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Home My WebLink AboutXR2023-3282 - Permits (3)2EwaoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-3282 O� @ Community Development Department- Building Division X R 2 0 2 3 3 2 8 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 11/1712023 u S newportbeachca.gov/civic Final Date: Combination Type -SFP Permit Status: Issued Work Class - Other Inspection Area : 4 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 : 308 ENCINA Legal Desc : N TR 5878 BLK LOT 87 TR 5878 (L.L.84-214031) PAR 8 Description: ATT SFR REROOF - REMOVE TILE, INSTL NEW SYN UNDERLAYMENT, REPLACE SHEATHING AS NEEDED, RELAY TILE 24 SOS ' 1/22/2024 REVISE TO NEW DURALITE SAXONY SHAKE 600 CRRC 0942-0060 Owner: RAYMOND TAYLOR Contractor: BUMBLE ROOFING Architect Address : 308 ENCINA Address : 6800 OWENSMOUTH AVE, 410 Address : >> NEWPORT BEACH, CA 92660 CANOGA PARK, CA 91303 Phone : (323) 765-9297 Phone : (844) 728-6253 Phone Con State Lic : 1063764 State Lic Lic Expire : 02/29/2024 Applicant ; BUMBLE ROOFING Bus Lic : BT30078254 Engineer Address : 6800 OWENSMOUTH AVE, 410 Bus Lic Expire : 03131/2023 Address CANOGA PARK, CA 91303 ; Phone: (844) 728-6253 Workers' Compensation Insurance Phone: Carrier: STATE FUND Owner/Builder : Policy No: 9271362 Designer Address : W. C. Expire: 2/22/2024 Address Phone: Phone: Code Edition : 2022 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 : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2,022 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X Use Zone : R-1 - Sin`ggJgie-Unit Residential PROCESSED BY SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law tot the reason(s) indicated below by the checkmarkjs) I have placed next to lire 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 licensers 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 (5500),. 0 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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). 0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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 lloereure 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 residedfor at least one year prior to completion of the improvements covered by this permit, I cannot legall7 sell a structure that I have built as an ownor-buildor if it has not been constructed in its antiroty 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,htip:liwww.leginfo.ca.govlcolaw.fltml. Signature of Property Owner or Authorized Agent _- _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm ul,der oel,ally of perjury that I am licensed under provisions of Chapter 9 (commencing with Seclic, 70 ) of Division of the Business and Pro �ada. m li e-iSin full force andeffec:. License Class License No Date/—ZZ-7� Contractor Signature WORKERS' COW..FEt SATION DECLARATION NAI.NINC, 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 (6100,0001, 3N ADDITION TO THE Cast OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEWS FEE$. hereby affirm ri net,aity of perjury one of the following declarations: ❑ I rvie and vill 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 in pndOm?-ince of rho wnrK for which this permit is issued. Policy No. ,era 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, Ivy workers" ai^z carrier and policy number are: Policy Number :.`.Agent Date :I certify trial, in the p9+formonee 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, if I should become subject to the workers' c on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant _ Dat§� 2 Z — Z Tt )ECLARAT€ON REGAR QNSTR41CON LENDING AGENCY / hereby affirm underpenaity 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). ender's Name _ Lender's Address 3y 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 I 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 count t erthe aIjt�1�owe-identified property for inspection purposes. Signature of Property Owner or Authorized A ent or7N�l7p✓I ur Print Property Owner's or Authorized Agent's Name Oat ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61. OF TITLE 40 AND AQMD RULE PERMITEXTENDED OCCUPANCY ISSUED V PROPO U NOR i 5 NOT APPLICABLE PERMlT FINAL SIGNA CEft71E1CATC Of � FROFOSFO•DE N