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Home My WebLink AboutXR2023-2658 - PermitsEWPo?T City of Newport Beach II IIIIIII II I IIII IIII IIIII IIII III IIII jj COMB Permit : XR2023-2658 of n Community Development Department- Building Division X R 2 0 2 3 2 6 5 8 r )_, 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 0912112023 T newportbeachca.gov/civic Final Date: oq<iFoaN`" Combination Type - SFP Permit Status: Issued Work Class - Other Inspection Area : 8 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 : 516 CATALINA DR Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BLK 31 LOT 5 Description: SFR REROOF -*GARAGE ONLY* T/O WOOD SHAKE, INSTL 30# FELT, ALL NEW SHEATHING, INSTL 5 SQS COMP SHINGLES Owner: MOELLER LINDA ANN TR Contractor: BARNETT ROOFING Architect Address : MOELLER, LINDA Address : 16581 DELTON CIR, 3 Address NEWPORT BEACH, CA 92659 HUNTINGTON BEACH, CA 92647 Phone : (949) 633-9711 Phone : (714) 724-1938 Phone Con State Lic : 661981 State Lic Lic Expire : 12/31/2024 Applicant: BARNETT ROOFING Bus Lic : BT30069528 Engineer Address : 16581 DELTON CIR, 3 Bus Lic Expire : 06/30/2024 Address HUNTINGTON BEACH, CA 92647 Phone: (714) 724-1938 Workers' Compensation Insurance Phone: Carrier: STATE FUND Owner/Builder : - Policy No : 1816874 Designer Address : W. C. Expire : 4/29/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $4,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U 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: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL 60NDI i IONS: .Q Q OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that t am exempt from the Contractors' State license Law for the reasori Indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.6. Business and Professions Code: Any city or county that requires a permit to constnlet, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for is 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 SDCfion 7000) of Division 3 of the Business and vofesslons Code) or that he or she is exempt from Ncerlsure 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 of more than five hundred dollars ($500;. ] 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, •usiness 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, provideo that the nprovements are not Intended or offered for saleif, 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 npraved 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 nyp€y 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). ..1 I am exempt from licertsure under the Contractors' State License Law for the following reason: . _ ._— y my signature below I acknnwiedgo that, except for my personal residence in which I must have resided for at least ono year prior to completion of the improvements covered by this permit, I cannot legal], all a structure that I have built as an owner-buildor 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 Of following Web site:http:tiwww.leginfo ra.govtcalaw,html. ilgnature of Property Owner or Authorized Agent _ __._.__�..�.._.._._..._._ Date— .ICEN'SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisienc of Chapter B (commencing with Section 70 Oj of Di 'sia the Business and Professlgn Cird nd my laense is in full force nd effect. License Class License No Date V Contractor Signature / r VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (1100,000), W ADDITION TO THE ORT OF COMPENSATION,DAMAGES AS PROVIOED FOR 1N SECTION 376E Or THE LABOR CODE. INTEREST, AND ATTORNEY'$ FFES- hereby affirm under ponaity of perjury one of the following declarations, I I have and whl 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 th erfomlancc of the work for which this permit Is issued. Policy No. 51 have and will maintain workers' compensation msurence, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatia isurance carrier and policy number are: ter policy Number Expiration Date 1e of Agent Phone # certify that, in the perform o of the work for which this permit is issued I shall not employ any person any manner so as to become subject to the workers' compensation laws of California, and agre If I should bacon B s t o)fle or is' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. "� laiure of Applicant�.'� ff'� hereby 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) endri Name Lender's Address y my signature below, I Certify to each of the fallowing: 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 ordinances and state laws relating to building Construction. I authorize representatives of this cdy or county to ente�t 9C yB" fi d�rapar�y for inspection purposes. (' 1, a EXPIRED PERA41T EXTENUEO PERMIT RNAI CERt'IrtcATE OF OCCUPANCY ISSUED DATE BY j DECLARATION OF COMPLIANCE WITH CODE. OF FEDERAL FOR OFFICE USE ONLY RF,GULATINNS PART 61 0E TITLE 40 AND AWAD BLI IF. TO NOT APPLICABLE TO