HomeMy WebLinkAboutXR2024-0092 - PermitsCity of Ncwpo t Beach
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Community Developr,ient Cepartm-.nt - 3ujAnn Division
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100 Civic Centor Drive. Niw�or, Bvacn, CA 92360
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Permit Counter Phone: (94e) 718-1883
newportbeachca.gov/civic
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Combination Type - SFP
Work Cass= Repair
I�Ilillil?IIIII1111111111111111111111111111 IIIIIIIIIII COMB Permit : XR2024-0092
11 X R 2 0 2 4 0 0 9 2
Plan Check No:
Issued Date : 01/10/2024
Final Date:
Permit Status: Issued
Inspection Area : 3
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 : 1836 IRVINE AVE Legal Desc : N TR 3801 BLK LOT 49
Description: SFR REROOF T/O (E) COMP SHINGLES. INSTALL SYNTHETIC UNDERLAYMENT AND REPLACE SHEATHING AS NEEDED. INSTALL 32 SQ OF COOL
SHINGLES.
Owner: SCOTT AND PAMELA HOSTETLER
Cootractor : ROOF PRO -
Architect
Address : 1836 IRVINE AVE
Address : 5941 KINGMAN AV #2
Address
NEWPORT BEACH, CA 92660
BUENA PARK, CA 90621
Phone: (949)413-6824
Phone: (714)944-8340
Phone:
Con State Lic : 1023092
State Lic
Lic Expire : 01/31/2025
Applicant: HUMBERTO FLORES
Bus Lic: BT30083363
Engineer
Address: 2120 LAMBERT RD, SUITE D
Bus Lic Expire : 01/31/2025
Address
LA HABRA, CA 90631
Phone: (562) 565-7081
Workers' Compensation Inprance.
Phone:
Carrier: MIDWEST EMPLOYERS
CASUALTY
COMPANY
Owner/Builder:
Policy No: BNUWC0161785
Designer:
Address :
W. C. Expire : 12/6/2024
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 : 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: 20, Side; 6, Side: 6, Rear: 6
Flood Zone: X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS
$14,400.00
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reaseri mclicaled below by the ohICKHrsrkii) I havd placed next to the applicable ftem(s)
Section 7031.5, Business and Professions Code: Arty city or county that requires a permit to construct, alter, improve, demolish, or repair an3 s+ruciurz, uric- Ic its tscvanee, also requires the applicant for
ie permit to file a signed statement that lie or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (con,rner,c,ng win Section 7000) of Division 3 of the Business and
'rofessions Code;) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.E by any applicant for a permit subjects the applioant to a civil penalty of
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the sirict.ire Is not lntand&d or ofeed fiir sSle (Section 7044,
lustri and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, bLildr or improves :he 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 Ownel-BuilderWill haVP the Virden or ^roving that it was not built or
nproved for the purpose of sale)-
3 I, 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
ppiy 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 licensure under the Contractors' State License Law for the following reason:
ly my signature below I. acknovtodge 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 legalh
all a structure that I have builtas an owner-buldor 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
'rofessions Code„ is available upon request when this application is submitted or at the following Web site:htip:/lwww.leginfo.ca.govlcalaw.html.
lignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chanter 9 {commencing with SeDHon 700 of 'visi ry 3Df fhe Business and Professions Co d m1+ license is In full force
nd effect. License Class (S A License No �O 1i O 1 Date Contractor Signature
PORKERS' COMPENSATION DECLARATION
FANNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 151r00,0001, IN AUCTION TD THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
:1 1 have and will maintain a oertifcale 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 th
ance of the work for which this permit is issued. Policy No,
I 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. My workers' compensaiiol
urance carrier and policy number are
Gamer E �� sr _ �.o �� P licy Number 9 N U \A/ C�. � � (a 1119 Expiration Da
'Jams of Agent rW 6:+41 f Phone # 1 )Loa( ] S:1;L - SIn S
:11 certify that, in the performance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre
.hat, If I should become subject to the .workers' compensation provisions of Section 3700 or the Labor Code, I shall forthwith comply with those provisions. �/
Signature Of Applicanl� Date Z (A �0 �_2 �,_
DECLARATION REGAR�C 4TRU—rNtsING AGENCY
hereby affirm underpenaity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
_enders Name Lender's Address
3y 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.
I have read this application andthe 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 enter th eve-Id4ntified property for inspection purposes. I' I /f
Signature of Property Owner or Authorized Agent � � Print Property Owner's or Authorized Agent's Name Rk_M_ L �_ 0 F I�fj DatkLJ__01/_10A,
ACTION I DATE I BY DISCIARATIONOF COMPLIANCEWITO CODE OF FEDERAL I FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
LI I suBMITTFn ASBESTOS NOTIFICATION TO
PER'MITCANCELLED
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PERiMiT FINAL
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CERTIFICATE OF
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