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Home My WebLink AboutXR2023-1555 - Permits-EWpo,, City of Newport Beach 111111p111111111111111111p1111111111111p1Mil11111111 JillCOMB Permit : XR2023-1555 I mCommunity Development Department - Building Division n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: s Permit Counter Phone: (949) 718-1888 Issued Date : 06/08/2023 newportbeachca.gov/civic Inspection Area : 8 9�iFoa" �P Combination Type - SFP F t "7 "7 i f"7f" 771" Work Class - Repair 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: 309 EVENING STAR LN Legal Desc : N TR 4224 BLK LOT 143 Description: SFR T/O (E) ROOFING. INSTALL CAP SHEET AND TORCH DOWN 35 SQUARES Owner: BRANDON BALL Contractor: A M J ROOFING Architect Address : 864 W 16TH ST Address : 164 SOUTH BETH CIRCLE Address NEWPORT BEACH, CA 92663 ANAHEIM, CA 92806 Phone : Phone: (714) 204-9783 Phone Con State Lic : 955495 State Lic Lic Expire : 12/31/2024 Applicant: A M J ROOFING Bus Lic : BT30081815 Engineer: Address : 164 SOUTH BETH CIRCLE Bus Lic Expire : 06/30/2024 Address ANAHEIM, CA 92806 Phone : (714) 204-9783 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No : 1962048 Designer Address : W. C. Expire: 12/1/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $26,777.00 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: 6, Side: 6, Rear: 6 , Flood Zone: AE, 8 FT; X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) -c PROCESSED BY: ' � �' _ _. _ p� NO CONSTRUCTION N4+i J` SPECIAL CONDITIONS: HIGH DENSITY ZONE " ON THE WEEKEND , OWNER -BUILDER DECLARATION I hereby affirm under penally 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 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 limprovements 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 �iimproved for the purpose of sale). ❑ 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 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❑ 1 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 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 or at the following Web site:http:flwww.leginfo.ca.gov/calaw.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 70 Q O) of Division 3 of the Business and Professions C e, a td my license is in full force and effect. License Class License No Date Contractor Signature �U WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL sueJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 4$100,000J. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 IN performance of the work for which this permit is issued. Policy 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 permit is issued. My workers' rance carrier and DOlicv number are: Policy Number of Agent Date certify that, in the performance 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 , if I should become subject to"e workers" compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Date IECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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 enders 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 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 county to enter thg above -Identified property for inspection purposes. of Prodert� Owner or Authorized IJ;J PERMIT EXTENDED. PC.RMIT FWAL CERTIFICATE OF C'CC' IP,vMCY ISSUEn I DATE I BY 3 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 SIGNATURE: NOTIFICATION IS NOT APPLICABLE TO FOR OFFICE USE ONLY Civil Code). v{'"'C C—" Date