HomeMy WebLinkAboutXR2024-5202 - Permits�. oRr� City of Newport Beach IIIIIII I IIIII II III IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2024-5202
p', Community Development Department- Building Division X R 2 0 2 4 5 2 0 2
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phbne: (949) 718-1888 Issued Date: 05/1512024
newportbeachca.gowcivic Final Date:
° q4, o�n�?�,;d'�F Combination Type - MFP Permit Status: Issued
Work Class - ADDITION/ALTERATION 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 : 1746 MARGUERITE AVE, BLDG 11 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:
12/31/2026
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 :
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/NewiTI sq. ft. Bldg
Occupancy Groups:
U,R-2
No of Units:
4
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories:
2
Add/New sq. ft. Garage:
-
TOTAL sq. ft.
Building Setbacks :
Front: 20, Side: 25, Side: 25, Rear: 10
Flood Zone :
X
Use Zone:
RM - Multiple Residential
(5-3
PROCESSED BY :
SPECIAL CONDITIONS:
$5,000.00
0
2,500
0
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) 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 far
ie 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
professions 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 (_) all of or!_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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. 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).
J 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
Pply 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 licensors under the Contractors' Stale License Law for the following reason:
ly 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 legall7
GB 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
Irafessions Code, is available upon request when this application Is submitted or at the following Web site:httplLwww.leginfo.ca.govfcalaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70W) f9vis n of the Business and Profs ns Co a and license is in full force
end effect. License Class License No Date Contractor Signature 1/rw�'vr
VORKERS' COMPENSATION DECLARATION
TARRING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL IE100.000). IN ADDITION TO THE
'DST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
under penalty of perjury one of the following declarations:
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
a of the Work for which this permit is Issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whichthis permit Is Issued. My workers'
ranee carrier and policy number are:
to of Agent _
certify that, in the p
. if I should become
lature of Applicant
Policy Number
Date
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 agre
to workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
_UW_a_-U_ ___ Date ✓�_ �� �,
treby affirm under penalty of perjuryvthat 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 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.
1 agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorze re msentatives of this city or county o nter th ab igrLe- dentified property for inspection purposes.
mature of Prooenv Owner or Authorized Anent i n V(UX- — Pnnt Prooenv Owner's or Authorized Anent's Name
PER,41TCANCELLEO
PERMIT EXTLIVOID
PERMFIT FINAL
CERTIFICATE OF
OCCi IPANCY ISCLIED
OATS BY DECLARATIOVF S COMPLIANCE
IAND AOMO RUIE�L FOR OFFICE USE ONLY
REGULATIONPART 61 OF TITLE
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SURMILJ TIED ASBESTOS
LI ASBESTOS
PROPOSED Of
SIGNATURE:
TO
ISNOTAPPUCABLE TO
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