HomeMy WebLinkAboutXR2023-3160 - Permits�E.wroRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-3160
Community Development Department- Building Division X R 2 0 2 3 3 1 6 0
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
u i Permit Counter Phone: (949) 718-1888 Issued Date : 11107/2023
.r newportbeachca.gov/civic Final Date:
°q�rroa"" Combination Type - MFP Permit Status: Issued
Work Class - Repair 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, 125 Legal Deep: A TR FIRST ADD TO NEWPORT MESA TR BLK LOT 819 �FI�R�SQ
Description: MFR REROOF - INSTL 1 LYR #30 FELT, INSTL COMP SHINGLES OVER EXISTING LAYER (98 SOS) 2- �� 7-"�
Owner: BEACH HOUSE INVESTORS Contractor: ABSOLUT ROOFING INC Architect
Address : PO BOX 2037 Address : 17712 METZLER LN Address
ORANGE, CA 92859
Phone: (949)646-8453
Applicant: ABSOLUT ROOFING INC
Address : 17712 METZLER LN
HUNTINGTON BEACH, CA 92647
Phone: (800)B55-2231
Owner/Builder :
Address :
HUNTINGTON BEACH, CA 92647
Phone: (800) 655-2231
Con State Lie :
761118
Lie Expire :
02/29/2024
Bus Lie :
BT30041317
Bus Lie Expire :
11/30/2023
Workers' Compensation Insurance
Carrier: INS CO OF THE WEST
Policy No: WSA506473700
W. C. Expire: 4/1/2024
Phone:
State Lie
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-2
No of Units :
30
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
2
Added/New sq. ft. Garage:
TOTAL sq. ft. :
Building Setbacks
Flood Zone : X
Use Zone : RM - Multiple Residential
PROCESSED BY: (�A
SPECIAL CONDITIONS: BLDG 6 UNITS 125-358
$44,500.00
0
0
0
OWNER -BUILDER DECLARATION
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 iteri
(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 (censure 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).
1:11, 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
improvements are not intended or offered for sale. If, however, the building or improvement Is sold within one year of completion, the Owner-Suilder will have the burden of 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 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),
11 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 residod for at least one year prior to completion of the improvements covered by this permit, I cannot fegsll;
sell a structure that I have built as an ownor-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 fDllowing Web site:http:/jWwaw.leginfo.ca.gov/caiavahtml.
Signature of Property Owner or Authorized Agent -------- .__...._.�__.....r / Date_ —
LICENSED CONTRACTOR'S DECLARATION _
I hereby affirm under oeilallyof perjury that I am licensed under provisions of Chapter 9 (commencing with ec'on 70 ) off the Is. ss and Professions e, an my license is In full force
and effect. License Clays License No D t Contra for igas
lure
WURAERS' COMPEfNSATION DECLARATION J
WARNING: FAILURE TO SECU.iE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES PTO ONE HUNDRED TWOU5AN0 DOLLARS ($100,000), IN ApOnION TO THE
COST OF COMPENSATION: DAMAGES AS PROVIOED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST', AND ATTORNEY, FEES.
I nerecy affirm under oenaity of perjury one of the following declarations:
111 have and WEE II.Ontam 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 th
pmrformance of Ne wo,k for which this permit is issued. Policy No. _
ve and WFI 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
ice carrier and policy number are:
Y — _ Policy Number w Sfig Sb (�C 7 3 7 Expiration Date �i� /
of Agent I Phone #
21 ^„ddy that, h. tFe dormance of the work for which this permit Is Issued, 1 shall not employ any person m any manner so as to become subject to the war ors' compensation laws of Califpmia, and ogre
at, if I should k,ec a subject to t e rs kars componsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,p/
,Ignature Df Ap an
rECLARATIO I REG RDING CONSTRUCTION LENDING AGENCY l
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).
.Finder's Name Lenders Address
Vy 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, 1
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 thts city r cc ly to enter t. a' e-identified property for inspection purposes. /
Ouiature of Prooenv Owner or Authorzed ent i �. Print Property Owner's or Authorized nt's Name /Yls1/141 Si"l�i/a--�\ Dale / I` -%J
ACTION DATE �y or CUkRATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
HFnUl AI"IONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMiTEXPiRED I I ISUBMITTFDASRFSTOShACTIFICATIONTO
PERMIT EXTENDED
PERMIT WNA!
CER'TIFICAi E Of
OCCUPANCY ISSUED
3S NOTIFICATION IS NO " PPLICAe6E 10
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