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HomeMy WebLinkAboutXR2023-3490 - Permitsa£WPoRr City of Newport Beach 111�1 111111111111111111111111111111111111111111111111111 111jj COMB Permit : XR2023-3490 Dk p� Community Development Department - Building Division X R 2 e 2 3 3 4 9 9 y y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1888 Issued Date : 1211112023 newportbeachca.gov/civic Final Date: co aN'� Combination Type - SFP Permit Status: Issued Work Class - Repair 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 : 1130 BERKSHIRE LN Legal Desc : N TR 3031 BLK LOT 26 Description: SFR - RE -ROOF. T/O SHAKE, INSTALL 1/2" OSB SHEATHING. 30# FELT, 6 SQ COMP SHINGLES *DETACHED GARAGE* Owner: BARBATTI ROY TR Address : 1130 BERKSHIRE LN NEWPORT BEACH, CA 92660 Phone : (949) 683-8382 Applicant : CURTIS ROOFING Address: 163 DUMOND DR LAGUNA BEACH, CA 92651 Phone : (949) 702-2471 Owner/Builder : Address : Phone: Contractor: CURTIS ROOFING Address : 163 DUMOND DR LAGUNA BEACH, CA 92651 Phone : (949) 702-2471 Con State Lic : 647204 Lic Expire : 06/30/2024 Bus Lic: BT30081431 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9168751 W. C. Expire: 5/1/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U No of Units : 1 Bldg Height : No of Stories : 1 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: 04 - SPECIAL CONDITIONS: Architect Address Phone : State Lic: Engineer Address Phone: Designer Address Phone: Construction Valuation : $1,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason($) indicated below by the checkmark(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 the permit to file a signed statement that he or she is licensed pursuant to tho provisions of the Contractors' State License Law (Chapter B (commencing with Section 7000) of Division 3 of the Business and Professions 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 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 U all of or t_) portions of the work, and the structure is notintended 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 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 builtor improved for the purpose of sale). © 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 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 Ncensure 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 forat least one year prior to completion of the improvements covered by this permit, I cannot legail) Sol[ a structure that I have built as an ownor-builder if It has not boon constructed in its Salinity by licensed contractors. I understand that a eopyof the applicable law, Section 7044 of the Business and Professions Code„ isavailable upon request when this application is submitted or at the following Web site:http:/Iwww.teginto.co.goe/calaye.titmi. Signature of Property Owner or Authorized Agent __�i Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 0 (commencing with Section 7000)of CHirisio 3 of the Business and Professio ;-de,' n Icense-is In full force and effect. License Class License No Date L 7, � Contractor Signature lV WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN➢RE THO AND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PRDYIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ I It ve and w'if 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 If manse of the work far which this permit is issued. Policy No. eve 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 in once carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work fo),Kwho this permit is Issued.. I shall not employ any person in any manner so as to become subject to the workers' Compensation laws of Callfomia, and if I should become subject to hew o ansalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /7,7 IUCTION LENDING AGENCY hereby affirm under pe erjury that there Is a construction lending agency for the performance of the work for which this permit Is issued (Section 30 7, Civil Code). tty p anchor's Name Lender's Address _ 3y my signature below, 1 oenify to each of the following: I am the property owner or authorized to act on the property owner's I have read this application and the information I have provided is co act I agree to comply with all applicable city and county ordinances an st laws relating to building construction. I authorize representatives of this city or county toe r the ve i littied properly for inspection purposes. 3ignatul'e of Propertyy Owner or Authorized Agent. Print Property Owner's or Authorized Ac ACTION DATE. BY ? ECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 6t OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 1, 1 SUBMITTED AS^ESTOS NUI IHCAT �bN TO PERMITCANCELlED CPA _.. PER>'/r+F FXFFNDED AOMD PCRMIT FINAL Z SBk5105 NOiIFICAIIONl5 N01 PP CABLE IO CERTIFICATE OF PROPOSED OEMOLIT OCCUPANCY ISSUED SIGNATURE r� _ or Name [A v /v"�--