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Home My WebLink AboutXR2023-2642 - Permits'aF�RT City of Newport Beach COMB Permit: XR2023-2642 CommunityDevelopment Department Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII P P 9 X R 2 0 2 3 2 6 4 2 F �'y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date ems. S newportbeachca.gov/civic Final Date: Cq�IFOPN\P Combination Type - SFP Permit Status: Applied Work Class - Repair Inspection Area : 2 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 : 2B00 BAY SHORE DR Legal Desc : N TR 3277 BLK LOT 3 Description: SFR REROOF, T/O WOOD SHAKES, INSTIL (1) LYR OF SYNTHETIC UNDERLAYMENT, REPLACE SHEATHING AS NEEDED,_INSTL. CEDARLIGHT TILE (5.9 r PSF) (20 SQS) c — Owner: MORRISON THERESA CAGNEY TR Contractor: JH ROOFING Architect Address : PO BOX 965 Address : 2415 SANTIAGO ST Address CARDIFF, CA 92007 SANTA ANA, CA 92706 Phone: Phone: (714)402-6481 Phone: Con State Lie : 1008577 State Lie Lie Expire : 03/31/2024 Applicant: JH ROOFING Bus Lie : BT30071516 Engineer: Address : 2415 SANTIAGO ST Bus Lie Expire : 04/30/2024 Address SANTA ANA, CA 92706 Phone : (714) 402-6481 Workers' Compensation Insurance Phone Carrier: STATE FUND Owner/Builder : Policy No : 9326596 Designer Address : W. C. Expire : 10/29/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $15,500.06% , 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 : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 0 Flood Zone : AE, 8 FT; X Use Zone : R-1 - ingle-Unit Residential PROCESSED BY SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penally 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 next to the applicable Rernil 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 Is permit to Ale a signed statement that lie or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter g (commencing with Section 70(0) of Division 3 of the Business and 'rofessions 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 of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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 nprovements are not Intended or offered for sale. If, 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 nproved for the purpose of sale). 3 I, as owns, 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 poly 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). I I am exempt from Ilcensure under the Contractors' State License Law for the following reason _________ ',y my signature below I acknowledge that, except for my personal residence in which I must have residedfor at least one year prior to completion of the improvements covered by this permit, I cannot legail, oil a structure that I have built as an owner -builder if it has not been constructed in its entirety by liconsed 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 at the following Web site:http:/AiAvwleginto.ca.govlca law. html, signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am Ilrensed under provisions of Chapter 9 {commencing with Said 70 Divisi rr 3 of the Busl ss Profession ode, and m se is In full force nd effect. License Class License No Do 2 Contractor S n , re PORKERS' COMPENSATION DECLARATION 'ARMING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDREDTH US NO DOLLARS t51D0,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3704 OF THE LABOR CODE. INTEREST, ANO ATTORNEY'S FEE&. hereby affirm under penalty of perjury one of the following declarations: I have and will mantem a certificate or 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 ormnncs of the work for which this permit is issued. Policy No. ono will ma+ntain 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' carrier and policy number are: Policy Number of Agent Date JI certify III in tl.c performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre =L 1, , should su •t to th ' orkers pensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ignalure of APptlC �f'pq .. ��`-__ _ _�__._ 1 ECLARATIO c ARDINTRUCTION LENDING AGENCY nereby affirm unc E pet allyry that there Is a construction lending agency for the performance of the work for which this permit is issued QSection 3097, Civil Code). dame _ _ Lenders Address _ y I signature paluw, Icertify 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 or i,nances a ' state lai,vs relating to building construction. en I authorize representatives of this city or Cou the all dentified property for inspection purposes. ionature, of Prooerty Owner or Aulhoriz er Print Pronertv Owner's or Aidhnri>ad Anenl'c Nnni t 1 hY E71-Grf upr".t N,-. DATE BY I DELARATICNOF COMPLIANCE WITIi LODE OF FEDERAL FOR OFFICE USE ONLY j RF. UTAIIONS PART 61 OF TITLE 40 AND AQMO RULE PERMITEXPiRED I ,/r\ j U I SURMITTFD ASRFSTOS NOTIFICATION TO P£RMIT£XT£ND£D I I LJAQMD PERMIT FINAiE CERTIFICATE Of '1 'a 5RESTOS N 0 1 1F 1CA I IO 5N01 AP I RLE 1O " OPOSED DEMCLITI ON�{/cam/� OCCUPANCYISSUFD I�I'Y RE