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HomeMy WebLinkAboutXR2023-2817 - PermitsCity of Newport Beach jj��111p111111111111111111p1111111111111p11111111111111jj XR2O23-2817 Community Development Department - Building Division X R 2 0 2 3 2 8 1 7 COMB Permit : 04�-"�, 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 1010612023 newportbeachca.gov/civic w - ^-g r",/R"�A'� 1,�j -I: Final Date: Combination Type - SFP aY iz— �,,," m 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: 1500 CORNWALL LN Legal Desc : N TR 1896 BLK LOT 11 Description: SFR REROOF: T/O (E) ROOFING. INSTALL COMPOSITION SHINGLES 27 SQUARES Owner: CARELS EDWARD J TR Contractor: HENALA ROOFING INC Architect Address: 1500 CORNWALL LN Address : 2973 HARBOR BLVD, #217 Address NEWPORT BEACH, CA 92660 COST MESA, CA 92626 Phone : Phone : (949) 610-4883 Phone Con State Lie : 1098371 State Lie Lie Expire : 11/30/2024 Applicant : HENALA ROOFING INC Bus Lie: BT30080092 Engineer Address : 2973 HARBOR BLVD, #217 Bus Lie Expire : 02/29/2024 Address COST MESA, CA 92626 Phone: (949) 610-4883 Workers' Compensation Insurance Phone: Carrier: STATE COMP Owner/Builder : Policy No: 9326605 Designer Address : W. C. Expire : 10/25/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $13,250.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Tl 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: 10 Flood Zone Use Zone : BY: �� - •"" PROCESSED SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION 1 hereby artier) under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable itemts) (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 file a signed statement that fie ar 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 licansure 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). © 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 properly, provided that the Improvements are not Intended ar offered for sale, If, however, the building or Improvamant is sold within one year of completion, the Owner -Budder will have the burden of proving that it was not built or Improved for the purpose of sale). 0 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 lap ly 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), Lt I am exempt from ilcensare under the Contractors' State License Law for the following reason.,- 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 legali, soli 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 a copy of the applicable law. Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site;httpd}www,leginto.ca,gov;calaw.htmi. Signature of Property Owner or Authorized Agent _. Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commending with Section 7pOMO of Division 3 of the Business and Profess' o, and my license is In full force and effect, License Class License No ➢ate 06 / Z Contractor Signature WORKERS' COMPENSATION DECLARATION MARRING: 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 t5100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: n u 1 have and will 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 In performance of the work for which this permit is issued. Policy No.. have 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' Policy Number Cl-3 Zb 6 b of Agent __ Phone # Date 11 certify that, in the performance of the work for which this permit is issued'., I shall notemploy any persorn in any manner so as to become subject to ins workers' compensation laws of Calimmia, and ogre rat, If I should become subject to rs' compansatjOn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lgnature of Applicant Date /Z 3 tECLARATtgN REGARDING CQNSTITIjC71gN LENDING AGENCY 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 Cade). »rider's Name, Lender's Address ry ,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 th,s eIpp:i,;ation 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 representitives of this city or county to e ve-identified property for inspection purposes. 21 / r A( TIOtN PfdWo EXPIRED PFRrvrII CMCFtf ED 7EIVi17'ATENDFT? l PCF,'NIT FiNRL 1 'ERTfflC ATE Of PCLUfANCY I5SC_EC DATE BY 4 AECLARATFONCFCONPLIANCEWITHCODEOFPEDERAL FOR OFFICE USE ONLY t REIxiU AI ON5 PART fiI.OF TTI_E 40 AND AQNID RULE I SUBMITTFD ASBESTOS NOTIFICATION TO ASBESTOS Nfxt PCANON 15 Not APPLICABLE TO SIGNATURES