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Home My WebLink AboutXR2023-2570 - PermitsEw o� City of Newport Beach Rr y COMB Permit : XR2023-2570 C�,'y @ Community Development Department -Building Division X R 2 0 2 3 2 5 7 0 �+ �,� �' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: V+ = Permit Counter Phone: (949) 718-1888 Issued Date : 09/13/2023 newportbeachca.gov/civic F �� p sc.. Final Date: C'4<1 F'OF��P Combination Type - MIFF Permit Status: Issued �Vyyµ 1 n '� .,M.,, 8 -...J,�m ate✓ 5 'a > Work Class - Repair 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 : 14 VILLA POINT DR Legal Desc : N TR 14055 BLK LOT 1 UN 139 TRACT 14055, LOT 1 OF Description: MFR REMOVE (E) ROOFING, REPLACE UNDERLAYMENT. RE -LAY (E) ROOF TILES. 54 SQUARES Owner: VILLA POINT CONDOMINIUM ASSOCIATION Contractor: CRANK WATERPROOFING Architect Address : 181 S. OLD SPRINGS ROAD Address: 134 COMMERCIAL WY Address ANAHEIM, CA 92808 COSTA MESA, CA 92627 Phone: (714)395-5245 Phone: (949)646-9356 Phone: Con State Lie : 1038420 State Lie Lie Expire : 04/30/2024 Applicant : MICAH FRANCISCO Bus Lie : BT30063958 Engineer Address : 268 E 16TH STREET Bus Lie Expire : 06/30/2024 Address COSTA MESA, CA 92627 Phone: (949) 412-0595 Workers' Compensation Insurance Phone: Carrier: FALLS LAKE FIRE AND CASUALTY COMPANY Owner/Builder : Policy No: FLA01345003 Designer Address : W. C. Expire : 1/26/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $24,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-2 No of Units : 10 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 : PC - Villa Point Apartments PROCESSED BY: SPECIAL CONDITIONS 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 checkmerk(s) I have placed next to the applicable items) (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 tho 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) of that he or she is exempt from licensure and the basis far the alleged exemption. Any violation of Section 7031,E 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 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 Irnproves 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 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 t0 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). ❑ I am exempt from licensure under the ContractorsSlate License Law for bre 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 legallt sell a structure that I have built as an owner -builder it 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:fiw .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent .,_ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 f,)i ''i 3 of the Business and Pr*feC d d my license. is in full force and effect. License Class License No Date Contractor Signatur WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS D OLLARS ($11D0,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PRGVIOED FOR IN SECTION 3706 OF THE LABOR CODE, ENTER EST, AND ATTORNEY'S FEES. Iff hereby airm under perally of perjury one of the following declarations Ih: u 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 performance of the work for which this permit is issued. Policy No. ain I 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' compensator urance carrier and policy number are: Policy Number of Agent Date JI certify that, in the performer of e work f W T h 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 agree iat, if I should become sub)ec o lh workers•' ornpel sahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignalureof Applicant..,. ._ .. ... __....,.... ._`.._._....._._.._,...._..............._.._..._:.....__._____.._,.._.,..»._.._....,»_»»__»_...___...,_».. ...,..-,.....___...,..__.._..._ Dale___,,,, DECLARATION REGARDING O FR' L DING AGENCY �� hereby affirm under penalty of perjury th t ere Is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Cod ). ender's Name _ Lander'a Address y my signature below. I certify to each of the following: I am the property owner or authorized to act on the property owner's behi I have read this application and the Informationhave pr A ad Is Gor t. I agree to con oI vith all applicable city and county or non as i, plate laws relating to building construction, I authorize reItr c datives Of this city or count to ent bone-i coil ad property for inspection purposes. I n�) ( � , �� J C l5(_ v 'crs'crc of PrODi 1 Owner or Authorized Acenl Print Property Owner's or Authorized Agsm a Name u Date ACTION DATE I BY 3 DENLARATIO OF NIPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY j RE k1LATI0NS 6l OF TITLE 46 AND AON4D flULF NOTIFICATION TO PERMIT CANCEI110 LJA MD FF�IT r-INTFICA �ONOEu --� y PROPOSED DE DED M OLfI ACID OT AP UCABiE 1'0 OCCUPANCY GSOEC X`� SIGNATURE:..._ _ _ _..._r .. _ ._._-.-.___..__.._