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Home My WebLink AboutXR2024-0880 - Permits�E o4r p City of Community 100 Civic ( Permit Cot newportbe Combinal Work Cie ewport Beach II III I I I IIII I II II III IIIIIIIIII II COMB Permit : XR2024-0880 eent Department -Building Division X R 2 0 2 4 0 8 8 0 iter er Drive, Newport Beach, CA 92660 Plan Cheek No ar Phone: (949) 718-1888 Issued Date : 04105/2024 ica.gov/civic Final Date: 1 Type - MFP Permit Status: Issued - Repair Inspection Area : 2 PERMITS EX IRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCT -ION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 1433 SUPERIOR AVE, BUILDING 1 Legal Desc : A TR FIRST ADD TO NEWPORT MESA TR BLK LOT 819 FIRS MFR RER OF. INSTALL 1-LAYER OF COMPOSITION SHINGLES W/ 30# FELT UNDERLAY OVER (E) 1-LAYER ROOFING. 150 SQUARES Description: Owner: BEACH HOUSE INVESTORS Contractor: ABSOLUT ROOFING INC Architect Address : PO BOX 1608 Address : PO BOX 5262 Address ARROYO GR NDE, CA 93421 HUNTINGTON BEACH, CA 92615 Phone: (714)409-044 Phone: (800)655-2231 Phone: Con State Lic : 761118 State Lie Lie Expire : 02/28/2026 Applicant : ABSOLUT RO FING INC Bus Lie: BT30041317 Engineer Address : PO BOX 5262 Bus Lie Expire : 11/30/2024 Address HUNTINGTO BEACH, CA 92615 Phone : (800) 655-223 1 Workers' Compensation Insurance Phone Carrier: INSURANCE COMPANY OF THE WEST Owner/Builder : Policy No : WSA506473702 Designer: Address : W. C. Expire : 4/1/2025 Address : Phone: Phone: Code Edition : 21222 Fire Sprinklers : NO Construction Valuation Type of Construction : V-3 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U, -2 No of Units : 20 Alteration sq. ft. Bldg : Bldg Height : No of Stories: 1 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks Flood Zone : X Use Zone: R. - Multiple Residential PROCESSED BY: SPECIAL CON $62,500.00 0 0 0 I hereby affirm under penalty of perjury that i am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placednext 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 the permit to file a signed statement that he or sheds 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 ticensure 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 ($500). ❑ 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 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 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). '.E] 1, as owner of the property„ am exclusively contracting with licensed Contractors to construct (he 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). ❑ I am exempt from hoensure under the Contractors' Stale 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 legail) ''..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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:iivr ,ieginfb.ca.gov)calaw.html. Signature of Property Owner or Authorized Agent _ Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of peq'ury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D' ision 3 Of the Business and Professi n odes, and my license is in full force and effect. License Class License No Date d� Contractor Signature 12 WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGES UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,000), IN ADDRION 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: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issuedby the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN performance of the work for which this permit is issued. Policy No. 9 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance Of the work for wIT h. this permit Is Issued. My workers' compensatior insurance carrier and policy number are: Carrier TiCu) Policy Number 40d P+Sblo c! 7 S 7 o Z Expiration Date Name of Agent Phone ff 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 if I should become subject to the woAers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date_ 2 =reby 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). ider's Name Lender's 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 Ip comply with all applicable city and county ordinance and state laws relating to building construction. I authorize representatives of this city or county to ente ;fhe ve-identified property for inspection purposes. ,y a,gnature of Property Uwner or AUBtonzed Agent r Print Property Owner's or Authorized Act ACTION DATE p BY ; DEC RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY f 3 REGULATIONS PART Si OF TITLE 40 AND AQMD RULE _ 2403 PER[, vT EXPIRED U i SUBMITTED ASRFSTOS NOTIFICATION TO PFRINIT CANT Eo ED PERMIl'FlNAI [- .........._. _....___ _._.__. 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