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Home My WebLink AboutXR2023-3057 - Permits�gWPpRT City of Newport Beach Community Development Department IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2023-3057 D4 6m dment-Building Division q 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: ` D Permit Counter Phone: (949) 718-1888 Issued Date : 11/06/2023 u newportbeachca.gov/civic Final Date: Cq</F00.N�P Combination Type - Permit Status: Issued Work Class - Repair Inspection Area : 6 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 Description Owner: Address Phone : Applicant: Address Phone : 721 ORCHID AVE Legal Desc : A TR CORONA DEL MAR BLK 741 LOT 21 DUPLEX REROOF. T/O (E) SHAKE ROOFING. USE (E) SHEATHING. INSTALL 1 LAYER SYNTH FELT. 2 SQ TORCHDOWN, 25 SQ COMP SHINGLES BRUCE UNGERLAND Q� Contractor: RAM RAM ROOFING 721 ORCHID AVE ('1 Address : 2010 E E SANTA CLARA AVE, CORONA DEL MAR, CA 9 5 SANTA ANA, CA 92705 (949)939-2824 Phone: (210)334-4066 RAM RAM ROOFING Z 2010 E E SANTA CLAe AVE SANTA ANA, CA 927X (210)334-4066 Q Owner/Builder: c Address : 7 �Q U® Phone : O Code Edition Type of Construction : V- Occupancy Groups: U,R-3 Bldg Height : Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential Con State Lic : 1098284 Lic Expire : 10/31/2024 Bus Lic: BT30082976 Bus Lic Expire : 11/30/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9347707 W. C. Expire : 10/11/2024 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect Address Phone: State Lic Engineer: Address Phone: Designer: Address Phone: NO Construction Valuation : $23,200.00 NO Added/New/TI sq. ft. Bldg : 0 2 Alteration sq, ft. Bldg : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 PROCESSED BY: lid SPECIAL CONDITIONS: HIGH DESNITY ZONE s i� OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that d am exempt from the Contractors' State License Law for the reason(s) indicated below by the clieckmark{s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or count', that requires a permit fo construuot, 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 Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from ticensure 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).. ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License La•.v 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 construct the project (Section 7D44, 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). 1 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 lagaly sell a structure that I have built as an ownor-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 tho Business and Professions Code, is available upon request when this application is submitted or at the following INeb site:hW:llwww.leginfo.ca..gov/calaw.html. 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 7000) f D '00 3 of the Business and Pro ssi a code, and my If ose is In full force and effect. License Class License No Date Contractor Signal 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 HUNDRED THOUSAND DOLLARS ISTDD,000), IN AAOFION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES, I hereby affirm under penalty of perjury one of the following declarations: 111 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 Ili p ormance of the work for which this permit is issued. Policy No. dI Jave and Vill maintain world rs' 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' compensatior insu nee rr r nd �y num state: ter Policy Number Expiration Date Name of Agent Phone If certify that. in the performance of the work for which this per It is issued, I shalt not employ any person in any manner so as to become subject to the workers' compensation laws of Callfomia, and If I should become sublact to the workers' compep/SsStich pro 'lions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /[ j tl/7 N�NDiNG AGENGY� h----- Dar hereby affirm under penalty dT perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade) of Applicant antler'a Name Lenders Address ly my signature below, I certify to each of the following: i art 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 ordinances and slat. law relating to building construction. I authorize representatives of this city or county to ent t above r9iified open for inspection purposes. k ii nature of Property Owner or Authorized A en Print Pro erty Owner's or Authorized A ent's N r _ Dat� rC 4CTION DATE By DECLARATIONS. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF IITLF 40 AND AOMD RULE PERMIT EXPIRED PERMIT EXTENDED FCRYVT f7rfA1 CERT7 lCFLE Of OCCUPANCY f5SUED j 1403 I SUBMITTED ASBESTOS NOTIFICATION TO _ CP❑ A ASBESTOS NOII HCAIION ISNOTAPPLICABLE 1- PROPOSED DEMOLITION St`GNATURE: 23