HomeMy WebLinkAboutXR2024-5231 - PermitsrEWP ooT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XR2024-5231
1 @ ' Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660rPlan Check No
Permit Counter Phone: (949) 718-1888 Issued Date : 05117/2024
newportbeachca.gov/civic Final Date:
cqt/�p 0.N�P Combination Type - Permit Status: Issued
Work Class - ADDITION/ALTERATION 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 : 510 BOLSA AVE Legal Desc : N TR 27 BLK 2 LOT 9
Description: DUPLEX REROOF T/O TILE AND REPLACE W/ BORAL SAXONY SLATE TILE W/ 2 LAYERS 30# FELT 9LBS 48 SOS
Owner: FRUSS LLC
Address: 510 BOLSA AVE
NEWPORT BEACH, CA 92663
Phone
Applicant:
ABC WATERPROOFING
Address:
3002 JEFFREY DR, UNIT A
COSTA MESA, CA 92626
Phone:
(714)444-1111
Owner/Builder
:
Address :
Contractor: ABC WATERPROOFING
Address : 3002 JEFFREY DR, UNIT A
COSTA MESA, CA 92626
Phone: (714)444-1111
Con State Lic: 598440
Lic Expire : 07/31/2024
Bus Lic: BT30081946
Bus Lic Expire : 06/30/2024
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9218467
W. C. Expire : 9/26/2024
Architect
Address
Phone: 9j
State Lic
Engineer
Address
Phone:
Designer:
Address :
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
$36,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups :
R-3
No of Units :
2
Alteration sq. ft. Bldg :
0
Bldg Height:
No of Stories :
2
Add/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks :
Front: 20, Side: 4, Side: 4, Rear: 5
Flood Zone:
X
Use Zone :
R-2 - Two -Unit Residential
PROCESSED BY: I —h) " c_�
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkrnark(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
Te 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 licensors 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
of more than five hundred dollars (5500).
11, 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,
rusiness 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. 14 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).
7 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project jSection 7044, Business and Professions Code: The Contractors' State License Law does not
p[y 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 licensure under the Contractors' State License Law for the following reason:
y my signature below I acknowledge that, except for my personal residence in which I most have resided for at least one year prior to Completion of the improvements covered by this permit, I cannot legalll
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;httpliw wv.leginfo.ca.govlcalaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION 1�
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of ivis In of the Business and Prof iot!Lle, ah y li ns Is in full force
nd effect. License Class License No Dale Contractor Signature
VORKERS' COMPENSATION DECLARATION
!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 f5100,D06j, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
J 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, forth
eiformance 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 add oolic4 numberare: t
Policy Number
of Agent
Date
71 certify that. in the perform ce of the wark for which this emit is issued. I shelf not employ any person in any manner so as to become Subject to the workers' compensation IS s of California, and agre
Tat, if I should bee a su 'e o the wor o bon revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �f
ignature of APPlicLa L
a
,ECLARATION RE A ONST CTION L ENCY
hereby affirm under pena perjury that there is a construction lending agency fo, the performance of the work for which this permit Is issued (Section 3097, Civil Code).
ender's Name Lenders Address
,y 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 1 have rovided Is correct.
I agree to comply with all applicable city and c uI y o 1 antes an st lating to building construction.
I authorize representatives of this city or count= he above -id tifi pro arty for inspection purposes. r / � All !' I ,;
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
.......... ................I ................. ..........
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE 6 BY
M
OF COMPLIANCE WITH CODE OF FEDERAL
PART 51 OF TIRE 40 AND AQMD RULE
To
FOR OFFICE USE ONLY