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Home My WebLink AboutXR2023-1468 - Permits�EW oRr City of Newport Beach I 111�1I��pI��111111111111111p1111111111111111111111111111111COMB Permit : XR2O23-1468 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Platt Check No Permit Counter Phone: (949) 718-1888 Issued Date : 06/01/2023 U ' newportbeachca.gov/civic Inspection Area : 2 °"<,�2da+✓ Combination Type - `" Work Class - Other 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: 312 GRAND CANAL Legal Desc : N TR 742 BILK LOT 7 Description: DUPLEX RE -ROOF (FRONT ROOF ONLY) T/O 1 LAYER COMP; REPLACE WOOD WHERE NECESSARY; INSTALL 1 LAYER SYNTHETIC U INSTL 8 SO'S COMP Owner: MITCHELL MIGNON Contractor: TG ROOFING AND ROOF REMOVAL Architect Address: 312 GRAND CANAL Address : 960 N ENTERPRISES ST Address NEWPORT BEACH, CA 92662 ORANGE, CA 92867 Phone : Phone : (714) 637-1530 Phone Con State Lic : 657689 State Lic Lic Expire: 12/31/2024 Applicant: TG ROOFING AND ROOF REMOVAL Bus Lic: BT30080251 Engineer Address : 960 N ENTERPRISES ST Bus Lic Expire : 12/31/2023 Address ORANGE, CA 92867 Phone: (714) 637-1530 Workers' Compensation Insurance Phone: Carrier: STATE FUND Owner/Builder : Policy No: 1976314 Designer Address : W. C. Expire: 7/1/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $6,900.00 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 : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 0 Flood Zone : X Use Zone : R-BI -- Two -Unit Residential, Balboa Island PROCESSED BY: / SPECIAL CONDITIONS ,,JO CONSTRUCTION NOISE ON THE WEEKEND OWNER-13UILDER DECLARATION I hereby affirm under penally of perjurythat 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 Item(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 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, 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 -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ri 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 ea�pTply 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). u I am exempt from licensureunder the Contractors' Slate 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 fa completion of the Improvements covered by this permit, ).cannot legal) sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors.) 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 siteihtip:lAvww.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 Lof ' ' " 3 of the Business and Pro s nse-is-in full farce and effect. License Class License No Date fa Contractor Signature WORKERS' COMPS'NSATION DECLARATION WARNING: FAR-URE TO SECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRWINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS J$100.000), IN ADDITION TO THE CC3T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm un"fer penalty of perjury one of the following declarations: I h tie and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th ,,ee,ffor snoe of the work for which this permit is issued. Policy No, L'!f4 4ve and will mninfem 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 uraoce carrier and policy number are: Can ier Policy Number Expiration Date Name ut Agent — Phone # 'i csrtify that, in the per'ormanee 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 ogre that, if I should become s'Ib"ect to ?K#rS'1MTRRRStIon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -7 Si9PPPnre of Applicant Date DECLARATION FEG;4PIDING CONSTROCUON LENDING AGENCY I 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). Lenders 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 theproperty owner's behalf, I have read this application and the information I have provided incorrect. 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 coup to n fled property for inspection purposes. / Signature of Propertyy Owner or Authorized Agent - Pntll Pro env Owner's or Authorized Agent's Nama �CNO/,J g<S n pate 7 ACTION DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERAAIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLER OETA _ PERMIT EXTENDED D PERMIT FINAL PfL..IS ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF JjN-Zi PR E OUTI OCCUPANCYLSSUED ? SIGNATUR .