HomeMy WebLinkAboutXR2024-5207 - PermitsEWPo"Q;�
City of Newport Beach COMB Permit : XR2024-5207
` Commune Development Department Division III IIIIIR III I IIII(IIIIIIIIII
II C P P 9 X R 2 0 2 4 5 2 0 7
100 Civiy,Center Drive, Newport Beach, CA 92660 Plan Check NO
1"PermifCnenter Phohe: (949) 718-1888 Issued Date : 05/1512024
a: newportbeR ca.gov/civic Final Date:
CombinatioritType - MFP - --- Permit Status: Issued
Work Class - ADDITIONIALTERATION Inspection Area : 6
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 : 1660 MARGUERITE AVE, BLDG 6 Legal Desc : P BK 35 PG 2 PAR 1
Description: MFR REROOF. REMOVE (E) BUR. INSTALL (N) ACRYLIC COATING SYSTEM (ICC ESR-3913 / CRRC 0656-0015) 25 SQUARES
Owner: BAYS APARTMENT NEWORT LLC
Address : PO BOX 2450
NEWPORT BEACH, CA 92658
Phone: (949)720-2520
Applicant:
DANIEL GUERRERO
Address:
1655 S CLAUDINA WAY
ANAHEIM, CA 92805
Phone:
(909)562-5150
Owner/Builder :
Address :
Contractor:
SUPERIOR ROOFING COMPANY
Address :
160 SOUTH LINDEN
RIALTO, CA 92376
Phone:
(800)761-6272
Con State Lie: 284880
Lie Expire:
12/31/2025
Bus Lie:
BT30062662
Bus Lie Expire
: 05/31/2025
Workers' Compensation Insurance
Carrier: ZURICH AMERICAN INSURANCE COMPANY
Policy No: WC112579605
W. C. Expire: 12/31/2024
Architect :
Address:
Phone:
State Lie :
Engineer:
Address:
Phone:
Designer:
Address :
Phone:
Phone:
Code Edition:
2022
Fire Sprinklers :
NO
Construction Valuation :
$5,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/NewITI sq. ft. Bldg:
0
Occupancy Groups :
U,R-2
No of Units :
4
Alteration sq. ft. Bldg:
2,500
Bldg Height :
No of Stories :
2
Add/New sq. ft. Garage:
0
TOTAL sq. ft.:
0
Building Setbacks :
Front: 20, Side: 25, Side: 25, Rear: 10
Flood Zone :
X
Use Zone:
RM - Multiple Residential
-
0:
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) 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
le 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 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
of 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,
usiness 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 [hat 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),
11. 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
poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law).
1 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 (east one year prior to completion of the improvements coverod by this permit, I cannot legall,
all a structure that I have built as an owner -builder if it has not been constructed in its entirely 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:hhp://w .leginfo.ca.govlcalaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) pf9iv" i 3 of the Business and Professions Code, In my license is in full force
nd effect. License Class License No Date - I j' Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESMID CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL RS (5100,000),I14 ADDITION TO THE
DST OF COMPENSATION. DAMAGES AS PROVIDED FOR U1 SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 th
orformance of the work for which this permit is issued. Policy No.
al 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' compensatioi
issuance carrier and policy number are:
of Agent
Number Expiration Date
Phone #
]I 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 Califomia, and agre
tat, if I should become subject to he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. _
lignalure of Applicant _ _r _. Date_ iZ
IECLARATION REGAR CONS UCTION LENDING AGENCY
hereby affirm under penalty of perju hat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade).
enders Name Lender's Address
Iy my signature below, I certify to each of the following:
I am the property owner or authorized to act on the properly owner's behalf.
I have read this application and the information I have provided is correct.
1 agree to comply with all applicable city and county ordinances and slate laws relating to building construction.
I authorze reprusentatives of this city or count ant the above -identified property for inspection purposes. �jrr, ` p, (1� p '�'rc�
iiorature of Prooerty Owner or Authorized Agent ) 10 fffix/jr Print Property Owners or Authorized Agent's Namo i/ao'L-6 (/ 1 frg0
ACTION
PERMrTEXPIRtP
PERMITCANCELLED
CERTIFICATE IS ]7 y v IPROPOSED
OCCJIS>U PANCY EO (��''�� I S GNATURI
OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
PART61 OFTITI.E4DAND, RULE
NOTIFICATION 15 NOT APPLICABLE TO