HomeMy WebLinkAboutXR2023-2518 - Permits(u47)71
City olf Newport Bevelopment Pacent- Building Division ���������111111111111111111111111111111111111111111111 jjCOMB Permit:XR2O23-2518
Commun100 Civic Center Dnve, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 718-1888 Issued Date : 09/08/2023
newportbeachca.gov/civic $ ! e, ,-c. .,,,..,., ....� Final Date:
Combination Type - SFP„ t=,: Permit Status: Issued
Work Class - Repair 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 T/O (E) WOOD SHAKE ROOF. INSTALL OSB RADIANT BARRIER. INSTAL CERTAINTEED PRESIDENTIAL COMP SHINGLES. 29 SQUARES
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 :
$32,000.00
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: 20, Side: 4, Side: 4, Rear: 5
Flood Zone
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
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 Handle the applicable items)
'(Section 7031.5, Business and Professions Code. Any city or County that requires a permit to construe(. alter, improve, demcfelb, or repair any structure, prior to Its Issuance, also requires the applicant for
the 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
Professions 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 penalty of
not more than five hundred dollars ($500).
0 1, as owner of the property, or my employees with wages as their sole compensation, will do O all of or U portions of the work, and the structure Is not intended or 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 bUllding or imps ovemanl is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or
Improved for the purpose of sale).
ED 1, 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
apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
11 I am exempt from licensore antler the Contractors' State License Law for the following reasons _ _
By my signature below I acknowledge that, except for my personal residence in which I must havo resided tar at toast one year prior to completion of the Improvements covered by this permit, I cannot legally
Boll a strucluro that I have Not 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
Professions Code, is available upon request when this application is submitted prat the following `Neb s9ta:hitp:(twww.laglnfo.ca.gpvtca law.himL
Signature of Property Owner or Authorized Agent gate
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 700(i>.pf faisfan of the Business and Professiof e, e y IlyRose is in full force
and effect. License Class License No Date ' ,- Contractor Signature y "6
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE 10 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS i5700,0001. IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES A6 PROVIDED FOR IN SECTION 0706 or THE LABOR CODE, INTEREST, AND ATIT RNE'r'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
f
u I have and will maintain a certificate of consent to self -insure far workers' compensalton, ISSUE(] by ilia Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tot
performanco of the work For which this permit is issued. Policy No.
;2I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the worts for which this permit is Issued. My Workers' componsaflor
insurance carrier and policy IT in le: /�^ ',r
Carrier C � VUU Policy Number �'�\ V/ Expiration Date "\ \ Crcl r:Ll1
Name of Agent .�,\ Phone # J JT i �t4 _' 7 4
❑1 certify that, in the performance of the work for which this permit is loved. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
that. if I should become subject tot wO kers' c pansahon provisions of Section 3700 of the latrar Code, I shall forthwith comply with those previsions.
PyJJ Signature of Applicant
DECLARATION REGARDING CON TRUC ON LENDING AGENCY
1 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).
Lender's Name _ �Lenders Address
By lily signature below. I cartify.',c ca.r. of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this apf.lic }lion and the 'information I have provided is correct.
I agree to comply with all apphcablo city and county ordinances and state laws relating to building Construction.
I authorize representatives of INS coy or county to( iiie IA jive -Identified property for inspection purposes.
mature of Pro be« y Owner or AI
ACTION DATi
PERMIT EXPIRED
PERMIT CANCF. [I.ED
P€!PMIT EXTENDED
Prrrma FINAL a ��
CER FIFiCATE OF
OCCUPANCY!5SUE0
M CLARATFCN OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PAR] 51 OF Tii'tf, 40 AND AONIO RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
JGIASBESTOS NQHHCAtION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION, .N Y"1
FOR orFicE USE ONLY
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