HomeMy WebLinkAboutX2021-2753 - Permits`wPD Cityof Newport Beach III 111111111111111111111111111111111111111111111111111II
��� R> P COMB Permit : X2U21-2753
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@. Community Development Department -Building Divisioni� 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
_ Permit Counter Phone: (949) 718-1888 Issued Date : 10111/2021
newportbeachca.gov/civic Final Date: 10/05/2022
"Qpoa"'r. Combination Type - SFP - ``l - Permit Status: Reissued
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 : 1406 SERENADE TER Legal Desc : N TR 1700 BLK LOT 35
Description: SFR - T/O (E) COMP SHINGLE. INSTIL 30# FELT. USE (E) SHEATHING, INSTIL 29 SQ COMP SHINGLE
Owner: RYAN WEIR
Contractor: SKYCRAFTROOFING INC
Architect:
Address : 1406 SERENADE TER
Address: 7242 WALNUT AVENUE
Address:
CORONA DEL MAR, CA 92625
BUENA PARK, CA 90620
Phone:
Phone: (714)227-8750
Phone:
Con State Lic : 400212
State Lic:
Lic Expire: 02/28/2025
Applicant: MARK PATRICK MULLIGAN
Bus Lic: BT30083886
Engineer
Address:
Bus Lic Expire : 03/31/2025
Address
92625
Phone: (714) 227-8750
Workers' Compensation Insurance
Phone:
Carrier: AMERICAN CASUALTY COMPANY
OF
READING PA
Owner/Builder :
Policy No: 7063456970
Designer:
Address :
W. C. Expire : 11/1/2024
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg:
Occupancy Groups : U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage:
TOTAL sq. ft.
Building Setbacks: Front: 23, Side: 4, Side: 4, Rear: 10
Flood Zone: X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY: —
SPECIAL CONDITIONS:
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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)
iection 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
1e 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 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
Ot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
usmoss 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, 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
nproved for the purpose of sale).
1 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
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
7 I am exempt from licensure under the Contractors' Slate License Law for the following reason:
.y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least oneyear prior to completion of the improvements covered by this permit, I cannot legall,
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Jwww.leginfo.ca.gov/calaw.html.
�ignalure of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
herebyaffirm under penalty of e' I am licensed under provisions pf.Qhapter 9 c mending with Section 700) Division of the Business and P 5510 ode nd my license is in full force
nd effct. License Classy _y q License No Y�O Date Contractor Signature
VORKERS' COMPENSATION DE LARATION
!ARNING: 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 ADorhON TO THE
OST 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:
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
edormance of the work for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
is of Agent
certify that, in the p
if I should become
Iature of ADolican/
Policy Number
Date
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
compensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions.
Dale
areby affirm under penalory s a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder's Name Lenders Address
my signature below, 1 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 cimpl;, with all applicable city and county or state laws relating to building construction.
I authorize •e�,esentatives of this city or tour me Inov identified property for inspection purposes. nn±ure of PmPeTv Owner or Authorized Aaent _ Print Property Owner's or Authorized AgerL's Namez&,_e �7C��9"
ACTION
DECCARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
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