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Home My WebLink AboutXR2023-1653 - Permits' F"Po"r City of Newport Beach 0� e Community Development Department - Building Division ...k, 100 Civic Center Drive, Newport Beach, CA 92660 Y+� = Permit Counter Phone: (949) 718-1888 �c .snewportbeachca.gov/civic Combination Type - SFP Work Class - Repair 11111111111111111111111111111111111111111111�� 11COMB Permit: XR2023-1653 Plan Check No Issued Date : 06/15/2023 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 : 1443 SERENADE TER Legal Desc : N TR 1701 BLK LOT 38 Description: SFR - T/O GRAVEL ROOF. INSTALL TORCH DOWN MATERIAL 20 SQUARES Owner: SILVOSO JOSEPH A II TR Address : 1443 SERENADE TER CORONA DEL MAR, CA 92625 Phone: Applicant: ROOFTEK & WATERPROOFING INC Address : 2440 N GLASSELL ST, U ORANGE, CA 92865 Phone: (714)908-4759 Owner/Builder : Address : Contractor Address Phone : Con State Lic Lic Expire SYSTEMS Bus Lic: ROOFTEK & WATERPROOFING Architect: SYSTEMSINC 2440 N GLASSELL ST, U ORANGE, CA 92865 (714)908-4759 1042237 0713112024 BT30081897 Bus Lic Expire : 06/30/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9235198 W. C. Expire : 7/20/2023 Address Phone: State Lic: Engineer: Address Phone: Designer: Address : Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage TOTAL sq. ft. : Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone: Ri - Single -Unit Residential PROCESSED BY:1(71- SPECIAL CONDITIONS $13,921.00 0 0 0 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 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 ie 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 'rofessions 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 of more than five hundred dollars ($500). 1 I, 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 oroffered for sale (Section 7044, iusiness 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 nprovemems 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 itwas not built or nproved for the purpose of sale). 1 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 poly to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 I am exempt from Iicensure under the Contractors' State License Law for the following reason: _, Iy 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 ell 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 theapplicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:J7www.leginfo.ca.gov)calaw.html. ilgnature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Pr f 21Z ode, and my license is In full force :rid effect. License Class License No Data `• % �Ic 10 7 Contractor Signatu�- VORKERS' COMPENSATION DECLARATION J\'r'Ir-h-r FANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIwL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (SIK000). IN ADDITION TO THE OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 or the Labor Code, forth Wmance of the work for which this permit is issued. Policy No. �I eve 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' compensatior Tsui nce carder and policy number are: er Policy Number Expiration Date dame of Agent Phone # :1I certify that, in the performanc�26� rk 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 agree hat, if I should become subject tio Section 3700 of the Labor Cede, I shall forthwith comply with those provisions. _ )ignature of Applicant RY1W . 7ECLARATION REGA NSTRUCTIQN LE AGENCY 'fir hereby affirm under penaltyof pedurythat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). .tinder's Name Lenders Address )y 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 stale laws relating to building construction. GEC/� / I authorize representatives of this city or county to enter ove-ident'tied for inspection purposes. /�'�I { )i nature of Property Owner or Authorized A ant Print Property Owner's or Authorized Agent's Nam U pale 5 l ACTION GATE. By AR "'ON OF COMPLIANCE WI Ft CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I I U 1 SUBMITTED ASBESTOS NOTIFICATION TO PERbRT EXTENDED CERTIFICATE OF 1''%1Z3 OCCUPANCYISSUED MS NOTIFICATION 15 NOT APPLICABLE TO