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Home My WebLink AboutXR2024-0906 - Permits�wlPORr,, City of Newport Beach Community Development Department- Building Division n)`1 100 Civic Genter Drive, Newport Beach, CA 92660 II Permit Counter Phone: (949) 718-1888 U„ newportbeachca.gov/civic Combination Type - SFP _ Work Class - Repair 11111111111III ��III�IIII11111111111111111111111111111111111 COMB Permit : XR2024-0906 Plan Check No: Issued Date : 04/08/2024 Final Date: Permit Status: Issued Inspection Area :8 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: 2817 BROAD ST Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BILK 14 LOT 12 FI Description: SFR RE -ROOF. T/O 1ST STORY ROOF, SECTIONAL REPLACEMENT OF DECKING AS NECESSARY, INSTALL SHADOW GRAY CRRC#0668-0134 1 LAYER SYNTH. UNDERLAYMENT. 23 SQ. COMP. SHINGLES. Owner: LAURIE DAVIS Address : 23 CARMEL BAY DR CORONA DEL MAR, CA 92625 Phone: (949)230-3616 Applicant: WEST MERIDIAN ROOFING, INC. Address : 1479 N MONTE VERDE AVE UPLAND, CA 91786 Phone : (909) 240-7101 Owner/Builder : Address : Phone Contractor Address : WEST MERIDIAN ROOFING 1479 N MONTE VERDE AVE UPLAND, CA 91786 Phone: (909)240-7101 1118631 03/31/2026 BT30084037 Con State Lic Lic Expire Bus Lic : Bus Lic Expire 04/30/2025 INC. Architect Address: Phone: State Lic Engineer Address Workers' Compensation Insurance Carrier: STATE COMPENSATION INS. FUND Policy No: 9356766 W. C. Expire: 3/27/2025 Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : R-3.1 No of Units : Bldg Height: No of Stories Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Rlz_esidential l //entiall PROCESSED BY: SPECIAL CONDITIONS: L� Phone: Designer: Address: Phone: NO Construction Valuation : $12,500.0 NO Added/New/Ti sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 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 item(s) '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 .he 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 licensure 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 iot more than five hundred dollars ($500). ❑ I, 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 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 mprovements 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 mproved 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). ❑ 1 am exempt from licensure under the Contractors' Slate License Law for the 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 legalll 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 Drofesslons Code, Is available upon request when this application Is submitted or at the following Web site;http:lAvww.leginfo.ca.gov/calaw.htmi. 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 000) of Pivipion 3 of the Business and Prof sslode�d� I'cense is In full force and effect. License Class License No Date ��. OS Z62 Contractor Slgnaturort,.•V 1= 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 THOUSAND DOLLARS ($100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty 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 lh performance of the work for which this permit is issued. Policy No. PI 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' compensatiol insurance carriee/r and policy number are: p _ Carrier,r)ci'i'e UJrvly =H!n♦••>n .�U sar,IKr�. A+( OF CPolicy Number I�.SE ��W �Gt1%Zf% Expiration Date ne of Agent certify that, in the performance of a work `—for m�Sr1h 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 1, if I should become �gbject 1 ork " /!�L sates provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant `'/F/`iL Date ��/0� 70%'� CLARATION REC7..PI CONST lit3i�ON LEN-- fNG AGENCY :reby affirm under renairy 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). Ider s Nhme r Lender's Address 11r= signature below, 1 certify to each of the following: I ant I)e properl , owner or authorized to act on the property owner's behalf. I hd'. r read this application and the information I have provided is correct. 1' 39Me to comely Willi 911 applicable city and county ordlparZes aDo at ite)laws relating to building construction. - I zul'I�rize representatives of this city or county tp e r thie a} if el' roperty for inspection purposes. /J ua"i� (i9 in isfrr'�A Datei4 t: rn of Pmbeov Own,4r or Authorized Agent _ _ Print Property Owner's or Authorized Agent's Name ACl w,i DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OFTITLE 4C AND AQMD RULE 1403 L_ffrli SYPIRE7'LJ I SURMITTEDA5RESTO5 NOTIFICATION TO PcA,`i r 01 NCELLED EICPA CERF LATE OF r 2 'PROPOSED DEOLIFIC N O CIS N AP LICAB E TO 7EAMITONA1 ASBESTOS N OCCUPANCY ISSUED SIGNATUREi i ,'