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Home My WebLink AboutXR2023-0650 - Permits��gWPpRT City of Newport Beach p 6 Community Development Department- Building Division F j 100 Civic Center Drive, Newport Beach, CA 92660 u i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cq<i co r�N`r newportbeachca.gov/inspections Combination Type - SFP Work Class - Repair 11111111111111111II11111111111111111111111111HI IIII 11COMB Permit: XR2023-0650 Plan Check No: Issued Date : 03/10/2023 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 : 2001 GALATEA TER Legal Dose : N TR 2813 ELK LOT 133 Description : SFR T/O COMP SHINGLES. INSTALL 1 LAYER FELT, INSTALL 40 SQ COMP SHINGLES Owner: FERRY FIONA TR Contractor: JH ROOFING Architect Address : 2001 GALATEA TER Address : 2415 SANTIAGO ST Address CORONA DEL MAR, CA 92625 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 : 04/30/2023 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 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks: Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: $17,000.00 0 0 0 ltYYtY GR.'G41L-VGR VGVGMr\Allv,� I hereby affirm under penalty of per that I am exempt from the Contractors.' Slate License Law for the reasons) indicated below by the checkmark(s) I have planed next to the applicable items) (Section 7031.5, Business end Professions Code: Any city or county that requires a perodt to construct, alter.. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to fife a signed statement that lie or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 70DO) 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 five hundred dollars 1$500). I, as owner of the property, or my employees with wages as their sole compensation, will do U ail of or (_) portions of the work, and the structure is not intended or offered for safe (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). 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 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). I am exempt from licensure-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 lega lq 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 the Business and Professions Code, is available upon request when this application is submitted or at the following Web site.httpalwuw.leginfO.oa.govlcalaw.html. Signature of Property Owner or Authorized Agent _�• _ �_ DaI LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) 0 tvi on �of the Business and Professions de ah license is In full force and effect. License Class License No Dat U' Z Contractor Signature WORKERS' COMPENSATION DECLARATION (WARNING: FAILURE TO SeCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORED OU a DOLLARS (E100,000). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 370¢ OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. I'll 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, forth a r rice of the work for which this permit is issued. Policy No. ave 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, Nly workers" compensatiol Ins ance carder and policy number are: arrler Policy Number Expiration Date Name of Agent Phone n ❑1 certify that, in the performance of e work for In this permit is issued. I shall not employ any person in any manner to as to become subject to the workers' compenseli n la. s Of California, and agre that, if I should become subiect to t workers' ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Cat 3 /a Z DECLARATION RE:G NG C STRUC'TIDN LENDING AGENCY I hereby affirm under penalty a pa any that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Name I_ Lender's Address By my signature below, I Carl!"each of the following: I am the property owner or authorized to act on the properly owner's behalf. I have read this application and the information I have pr ided is co act. ,. I agree to comply with all applicable City end county ordl noss an si to laws relating to building construction. _ I authorize representatives of this city or cou ty o ant the above*tifled property for inspection purposes. UC �/��.L- S Date Sign.ature of ProertOwner Or Authorized Agen (� Print Property Owner's or Authorized Agent's Nam ACTION DATE RY E ARAT€ON Of COM PLIANCE W17H CODE OF FEDERAL FOR OFF9CE WSE ONLY j - RF, t1LATIONs PART 61, OF TITLE 40 AND AgMD RULE 403 PERMiT£XPIRED { I SUBMITTEDASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA _ PEWT:EXTENDED _ _ TOMO PERiMITFINAL E I..I ASBESTOS NOTIIFI ION IS NO PLICAdLE TO CER7rFICATE OF ('(-7^Z1 Dr(,�� PROPOSED DEMOL Ot{ a --- OCCUPANCY ISSUED SIGNATURF,IV