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Home My WebLink AboutXR2022-3109 - Permits�gWPO,gT City of Newport Beach p� Community Development Department- Building Division X R 2 0 2 2 3 1 9 9 100 Civic Center Drive, Newport Beach, CA 92660 0 a Permit Counter Phone: (949) 644-3288 .ate Inspection Requests Phone: (949) 644-3255 Cq<IFOR�\p newportbeachca.gov/inspections Combination Type - SFP Work Class - Re -roof COMB Permit:XR2022-3109 Plan Check No: Issued Date : 11/2912022 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: 316 CORAL AVE Legal Desc : Description: SFR REROOF T/O BUR AND INSTALL GAF TPO ROOFING 6 SQS Owner: ARNETT INVESTMENTS LP Contractor: PREFERRED ROOFING Architect e..� Address: 1849 HACKETT AVE Address : 3419 VIA LIDO #161 Address NEWPORT BEACH, CA 92662 NEWPORT BEACH, CA 92663 ,P Phone: Phone: (949)600-5911 Phone: �eJ Con State Lie : 902112 State Lie 171] Lie Expire: 08/31/2023 Applicant: Sabrina Ann Gale Bus Lie: BT30017922 Engineer : 0 Address : 2901 W Coast Hwy, Suite 200 Bus Lie Expire : 09/30/2023 Address : �•-_� Newport Beach, CA 92663 F Phone: (171) 430-9565 x9 Workers' Compensation Insurance Phone: 4,.. ) Carrier: STATE COMPENSATION INSURANCE FUND j Owner/Builder : Policy No: 9062137 Designer: Address : W. C. Expire: 8/16/2023 Address Phone: Phone: Code Edition : Fire Sprinklers : NO Construction Valuation : $14,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone Use Zone PROCESSED BY: SPECIAL CONDITIONS: 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 have placed next to the applicable itam(s) (Section 7031.5, Business and 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 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 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). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do i_) 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. Law 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-Suilderwill have the burden of proving that it was not built or improved for thepurpose of 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). I am exempt from licersure 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 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 orat the following Web site:http:llwww leginfo.ca.govfcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0) of Division 3 of the Business and Pr salons C , and my license is In full farce land effect. License Class License No Do Contractor Signatu 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 T OUSAND DOLLARS IS100,000), IN ADORION 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: ❑ I 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 er ante of the work for which this permit is issued. Policy No. 5 Pk,Nava 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' compensatiot sun arrier and policy number are! Carrier Policy Number Expiration Dale Name of Agent Phone # I certify that, in the and monce of the we or 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 ogre that, If I should becom s ject to the won ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Daltec"ll DECLARATION REEG DIN{ TRUCTION LENDING AGENCY I hereby affirm under penalty erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097ode). Lenders Name Lender's Address By my signature below, I certify to each of the following: I am Ilia 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 cun ordinance nd state taws relating to building construction. I authortre representatives of this city or county enter the ov-Identifled pro rty for inspectlon purposes. // I Si nature of Pro ert y Owner or Authorized Agent Print Property Owner's or Authorized A ent's Name �`-6 4 G— 5 /Date 29 ACTION DATE BY DE ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I 77�- REGULATIONS PART 61 OF TITLE 40 AND ADMIT RULE PERMIT EXPIRED PERNIfTFINAL ,,/ pA-✓ CERTIFICATE OF 21Z 22 fin-• OCCUPANCY ISSUED It-. 1403 I SUBMITTED A5RESTr1$ NOTI'lCi'MCN 70 -MEP n --_ -FE NOT APPLICABLE TO