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Home My WebLink AboutXR2024-1142 - Permits¢`��WPo�T City of Newport Beach IIIIIIIIIIII II IIII IIIIIIIIIIIIIIIIIIII IIIII I II COMB Permit: XR2O24-1142 0 e Community Development Department- Building Division X R 2 0 2 4 1 1 4 2 > .4 p - �y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No ~ `t' ` Permit Counter Phone: (949) 718-1888 Issued Date : 04125/2024 newporu .. z o- Combination Type civic Final Date: cy,<!ix o�aN�P Combination Type - SFP permit Status: Issued Work Class - Other 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 : 1700 BAY FRONT S Legal Desc : A TR BALBOA ISLAND SEC 5 BLK 3 LOT 1 Description: SFR REROOF T/O SLATE AND REPLACE W/ CLASS A SLATE 3.07 LBS ESR-2119 24 SQS Owner: WILLIAM BARRETT Contractor: GM -ET ROOFING Architect Address : 1700 BAY FRONT S Address : 130 1/2 47TH STREET Address NEWPORT BEACH, CA 92662 NEWPORT BEACH, CA 92663 Phone: (949)338-9634 Phone: (714)272-1118 Phone: Con State Lic : 937852 State Lic : - Lic Expire : 09/30/2025 Applicant: GM -ET ROOFING Bus Lic: BT30040448 Engineer Address : 130 1/2 47TH STREET Bus Lic Expire : 08/31/2024 Address NEWPORT BEACH, CA 92663 Phone: (714) 272-1118 Workers' Compensation Insurance Phone: Carrier: STATE COMP Owner/Builder : Policy No: 9082018 Designer Address : W. C. Expire : 1/1/2025 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $32,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 0, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: �/ i7� 1► SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the nheckrnark(s) I have placed next to the applicable itern(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 the 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 Divlsion 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 703t5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sate (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 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)- 0 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from licensure under the Contractors' State 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 legally '..soil 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 '.Professions Code.., is available upon request when this application is submitted or at the following Web site:http:/Fwvnv.leginfo.ca.govlcalaw,htnil. 'Signature of Property Owner or Authorized Agent __-_ _ Date _ (LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of erjury that I am licensed under provisions o Chapter 9 (commencing with Section ) of Division 3 of the Business and Pro�ions Gpda, a� y�fic e i in full orce and effect. License Class ) -'{- C. 3 License No ��-' 37� y Date .�. Contractor Signature C -6 WORKERS' COMPENSATION DECLARATION WARNING: 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 COMPENSA710N, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: IO 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. 1performance of the work for which this permit Is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date 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 agree I, if I should becomes bject to the workers' compensation provisions ofS coon o the Labor Code, I shall forthwith comply with those provisions. nature of Applicant _ �� DaieY CLARATIpN iii A B C01 STN4N't N r NCCI� /T\ Ireby 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 Code). Iders Name Lenders 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 county ordinances and state laws relafng to building construction. I authorize representatives of this city or county tp enter the above-iderytifie pp)rty for inspection purposes, 31goature of Proper ACTION PERMIT EXPIRED PERMIT CANCELLED PERMr1T EXTENDED _._.._.._.__.v.__ PERYNTHflAL CERTIFiCAi E OF OCCUPANCYISSUED or Authorized Agent - Print Property Owners or Authorized Ag DATE BY rDECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 € ISUBMtT' ED ASrIFSTOASrIFSTO., NOTi IC TION TO A!S IS NOTAPPLICABLE TO