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Home My WebLink AboutXR2023-0354 - Permit ApplicationF��W PORr City of Newport Beach 6 Community Development Department- Building Division !� 100 Civic Center Drive, Newport Beach, CA 92660 r Permit Counter Phone: (949) 644-3288 d Inspection Requests Phone: (949) 644-3255 �G�F00.N�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other PERMITS EXPIRE 180 DAYS NO CONSTRUCTION RELATED Job Address : 1938 PORT BISHOP PL Description: SFR REROOF W/BORAL Owner: SALTER JAMES W IV TR Address : 1938 PORT BISHOP PL NEWPORT BEACH, CA 9 Phone: Applicant : VIRGEN ROOFING Address : 3029 E CADE STREET LONG BEACH, CA 90805 Phone: (323)271-6244 Owner/Builder : Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height: 11IIIIIIIII1111111111111111111111111111111111111111111111 jj COMB Permit : XR2023-0354 Plan Check No: Issued Date : 02/0712023 Inspection Area : 4 OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE SY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Dates Legal es 7030 BILK LOT 59 XONY 600 34-S0 CL "A' T/O WOOD SHAKE i u; as Contractor: VIRGEN-ROOFIf Address 3029.E CADE STRE y LGNQ1 13E�CH, CA 8 `- WIN - Pone : (323) 271-6244do Lic-:._.1063338IV pire . 02/29/2024 iG: BT30080405 Bus ic'Expire: 01/31/2024 r , Workers' Compensation Insurer,-- " gam'' kjrrier: STATE COMPENSATION INSURANCE FUND Architect"'• `, Address ' O ❑ Phone: r LiV io i t State Engineer.. " Address Phone: Designer: Add x""'� ress . (Irrork sfarted) t '1 l q Note: `` c � � Sprinklers : NO (a'1O WOf)(` id 91 i6n... Fire Hazard- NO Zv/TI sq. ft. Bldg o of Units : 1 Alteration sq. ft. Bldg No of oheao . 2 __ Added/New sq. ft. Garage: Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 10 Flood Zone: X Use Zone: PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: i/iSO• initials: $28,5JO.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Section 7031.5, Business and Professions Code: Any city or county ie permit to file a signed statement that he or she is licensed pursuE 'rofessions Code) or that he or she is exempt from licensure and the of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as th r lusiness and Professions Code: The Contractors' State License H nprovements are not intended or offered for sale. If, however, e b nproved for the purpose of sale). I, as owner of the property, am exclusively contracting wit licens pply to an owner of property who builds or improves theme and wl I am exempt from licensure under the Contractors' Sta Lice ly my signature below I acknowledge that, except for my rson re ell a structure that I have built as an owner -builder if it h not an 'rofessions Code, is available upon request when this plicat ;Ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am Iic s r prov nd effect. License Class ,}' se Grs' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) aquir ermit to construct, alter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for he provisio the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ttta alleged a tion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of 49 . :ompensa'f of portions of the work, and the structure is not intended or offered for sale (Section 7044, ply to an -r of arty - rough employees' or personal effort, builds or improves the property, provided that the I or im vemen so hin ear of completion, the Owner -Builder will have the burden of proving that it was not built or a rs to st the project (S 7044, Business and Professions Code: The Contractors' State License Law does not for th rojects wi icensed Con or pursuant to the Contractors' State License Law). or the follo a n which 1 mus h I 10 , year prior to completion of the I'" vements covered by this permit, I cannot legal) ted entirety by lice hderstand that a copy of the pplIcab Section 7044 of the Business and Fed or II wing Web si It eginfb.ca.gov/calaw.htmi. if //�� a //__Date -- of Cha enr g�e Sotion 70DD) of t9ivi.;ion 3 of the BuslnQ(fARrofessid .bd_Wnd my IlcenSq4 in fulL!,orce VORKERS' COMPENSATION DECLARAT N ( v 1ARNING: FAILURE To SECURE WORKERS' COMPENSAT N COVE E 1 UN SMALL SUBJECT AN EMPLOYER DST OF COMPENSATIC R, ..^! MAGES AS PROVIDED FOR SECTION 0]OS OF THE f TEREST, AND ATTORNEY'S FEE °f hcoLy cKkm unde- pereTy of perjury one of e�ASq/Ilowing declaraU4nsnY�,�, i'^fl I hav? and will maintain a certificate o onsl:�self-insure for`4fr�(herS compo . ' ued by the Director of er;orrnanua of the work for which this pe is issued. P )icy No. Otaa;?� 3ihave. and will .maintain workers' co nsa insurance, quired by Section50 of the labor Code, foie isnrance carrier and po„cy number are: of Agent _ L FINES UP TO 641 }d/N]o�ftED THOU SAN� 1:'ARS (i100,000), IN ADDITION TO THE ��,..' VVVVVV' r 7, elation as provided for by Se WOO of the Labor Code, for th of the work for which this permit is issued. My workers' compensatioi ue.13; 'hat, in the performance of the work for which this permit 1 ed, II not emplo person in any manner(pas to r . if I shnuld berome subject to the workers' compensation provisions o on of the Labo e, I shall fodhwil iaiure of Applirant ko hereby affirm under penalty of perjury that there is a construction lending agency for the perform f tf iA rk for which)" ermit is enders Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. ,nSp 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 state laws relating to building construction. I authorize representatives of this city or county to�nter above -identified property for inspection purposes. lionature of Prooertv Owner or Authorized Acent �L/ �� Print ProDertv Owner's or Authorized Agent Date to the workers' compensation laws of California, and 3- 7-.2 3097, Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGUTATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED /j.3 ISUBMITTEDASBEST05 NOTIFICATION TO PERMIT CANCELLED V LJEPA LIAQmo PERMIT EXTENDED PERMIT FINAL r ASBE5TO5 NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: