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Home My WebLink AboutXR2023-2025 - Permits�gWPORT City of Newport Beach II III IIIIII IIIII III IIIIIII II IIIIIIIII II COMB Permit : XR2O23-2O25 Community Development Department- Building Division X R 2 2 100 Civic Center Drive, Newport Beach, CA 92660 0 3 2 0 2 5 Plan Check No Permit Counter Phone: (949) 718-1888 n.< newportbeachca.gov/civic Issued Date : 07/2412023 Final Date: Cq</FORN\P Combination Type - SFP Permit Status: Issued Work Class - Repair Inspection Area : 5 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 : 452 SEAWARD RD Legal Desc : N TR 2758 BLK LOT 19 Description: MFR REROOF - T/O 1 LYR OF ROCK ROOFING, INSTL (2) LYR 30# FELT, INSTL 32 SQS COMP SHINGLES Owner: NOVAK DAWN] LYNN TR SEAMAN FAMILY TR Contractor: DEPINHO ROOFING INC Architect Address : 452 SEAWARD RD Address : 2832 N OLIVE AVE Address: CORONA DEL MAR, CA 92625 ORANGE, CA 92865 Phone: Phone: (714)632-7663 Phone: Con State Lic: 683894 State Lic Lic Expire : 02/29/2024 Applicant: DEPINHO ROOFING INC Bus Lic : BT30009054 Engineer Address : 2832 N OLIVE AVE Bus Lic Expire : 05/31/2024 Address ORANGE, CA 92865 Phone: (714) 632-7663 Workers' Compensation Insurance Phone: Carrier: TRANSVERSE INS CO Owner/Builder : Policy No: 000000141 Designer: Address : W. C. Expire : 12/14/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $20,857.00 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: 12, Side: 6, Side: 6, Rear: 8 Flood Zone : X Use Zone : RM-6000 - Multiple Residential (6000 indicates minimum lot area) 7Zi7e7�X9�ell'1 SPECIAL CONDITIONS: IN SP ELTOR OWNER -BUILDER DECLARATION t hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 regoires 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). rl 1, 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 notintended 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). ❑ 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 witha licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for (he 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 it 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:/Aw .leginfo.ca.gov/calaw.htmi, Signature of Property Owner or Authorized Agent _____.__._._______ ,i _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 ( ommencing with Section 7000) of Division 3 of the Business and €e lessons Code, and my license is )n full Force and effect. License Class 0, 'h License No 12 Z!Z Date %�� 77� Contractor Signat �_ WORKERS' COMPENSATION DECLARA IT ON WARNING: 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 ISi DD.eODI, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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, forth Deerfformance of the work for which this permit Is issued. Policy No. L9I 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' compensation rance carrier and policy number a% �i `' 3 ter -Q� O. Policy Number (%J Nam'—'Ob OOP) (-1 2— Expiration Date I2 �— n Ie of Agent UR 1 rl ILISor U,1iWPhone # u .fb _116 1 certify that, in the perfor once 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 if I should become su to t to thew kern' oompe � tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. V ,� lature of ADDlicanE _ _ _ Date 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 (Seofion 3097, Civil Cede). Lender's Name Lenders Address By 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 co u ty ordmanc s and state laws relating to building construction. I authorize representatives of this city or county to ter th ove-id o lned property for Inspection purposes. +/j,/��p / p /� (/ �� I 1 �j� _ o,......, .. _r o.......n„ n,.,,,a. — A nl...d�oa A—f In A /� `� '�- Print Proeertv Owner's or Authorized Anent Name �-U�,VY�1/1 VIl I chi;V �` Data I ACTION DATE BY I DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RUtE EXPIRED PERMIT EXTENDED CERTIFICATE OF ✓ OCCUPANCY ISSUED OS NOTIFICATION TO 15 NOi APPLICABLE TO