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Home My WebLink AboutXR2024-0332 - Permits2EWPORT City of Newport Beach - 11I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III jjCOMB Permit : XR2024-0332 C'� @ Community Development Dep rm mi. - 6wldinn Division X R 2 0 2 4 0 3 3 2 F 100 Civic Center give, Newport Brac.), CA 9236L Plan Check No Permit Counter Rhone: (1J49)-M8-1888 Issued Date : 02109/2024 U S newportbeachca.gov/civic Final Date: cq�iconN�P Combination Type - MFP Permit Status: Issued Work Class - Re.na`r 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 : 1433 SUPERIOR AVE, BUILDIING 4 Legal Desc : A TR FIRST ADD TO NEWPORT MESA TR BLK LOT 819 FIRS Description : MFR REROOF INSTALL COMP SHINGLES OVER EXISITNG (1) LAYER 25 SO Owner: BEACH HOUSE INVESTORS Contractor: ABSOLUT ROOFING INC Architect Address : PO BOX 1608 Address : PO BOX 5262 Address ARROYO GRANDE, CA 93421 HUNTINGTON BEACH, CA 92615 Phone: (714)409-0440 Phone: (800)655-2231 Phone: Con State Lic : 76111 B State Lie Lie Expire : 02/28/2026 Applicant: ABSOLUT ROOFING INC Bus Lie: BT30041317 Engineer Address : PO BOX 5262 Bus Lie Expire : 11/30/2024 Address HUNTINGTON BEACH, CA 92615 Phone : (800) 655-2231 Workers' Compensation Insurance Phone Carrier: INS CO OF THE WEST Owner/Builder : Policy No : WSA606473701 Designer Address : W. C. Expire : 4/1/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $11,250.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-2 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 : Flood Zone : X Use Zone : RM - Multiple Residential PROCESSED BY: SPECIAL CONDITIONS: �' OWNER -BUILDER DECLARATION I hereby affim7 under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by `he checknnpik( ) I t,ave eaced .text to the 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 an,, slrt (iure. hria, to rte is.,uan�e, 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 Suction 70U6) of Division 3 of the Business and Professions Code) or that he or she is exempt from rcensure 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). 1„ as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work; and the st-uctur= is net intended o,, ofiercd °or sale (Section 70", Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' o^ personal effor„ bulks cr Improves me 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, lire Cwner-GLllder will hnve'the burden Y proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 704.4, Business and Professions Code: The Contractors' Stale License Law does not apply to an DYmer 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 licensureunder 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 form least one year prior to completion of the improvements covered bythis permit, I cannot legall, 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:liwww.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 0) of Division 3 of the Business and Professions Code. 4KWy license is In full force and effect. License Class License No Dat Contractor Signature WORKERS' COMPENSATION DECLARATION F �r ✓YARNING; 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 ($10D.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, Me ATTORNEYS FEES. hereby affirm under penalty of perjury one of the fallowing declarations: I have and will maintain a certificate of consent (a self -insure for workers' compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth pEfnce of the work for which this permit is issued. Policy No. I ve 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' compensatiol rance carrier andpolicy number are: Carrier :-F , L-f J Policy Number ("oS✓9- )m Expiration Date / Name of Agent _. Phone tl DI 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 Calffomia, and agre that if I should become subject to thaw ers compensation provisions of Section 3700 of the Labor Code, I shall fori'hwith comply with those provisions. Signature of Applicant V_ ___m_-_,_ ______- Date DECLARATION REGA NG CO TRUCT10N LENDING AGENCY _,F 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 Civil Code). Lender's Name Lender's Address _ By my signature below, I certify to each of the following: I am the property owner or euhonz:ed 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 ordinance�, ordinances andstate laws relating to building construction. I authorize representatives of this city or county teal 7F the 1Tya-identified property for inspection purposes. Sirnatu"e of Prooertv Owner or Authorized ArentPrint Prooertv Owner's or Authorized ADerlt's NameXDataes(.2 - ACTION DATE. BY 1"=D@.C4ARATtON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i RF.GUTATIONS PART 51 OF TITLE 40 AND AWAIT) RUhF 1403 PERMIT EXTENDED {taT0p PERMi7 FIPiAL EE55 NO1dFICA I"ION ISN APPLICABLE TO CERTIFICATE OF �$¢P 4 P DEED DEMOLITION OCCUPANCYI55UED GNATUREr. �l-/'-- W c ro p h+N Z n x m W V ¢ , 192- V M m w m� 00� E C1 z oo) pQ — w O W a a Q W>z> UC) " --o LL.' jai �Z xQ Q Wa W wAm(D eta= W=00 LL m W o j CCg W (%) to LU o m H v ill w U O o u N (n N O .0 N M N� 0) d mw a y @EE @ t o f a"0 N y �. c L O N N N X Cl) o N ro 3@. 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