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Home My WebLink AboutXR2023-2163 - Permitsor City of Newport Beach IIYIIIIIIIIIIII�IIIIIIIIIIIIIIIII�III II Community Development Department -Building DiviSl6r1 X R 2 a 2 3 2 1 6 3 > , v 100 Civic Center Drive, Newport Beach, CA 92660 \\ r n Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic cyr FN r Combination Type - SFP \ Work Class -Repair COMB Permit : XR2023-2163 Plan Check No Issued Date Final Date: Permit Status: Applied Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VA4D INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDA IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 19 COLONIAL DR Legal Deep : N TR 15,389 BLK LOT 49 Description: SFR RE -ROOF - T/O EXISTING COMP. INSTALL 30# FELT, REPLACE SHEATHING AS NEEDED. INSTALL 33 SQ COMP SHINGLES Owner: KEN BASSMAN Contractor: BERRY ROOFING INC Architect Address : 19 COLONIAL DR Address : 3226 KLUK'LANE Address NEWPORT BEACH, CA 92660 RIVERSIDE, CA 92501 Phone : (714) 315-5220 Phone: (951) 905-5116 Phone Con State Lie: 691947 State Lie Lie Expire : 11/30/2023 Applicant: BERRY ROOFING INC Bus Lie : 90f 30,077be$ Engineer Address : 3226 KLUK LANE Bus Lie Expire: gJ3tl Lt Address RIVERSIDE, CA 92501 l Phone : (951) 905-5116 Workers' Compensation Insurance Phone Carrier: REDWOOD FIRE AND CASUALTY INS CO Owner/Builder : Policy No : BEWC433265 Designer Address : W. C. Expire: 4/1/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/NewlTI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Aeronutronic Ford PROCESSED BY SPECIAL CONDITIONS: 9 1 $43,699.00 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 items) 3eclion 7031.5, Business and Professions Cride: Arty 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 to 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 'rofessions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penafty of of more than five hundred dollars 1$500). 7 I, 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, lusirl 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 nprovements are not Intended or offered for sale. If, however, [he 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 nproved for the purpose of sale). 1 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 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 ty 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 iegall, all 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:f/www.leginfo.ca.gov)calaw.html. signature of Property Owner or Authorized Agent ._._..._......._��__.„_____...__._.,...,._.___...,.__.__.__._.._ Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of hooter 9 (commencing with Section 70 ) f Division 3 f the Business and Professio S ode Ind my lice a i, full force nd effect. License Class �(�' License No (R O'er- Dat _� �� Contractor Signatur VORKERS' COMPENSATION DECLARATION !ARNINGI FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED T OUSAND DOLLARS 15100,0001, IN ADDFTION TO THE DST Of COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS Fees. hereby affirm under penally of perjury one of the following declarations: I 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., for th cmance of the work for which this permit Is Issued. Policy No. ve and will maintain workars' 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' Compensat®r v nce car jar and pot y nurnbar are: �) ,r ry� g_ L er �� Policy Number (y tS C� Expiration Date no of Agent Phone 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 agre I. if I should become subject t3,Jihe workers' comp nsx(hon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. e� nature of Applicant _ / D N CLARATION RE TI L DING AGENCY rreby affirm under pe Ity of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, it Code). ,der's Name Lender's Address 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 courtly ordinances and state taws r///oj��rating to building construction. I authorize representatives of this city or county to entree a vO dentlfier inspection purposes nature of Prooertv Owner or Authorized Aaent �� Print Prooerty Owner's or Authorized Acert s Name ACTION J DATE BY -1 CLARATION OF COMPLIANCE WITH CODE Ol' FEDERAL I FOR OFFICE USE ONLY RF ,ULATIONS PART 61 OF TIT{,{ q0 AND faONID RULF. PERMIT EXPIRED I U I SURMITTF.D ASCFS OS NCTIFICL TICK TO _ ....... 1 _ PERMIT CANCELLED 7� CPA ...._ _ _ LJIIA--SftBT ., _.. .. .. PEF'vfiT EXTENDED LJA MD FLRLH7 FINAL /Yy 05 N011FICAI H7N 6 MOT APPLICABLE 10 CERTIFICATE OF �`'J//( 2 IL PROPOSED DEMOLITIO OCCUPANCY f55UED / ZJ Ai� `. SIGNATURE,/ ��/J