HomeMy WebLinkAboutXR2023-2377 - Permits�EWaoRr City of Newport Beach III IIIIII II I IIII IIIII IIIII IIII I IIII II II COMB Permit : XR2023-2377
Community Development Department- Building Division x R 2 a 2 3 2 3 7 7
10D Civic Center Drive, Newport Beach, CA 92660 Plan Check No :
u ? Permit Counter Phone: (949) 718-1888 Issued Date : 0812512023
o.newportbeachca.gov/civic
C9rIF00.N\P Combination Type - Final Date:
Work Class - Other Permit Status: Issued
Inspection Area :t
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 : 118 46TH ST Legal Desc : A TR RIVER SECTION BLK 45 LOT 9
Description: DUPLEX REROOF - T/O TILE, INSTL 30# FELT, R/R SHEATHING AS NEEDED, INSTL 20 SQRS LIGHTWEIGHT TILE **ESR-1900 5.7 PSF**
Owner:
CHRISTINA MASRI
Address :
118 46TH ST
NEWPORT BEACH, CA 92663
Phone:
(818)817-6398
Applicant:
LOW COST ROOFING LLC
Address :
43350 CORTE BENITEZ
TEMECULA, CA 92592
Phone:
(808)344-2138
Owner/Builder :
Address :
Phone :
Contractor: LOW COST ROOFING LLC
Architect
Address : 43350 CORTE BENITEZ
Address
TEMECULA, CA 92592
Phone: (808)344-2138
Phone:
C-)
Con State Lic : 1091727
State Lic
A
Lic Expire : 05/31/2024
Bus Lic : BT30082455
Engineer:
Bus Lic Expire : 08/31/2024
Address
Workers' Compensation Insurance
Phone:
Carrier: CSTMGL000116700
Policy No : 9318027
Designer:
-
W. C. Expire: 5/17/2024
Address
Phone:
Code Edition :
2022
Fire Sprinklers :
Type of Construction :
V-B
Fire Hazard Zone
Occupancy Groups :
U,R-3
No of Units :
Bldg Height :
No of Stories
Building Setbacks :
Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone :
R-2 - Two -Unit Residential-t
PROCESSED BY: �zI/
SPECIAL CONDITIONS:
NO Construction Valuation : $10,000.00
NO Added/New/TI sq. ft. Bldg: 0
1 Alteration sq. ft. Bldg :
2 Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
OWNER -BUILDER DECLARATION
I hereby affirm under penally of pe€jury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) 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 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 licensure 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 Ave hundred dollars ($600),
❑ 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 notintended 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 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
Improved for the purpose of sale).
El 1, as owner of the property, am exclusively contracting with licensed Contractors to constructthe 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).
El I am exempt from Ilcensureunder 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 forat least one year prior to completion of the Improvements covered by this permit, I cannot legall
sell a structure that I have built 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 iho Business and
Professions Code, is available upon request when this application is submitted orat the following Web site:httpJ/Www.leginfo.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 (commencing with Section 7 o Division 3 of the Business and Pro Sipes a,. and. my license is in full force
and effect. License Class License No Date --Z 3Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CML FINES UP TO ONE HUNDRED HOUSAND DOLLARS (StDD,DOD), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STQE OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ I 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 III
Brfcrrrd! a of the work for Which this permit is issued. Policy No.
PKca—ve 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` compensatio
InsuranctiLr,arrar and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone ##
[1I certify that, in the perforiirance 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 ogre
that, if I should become ali fact. to the workers' compensation provisions Of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant_ _ - _ _ _ _ Date`s r- 23
DECLARATION REGA iN -C.ONSTRUCTION LENDING AGE
I 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, C II Code).
Lender's Name _ Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or aulhoriz:ed to act on the properly 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 Go ri ordinances and state laws relating to building constnlclion.
I authorize representatives of this city or county enter the above -identified property for inspection purposes.
Si nature of Pro art Owner or Authorized Age''t
eotl Print PropertyOwner's or Authorized A aril's Name to
ACTION DATE BY ftEQARATION OF COMPLIANCE WITH CODE OF FEDERAL FCR OFFICE USE ONLY
r REGULATIONS PAR]" 51 OFTFFLE 40ANn AOMD RULE
1403
PERMIT EXPIRED { I I SUBMITTED ASBESTOS NOTIFICATION TO
— - -__ _—.—
PEAMITCANCFLLED_ARIIEPA
PERMIT EXTENDED MD
PERMIT FINAL SBESTOS NO fIc.FlIION 15 NOTAPPLICABLE 70
CERTIFICATE Of PROP DDE ITIOFI
OCCUPANCY ISSUED `l 'SIGNATURE: — -