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XR2024-0333 - Permits
�aE �PoRr City of Newport BEuc:i D Community Develcpme,it Departmen, - building Division 100 Civic Center Ilrive, NawpcC B.:aLh, CA 923Ru u S Permit Counter PFcne: (949) 718-1888 .r newportbeachca.gov/civic c't�rcoa�`" Combination Type-MFP Work Clasr. -,Repair 111111111111111111111111111111111111111111111111111111111111 COMB Permit : XR2024-0333 Plan Check No : Issued Date : 02/09/2024 Final Date: Permit Status: Issued 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, BUILDING 3 Legal Desc : A TR FIRST ADD TO NEWPORT MESA TR BLK LOT 819 FIRS Description: MFR REROOF INSTALL COMP SHINGLES OVER EXISITNG (1) LAYER 85 SO Owner: BEACH HOUSE INVESTORS Address : PO BOX 1608 ARROYO GRANDE, CA 93421 Phone: (714)409-0440 Applicant: ABSOLUT ROOFING INC Address : PO BOX 5262 HUNTINGTON BEACH, CA 92615 Phone: (800)655-2231 Owner/Builder: Address : Phone: Contractor: ABSOLUT ROOFING INC Address : PO BOX 5262 HUNTINGTON BEACH, CA 92615 Phone: (800)655-2231 Con State Lic : 761118 Lic Expire : 02/28/2026 Bus Lie: BT30041317 Bus Lic Expire : 11/30/2024 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WSA506473701 W. C. Expire: 4/1/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-2 No of Units : 1 Bldg Height: No of Stories : 1 Building Setbacks : Flood Zone : X Use Zone : RM - Multiple Residential PROCESSED BY: 6� SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: Address Phone : Designer: Address: Phone: Construction Valuation : $38,250.00 Added/Newts sq. ft. Bldg: 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 UVVNI=K-DUILLfGtC rJ.ML L. Mrc I n✓ N I hereby affirm under penally Of penury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkma�k(�) I have o aced I:ext to the applicable items) Section 7031-5. Business and Professions Code: Any city or county (hat requires a pwrrlll to construct. alter, improve, demolish, or repair ami elroo(ri poG.' faits is, uan-e, also requires the applicant for c permit to file a s'Igned statement that he or she is liconsed pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofess ions 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 fora permit subjects the applicant to a civil penalty of Dt more than five hundred dollars ($500). ] 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 St-LICIUm Is no, in,ended of of4erod for sale (Section 7044, usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' o^ personal offer 7uIIGs Cr impi Ile proper(y, provided that the nprovemenis are notlntended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-EulLler will .i.ve the burd=.n Of Liming that It was not built or nproved for the purposeof sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7344, Business and Professions Code: The Contractors' Stale License Law does not poly 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). 3 I am exempt from licensure under the Contractors' State License Law for the following reason y my signature below I acknowtedge 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 legall oil 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww'.leginto.ca.gov/calaw. html. Date signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f rvision 3 of the Business and Profess; c Co en y license is In fall force nd effect. License Class License No Date-�-t�Contractor Signature l_��' PORKERS' COMPENSATION DECLARATION EARNING: 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 [$100,000I, IN ADDRION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: �dWilt 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, for the bavt�ary ormancobbf the work for which this permit is issued. Policy No. ; f have no 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 i r a carrier and policy number are: . / rrier .�f7�� Policy Number �il�.� `y 737 Expiration Date Jame of Agent Phone !t :3I 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 agre hat, If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, signature of Applicant ___------ Date_ IECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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 Cade). .Recipes Name Lender's Address Sy my signature below, I certify to each of Ilia 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 this city or county to enter th ove-identified property for inspection purposes. ii 1lature of Pro Erty Owner or Authorized Agent Print Pro arty Owner's or Authorized A ent's Name Date ` L — ACTION I DATE BY DEC RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY II REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERW EXPIRED I UI SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CA.NCEtlEP LiPA PERMJ7Ffl•!AL❑Av58�STO.SNOTIFICATIONISNOI'APPLICABLE TO CERTI rCATE OF �'� P SEE) DEMOLITION OCCUPANCrI55IJ 4 SIGNATURE: �Q t(i OD W U ll) 0 oz Fz � a V o t 0C O W= N 1G WA m� oo M ►?� QG7m� Zoo W y A mew AAaa ©Jma 0 UJ 0 O W N y r.a O m W C w H O U Y. U o o U U U E2 o U � � N N � m� d.o N b aw N N x r- d N O E O X N C O N O c M O E a O c N U v c m �° L U O O v r. -- m r v Go) E N o� + N 0 N N c «- v U cr D o U L (D F y. 0.0 c � O y a U LU *. U) C m .O MEN E 0 N 5 (17 CD -0CoM N U N ca O 0 m m= c o y N m ro E rnCD U) .00 X O 0 N U ca v O - m 'O d "N L N 0 a' N ami 3 0 o m m U N � N N O c O m O N o o EQ O MO E .O SA ) c (D 0 3 > v- U E �? o m <C°oa N 7 a� E 0) •o X Cam) N 0 ma O .c N N S� c 01 co o m m U co 0 O ao O m 0 a I&I m c CD m aI