310 Workers' Compensation Insurance Phone Carrier Owner/Builder : FRESQUEZ E J JR Policy No: Designer: Address : PO BOX 4296 W. C. Expire: Address NEWPORT BEACH, CA 92661 Phone: (702)528-8310 Phone: Code Edition: 2022 Fire Sprinklers : NO Construction Valuation : $2,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 9, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single sidential NO CONSTRUCTION NOISE PROCESSED BY: SPECIAL CONDITIONS: ON THE WEEKEND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that t am exempt from the Contractors' State license Law for the reason(s) indicated below by the checkmark(s) I have ptaceel 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, demolish, or repair any structure, poor to its Issuance, also requires the applicant for the permit to file a signed statement that lie or she is licensed pursuant to the previsions 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 for a permit subjects the applicant to a civil penalty of Octmore than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as theirsolecompensation, will do L) all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044, usmess 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 -Sunder will have the burden of proving that it was not built or roved for the purpose of sale). L.I I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70", Business and Professions Cade: 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 alicensed Contractor pursuant to the Contractors' State License Levi), I am exempt from ficensuze under the Contractors' State License Law for the following reason: By my signature below 1 acknowledge that, except for my personal reside a in which must have resided for at least one year prior to completion of the improvements I'ovored by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been cc rucled 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 I. I ` atio is milted or at the following Websl4a:hits./Jwww.faginfo.ca.gov/cataw.html.O V 222 Signature of Property Owner or Authorized Agent Bate LICENSED CONTRACTOR'S, DECLARATIC, Mons of Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is In full force i hereby affirm under penalty of perjury that I am licensed under advi End ede,,t. License Cirss License No Date Contractor Signature VVORN'ERS' COMPENSATION DECLARATION NARNINrx: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE rS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (11100.0001, IN ADDITION TO THE COST OF OOMPENSA.tON, 0„MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LV AOR CODE. INTFREST, AND ATTORNEY'S FEE$. Kersey iffirm uncr.r pe, rally of perjury one of the following declarations: J I have and vitl mairtam a certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN iertorma,ice of the WUIK for which this permit is issued. Policy No. _ II hays 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' Compensatioi nsurance carrier and pol cy number are: �Arrinr__ Policy Number Expiration Date Vtrma or Agent Phone # :11 certify that. in the performance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agra .hat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3ignalure of ApplicantData 3ECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that theta is a construction fending agency for the performance of the work for which this permit is issued (Section 3097,. Civil Code). _ender's Name Lender's Address 3y my signature below, I Certify to each of the following: I am the property owner or authorized to act on the property 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 ordinanc a and state laws r sting to building construction. I authorize representatives of this city or coumv to Enter he.. ove•Identified petty for tnspectfon purposes. -Z o 2, 3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name � Gn "z— Date ILL ACTION PATE: BY I DECfARA11JON OF COM P UANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R€GiJLATIONS PARtSi OF TITLE 40 AND ACiMD RULE rYNMI! to V1KtU i U I SUBMITTED ASBESTOS NOTIFICATION TO PfArWfFCAA'CEllfA EPA FERM77fXTENDEA l--r Lw:t2MD PERiUP77 FINAL ASBESTOS NOT1F3��7}ION IS NOT APPLICABLE TO CERTIFICATE OF (�i�Z Je PROPOSED Ql3T{jJN OCCUPANCYISSUEA SIGNATI�R S� i��%Il��