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Home My WebLink AboutXR2023-0137 - Permits4 a�WPO�T City of Newport Beach D d Community Development Department- Building Division / 100 Civic Center Drive, Newport Beach, CA 92660 = Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CqC/F00.�\P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 11IIIIIIIII111111111111111111111111111111111111111111111111 COMB Permit : XR2023-0137 Plan Check No Issued Date : 0112312023 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 : 1 B18 COMMODORE RD Legal Deep: N TR 3763 BLK LOT 17 Description: SFR REROOF W/30 YR ASPHALT SHINGLES 40 SQ CL "A" -RADIANT BARRIER 1/2" OSB, SYNTHETIC PAPER- T/O WOOD SHAKE Owner: ST SURE KENNETH F TR Contractor: SANTIAGO ROOFING INC Architect Address : 1818 COMMODORE RD Address : 361 OAK STE H Address NEWPORT BEACH, CA 92660 BREA, CA 92821 , Phone : Phone : (714) 529-0440 Phone : v Con State Lie: 576276 State Lie Lie Expire : 08/31/2023 -' Applicant: SANTIAGO ROOFING Bus Lie: BT30079503 Engineer Address : Bus Lie Expire : 08/31/2023 Address Phone: (714) 529-0440 Workers' Compensation Insurance Phone: • > > Carrier: CALIFORNIA+INSURANCE+COMPANY Owner/Builder : Policy No : 468646340110 Designer: Address : W. C. Expire: 1/1/2024 Address Phone: j Phone: ; Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $30,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 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 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 have placed next to the applicable items) Section 7031.5, Business end Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for le permit to file a signed statement that he or she is licensed pursuamto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Businoss and Tofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violat'lon of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penatty of of more than five hundred dollars ($500).. 7 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements 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 nproved for thepurpose of sale). 1 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 poly to an owner of property who builds or improvesthereon, and who contracts for the projects witha 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: ',y my signature below I acknowledge that, except for my personal residence in which I must have rastdad for at feast one year prior to completion of the Improvements covered by this permit, I cannot legally all a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 ofthe Business and professions Code., is available upon request when this application is submitted orat the following Web site:http://www.leginfo.ca,govlcaizw.b'ml. Iignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7,o0J1) of Division a of the Business and Pro Sion Cod �, and my license is in full force rid effect. License Class License.No Oate 7j(J�/_�'�- Contractor Signs VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WOPKERS' rOMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,000), IN ADDITION TO THE CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES - hereby affirm un�Cr;pa,aalty of periur, one of the following declarations: .I I have and will nrainta n 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 yrfi rmance of the work fDr whirh Phisoarmit is issued. Polley No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permitis issued. My Workers' compensatiol Isurance care r a )d rr iiry nun,bef arw _� z :artier lty'(y/t Policy Number L �U�7s3 �'—�� Expiration Date Y lame of Agent _ It certify that, in the rerfcrmarue 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 Iat, If I should become subject in �x Aark.rrIS' c m atien provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. gnature of Applicam ` t(/nsDa/7�� ECLARATION REGA 1NG CTIQ LEN CY / 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). enders Name Lender's Address y 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 ccly and County ordinances and slate laws relating to building construction. I authorize representatives of this city or coup a e. the ove I piffled property for inspection purposes. ,ionafure of Property Owner or Authorized Anent Print Property Owner's or Authorized Agent's Name lO (I ACTION DATE BY DECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY � i REGULATION$ PART 51 OFTnFLE 40 AND AQNID RULE 1403 PERMIT EXPIRED UpII �SSU--B--''MIITTFD A5BFSTO5 NOTIFICATION TO RERMIT CANCELLED IJI:PA PERMIT EXTENDED r InQMD PERMITi INAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE 10 CERTIFICATE OF '�,22,27 �� (1 PROPOSED ])FJyIOIITI OCCUPANCY155UED 1/ 11'� 516NATLIREY� rA�i