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Home My WebLink AboutXR2024-0409 - Permits�EWP�RT City of Newport Beach 111IIIIIIII111111111111111111111111111111111111111111111 II I @ Community Development Department- Building Division COMB Permit XR2024-0409 X R 2 9 2 4 0 4 9 9 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: G r++ Z Permit Counter Phone: (949) 718-1888 Issued Date : 02/20/2024 newportbeachca.gov/civic cy W Final Date: .� Combination Type - MFP 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 : 848 AMIGOS WAY Legal Desc : N TR 5425 BLK LOT 17 TR 5425 LOT 17 AND LOT 18 Description: MFR REROOF- T/O COMP SHINGLES, INSTL SYN UNDERLAYMENT, REPLACE SHEATHING AS NEEDED, INSTL 118 SQ COMP SHINGLES. T/O BU FLAT ROOF CARPORT, INSTL 2 PLY BASE & CAP SHEET, INSTL 21 SQ BUILT UP ROOF. Owner: BERGEN RONALD L TR R L & MELINDA L Contractor BERGEN REVOC TR Address: 5TRAFALGAR Address: NEWPORT BEACH, CA 92660 Phone Applicant: ROYAL CONSTRUCTION & ROOFING CO INC Address: 172 0RANGETHORPE AVE E PLACENTIA, CA 92870 Phone : (951) 591-2870 Owner/Builder: Address : Phone Phone: Con State Lic Lic Expire Bus Lic: Bus Lic Expire ROYAL CONSTRUCTION & ROOFING CO Architect INC 172 ORANGETHORPE AVE E Address PLACENTIA, CA 92870 (951)591-2870 Phone: 1059711 State Lic: 10/31/2025 BT30082509 Engineer: : 08/31/2024 Address Workers' Compensation Insurance Carrier: EMPLOYEE SERVICE GROUP Policy No: WC112580905 W. C. Expire : 12/31/2024 Phone: Designer: Address Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $75,935.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-2 No of Units : 12 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 T01/I L sq. ft. 0,- Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 0 Flood Zone : X Use Zone : RM - Multiple Residential PROCESSED BY: SPECIAL CONDITIONS: f thereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placednext to the applicable ftem(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 :ho permit to file a signed statement that fie or she is licensed pursuant to the provisions of the Contractors' Stato License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Drofessions 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). 7 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, 3usiness 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 'mproved for the purposeof sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensors 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 legalif sell a structure that I have built as an owror-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:lAMww.leglnfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ ,_,_, ___,_� Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penaltyof perjury that I am licensed under provisions of Chapter 9' (commencing with Section 7000) of Divisi n 3 of the.Busiaassand Proes3 ��sioy a Cod ,my license is In full force and effect. License Class License No '- colaii 22.1<YZ. F Contractor Signature jlJ/Le✓ l,L� �V WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS S100000t. IN ADOPTION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 Cade, forth 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' ranch carrier and policy number are: Policy Number Date in of Agent vnone n 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 the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Of Data 2— 20 -z �1- 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 ender's Name Lender's 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 th s city or coi my to enter the above -identified property for inspection purposes. of Penn.Hv nwn.r.rr Authuril Annul Print ProeertV Owners er Authorized Agents Name L1TE By DECLARATION OF COMPLIANCE. WITH CODE OF FEDERAL I FOR OFFICE USEONLY REGULATIONS PART 61 OF TITLE 4n AND AQNID RULE Civil Code). 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