The URL can be used to link to this page

Home My WebLink AboutXR2023-2533 - PermitsaE.wap�T City of Newport Beach 111 IIIIIIII 11111111p11111p1111111111111p111111111p11111COMB Permit: XR2023-2533 �� :•i @ Community Development Department- Building Division X R 2 0 2 3 2 5 3 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: M� T Permit Counter Phone: (949) 718-1888 Issued Date : 09/11/2023 newportbeachca.gov/civic Final Date: °gCico PN�P Combination Type - MFP 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 : 1214 RUTLAND RD, 1 Legal Desc : N TR 8638 BLK LOT 1 UN 1 TR 8638 LOT 1 UNIT 1 OF P Description: MFR T/O (1) LYR SHINGLES, (1) LYR SYNTHETIC SHEATHING, INSTL (1) LYR SHINGLES (50 SOS) Owner: ROBYN MILLER Address : 1184 RUTLAND RD APT1 NEWPORT BEACH, CA 92660 Phone Applicant: BRANDI LYNN POWELL ROOFING Address : 4712 E 2ND ST, 738 LONG BEACH, CA 90803 Phone : (310) 617-8326 Owner/Builder Address : Phone : Contractor: BRANDI LYNN POWELL ROOFING Architect Address: 4712 E 2NDST, 738 Address LONG BEACH, CA 90803 Phone : (310) 617-8326 Phone: Con State Lic : 1059295 State Lic Lic Expire : 10/31/2025 Bus Lic : BT30082570 Engineer Bus Lic Expire : 09/30/2024 Address Workers' Compensation Insurance Phone: Carrier: STATE FUND Policy No : 9262019 Designer W. C. Expire: 10/5/2023 Address Phone: Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-2 No of Units : 6 Bldg Height: No of Stories : 2 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 0 Flood Zone : X Use Zone : RM - Multiple Residential PROCESSED BY: Q SPECIAL CONDITIONS: I l► � Construction Valuation : Added/New/Ti sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : $20,000.00 0 0 0 0 OWNER -BUILDER DECLARATION I hereby afNm7 under penalty of perjury that I am exempt tram the Contractors' State License Law for the reasonts) indicated below by the checkmari I have placed next to the applicable items) (Section 7031.5, Business and Professions Code; Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that fie 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 S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($900), ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_,) all of or I_) portions of the work, and the structure is not intended or offered for sale (Section 7044, BLlSai and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the property, provided that the improvements are not Intended or offered for sale. IL 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 unproved for the purpose of sale). 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 11 I am exempt from (censure under the Contractors' State License Law for the foflotmng reason By my sic naluro bDlov; I acknowledge that, except for my personal residence in which I must have resided for at least one year error to completion of the improvements covered by this permit, I cannot legall salt a structure that I have built as an ownor•buildor it it has not been constructed in its entirely try 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 fallowing Web site.httpJFwww.leginfo.ca.govlcalaw.html, Signature of Property Owner or Authorized Agent __, LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commending with ion 00�/7 ,4t 3 of the Bu s and Pr�ly iicen�ull force and effect License Class License No e 1 Contrail Signet PORKERS' COMPENSATION DECLARATION / � Z� tARNING: FAILURE T:: JLCJRE WORKER&' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUHJECT AN EMPLOYER T RlhfI L PENALTIES AND Civil FINES UP O ONE NDRED THOUSAND DOLLARS 16400,000), IN ADDHION TO THE CST OF COMPENSaTION nAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS .ES herray,(firm under penalty of perjury one of the following declarations: J I have and wil' Te'Pan a certificate of consent to self-insura for workers' compensation. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for in 7%omiance of the work for which this permit is issued. Policy No. and will maintuin to of Agent 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 Date re•+'h, that, in 1X performanco of rk Pd which this permit is issued I shall not employ any person in any manner so as to become subject to the workers' dompe all n laws of California, and agre t, If f should bN¢;oriz>; subject to rkars' ca pensatfon provisions at Si e Labor Code, I shall forthwith comply with those provisions. 061,wt OfA 11 \e t ...... D .L0.RATI E. DIN DNSTRiIC1'ION LENDING AGENCY_____..,_________�_�..!_ areby afftr unuer' y of perury that there a a construction lending agency far the parerrrlance of the work for which is permit is issued (Section 3 7, G it Code). rders Name Landers Address nay signature below I car, y la each of tits following: I am tine property owner or authorized to act on the pert _ a a_ f, I have read this application and the information eve A ad i correct I agree to comply with all applicable city and Cray rill n and st laws rotating to building construction. I authorize reprasontahvos of this city r y to e above-i ntified property for inspection purposes. _ �� nature of Pro e Owner ar Authorized ant. Pant Pro ert Owner's or Authorized A ri a to TION € DATFDECLARATION OF FFDFRAI FOR Of FILE USE DN-O ' REGULATIONS PART at OF TITLE 40 AND AQMD RULE PERMIT EXPYI Pl iF EXTENDED E _._ _._.____ -.z ISNOTAPPUCABLE 0ILFICATI TO v(� I PROP EMOUTION j sic In PER,LIJTYINAL fj CfRTiF'CAiE0F OCCUPANCY fSSI