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Home My WebLink AboutXR2023-3374 - Permits�gWPORT City of Newport Beach II IIIIII I I II I IIII IIIIIIIIIIIII II III jj COMB Permit : XR2O23-3374 A Community Development Department - Building Division x R 2 0 2 3 3 3 7 4 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 2 Permit Counter Phone: (949) 718-1888 Issued Date : 11/28/2023 ax newportbeachca.gov/civic Final Date: CgCrFOCombination Type - SFP Permit Status: Issued Work Class - Repair Inspection Area : 8 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: 12 CAPE DANBURY Legal Desc : N TR 15012 BLK LOT 81 Description: SFR REROOF, T/O 1 LYR OF WOOD SHINGLES, (1) LYR 30# FELT, SHEATHING AS NEEDED, APPLY CLS "B" WOOD SHINGLES (33 SQS) Owner: EDWARDMCKIBBIN Contractor: CAL -STATE ROOFING Architect: , Address : 12 CAPE DANBURY Address : 702 MONROE WAY Address NEWPORT BEACH, CA 92660 PLACENTIA, CA 92870 Phone : Phone : (714) 813-7736 Phone : w -'- -.�. e • - •' , Con State Lie : 801616 State Lie Lie Expire : 11/30/2025 Applicant : CAL - STATE ROOFING Bus Lie: BT30083110 Engineer: Address : 702 MONROE WAY Bus Lie Expire: 11/30/2024 Address PLACENTIA, CA 92870 Phone: (714) 813-7736 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Policy No: CWC00616800 Owner/Builder : W. C. Expire : 3/23/2024 Designer: Address : Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $18,150.00 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: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : P - Upper Castaways PROCESSED BY: SPECIAL CON I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law tot the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) clion 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 permit to file a signed statement that he or she is licensed pursuant to the provisions of the Con'Vactofs' State License Law (Chapter 9 (commencing with Section 7000) of Division 3.of the Business and fessions Code) or that he or she is exempt from ileensure 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 more than five hundred dollars ($50D). I, as owner of the property, or my employees with wages as thEO sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, :loess 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 aovements 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 roved for the purpose 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 rly 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: 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 i sell a structure that 1 have built as an ownor-buildoi if it has not boon constructed in Its entirety by licensed contractors. I understand that copy of the ap 1 Professions Code, is available upon request when this application is submitted or at the following Web site: http:li"w v.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION i hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec n 7 of Division 3 of the Busine and and effect. Lica.1.:L :,.ass License No Do IZQ_"-F 2'`� Contract r no -NORKERS' COMPENSATION DECLARATION IIv �� ments covered by this permit, I cannot law, Section 7044 of the Business and +DARNING. FAILUR..L ,EC�IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR COOP, INTEREST, AND ATTORNEY'S FEES. ho:eby affirm under penalty of perjury one of the following declarations: In full force 1$100,000), IN ADDITION TO THE and ;rill maintaina 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 e of the work for which this permit is issued. Policy No. wfd,n,airtain 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' fer and policy number are: Policy Number Expiration Date that, in the p6,rformance 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 Imlg bodnm^. sytsflIpt to the worlds' clImpensafion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision) IFgnature of A cant `ECt,ARATt N EGAR V G CO T C N LENDING AGENCY hereby a m under penalty of perju he there is a Construction lending agency for the performance of the work for which this permit is issued tinder's Name Lenders Address ly 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 nifty and C IU id is rrect. I agree to comply ovith all applicable cuty and count ances an sta I vs r toting to building . construction. I authorize representatives of this City c county e tter t,( bPv fie pr party for inspection purposes. iicnature of Property Owner or Authorized A / I! �I) V Print Property Owner's or Authoriz tl AG 's Nam. compensation taws of California, and Code). ACTION DATE. �'� DECLARATION OF C MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE O�/ REGULATIONS PA 61 OFTITLE 40 AND AQMD RULE v // 1403 EXPIRED A5BESTO5 NOTIFICATION TO PERMIT EXTENDED L 1AAQiVD PERMIT FlNA! �.._ bZ- ASIS EO D N0 fra/Z'ItON NON PLIClyeiE TO CER Tff7CATE dF PR SEO DE 1T6O / ocCUPANCVfSSUED TURF: A/7AM