HomeMy WebLinkAboutXR2022-1866 - Permits,v-w;y
City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive,'Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
II III I I I II I II I III II I II II II COMB Permit : XR2022-1866
Plan Check No:
CombinatioWork Class n Type : MFP
Repair
Issued Date : 07/11/2022
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 : 309 BAY FRONT N Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 6 LOT 5
Description: MFR- T/O COMP, USE (E) SHEATHING. INSTALL 1 LAYER 15# FELT. INSTALL 25 SO COMP SHINGLES aa``
Owner: Contractor: RAY'S ROOFING CO Architec \I1\_
Address : Address : 14571 HIGHCREST CIR IRVINE, CA A{jo�C
92604
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Phone :
Phone : (714) 271-5692
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Con State Lie .
G State Lic
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Applicant: RAY'S ROOFING CO
Lic Expire 07/3112024
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Address : 14571 HIGHCREST CIR IRVINE, CA 92604
Bus Lic: BT30079214
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Phone: (714) 271-5692
Bus Lic Expire : 07/31/2023
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Workers' Compensation Insurance
one
Carrier:
Policy No
W. C. Expire:
Code Edition : Fire Sprinklers : NO
Type of Construction : Fire Hazard Zone : Y
Occupancy Groups : No of Units : 2
Bldg Height : No of Stories : 2
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone ; AO 1
Use Zone : R-BI - Two -Unit Residential, Balboa Island
Processed By: � Public Works Approval:
Zoning Approval:
Grading Approval:
SPECIAL CONDITIONS:
Plan Check By:
Approval To Issue:
Designer:
Address
Phone :
Construction Valuation : $0.00
Added/New sq. ft. Bldg :
Added/New sq. ft. Garage
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I haye placed,next to the applicable item(s)
(Section 70315, Business and Professions Code: Any city or county that requires a permit to construct, after, 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 forthe 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 U all of or (_) portions of the work, and the structure is not intended 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 [hat 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 or sale).
❑ 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
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).
❑ lam exempt from licensure under the Contractors' State License Law for the fallowing 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 legally
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:http:/Av .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 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess) Code, my license is In full force
and effect. License Class C _-Q� License No _'3 /_ i to Date - 6 Contractor Signatur vf37tli/�--
WORKERS' COMPENSATION DECLARATION
NARNING: 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 1$100.000p IN ADDITION TO THE
COST 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 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 th
off%rmance of the work for which this permit is issued. Policy No,
e 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
ns once carrier and policy number are:
-arner Policy Number Expiration Date
Name of Agent Phone #
:3I certfy that, in the performance 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 agre
'.hat, it I should become suoecl to the Workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant_- Qo�il��Lq�� - A.7 l`_.,Z
DECLARATION REGARDING CON CONS LENDING AGENCY
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, Civil Code).
-tinder's Name Lender's Address
By 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 and the information 1 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 enter the above-IdentiRed property for inspection purposes.
Si nature of Pro tilt Owner or Authorized A ant Print Property Owner's or Authorized Agent's Name i.L Datr:�. - Z�
92 - -
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
PERMITEXPtRED
- -
, Lii I SUBMITTED ASBESTOS NOTIFICATION TO
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.
PERMIT 7AIVOCL I E,
PERMITEXTENDED 1
PERMIT FIPJAL
CERTIFICATE OF
OCCUPANCY ISSUED
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ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLIT
SIGNATURE, p.Gv