The URL can be used to link to this page

Home My WebLink AboutXR2023-2645 - PermitsO��EWPp�T City of Newport Beach @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 71B-1888 U 2 newportbeachca.gov/civic C4C/Fp0.N�P Combination Type - Work Class - Repair COMB Permit : XR2023-2645 Plan Check No: Issued Date : 09/20/2023 Final Date: Permit Status: Issued Inspection Area : 7 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 : 304 MARINE AVE Legal Desc : A TR BALBOA ISLAND SEC 4 BLK 14 LOT 3 BALBOA ISLAN Description: DUPLEX TEAR OFF (E) ROOFING. APPLY HOT MOP. 15 SQUARES Owner: SEBASTIAN MOSHAYEDI Contractor: R H ROOFING INC Architect Address : 2505 W COAST HWY STE201 Address : 2020 SUSAN #R Address NEWPORT BEACH, CA 92663 SANTA ANA, CA 92704 Phone: Phone: (714) 381-1870 Phone Con State Lic : 1007845 State Lic: Lic Expire : 10/31/2025 Applicant : R H ROOFING INC Bus Lic: BT30053038 Engineer: Address : 2020 SUSAN #R Bus Lic Expire : 11/30/2023 Address SANTA ANA, CA 92704 Phone: (714) 381-1870 Workers' Compensation Insurance Phone: Carrier: EMPLOYEE SERV GRP Owner/Builder: Policy No: WC140631703 Designer: Address : W. C. Expire : 6/1/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/NewlTl sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 2 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: MU-W2 - Mixed -Use Water PROCESSED BY: 1Y5 SPECIAL CONDITIONS: HIGH DENSITY ZONE $10,000.00 0 0 0 NO CONSTRUCTION WORK ON SATURDAYS OWNER -BUILDER DECLARATION I hereby affirm under penalty 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 tern(s) Section 7031.5, Business and Professions Code: Any city or county (hat requires a permit to Construct, after. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he m 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 'rofessiuns 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 penatty of or more than five hundred dollars ($500). 3 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, rusiri 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 properly, provided that the nprovemenls are not intended or offered for sale. If, however, file 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)- 3 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not ply 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' Slate License Law for the following reason _ _ _ iy 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 legallt ell a structure that I have built as an ownor-builder if It has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Suction 7044 of the Susinoss and 'rofessiuns Code., is available upon request when this application is submitted or at the following Web site:htip:f/w w.leginfo.ca.govlcalaw.html. Iignature of Property Owner or Authorized Agent ,-- _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Crispier 9 (commencing with Section 7000) of Di 'lion 3 of the Business and Professions C de and my license is In full force nd effect. License Class License No Date 0 /^ .� Contractor Signature r VORKERS' COMPENSATION DECLARATION � 'ARNINC: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN AOOITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS, INTEREST, ANO ATTORNEYS FEES - hereby affirm under penalty of perjury one of the following declarations: 7 I have and will maintain a certificate of consent to sortinsurefor workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN arformance 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' compensatior Isuranc,/ carrier and policy number are: enter ",ny (Inn, Policy Number �A IC I4-D6- -�j i - U Expiration Date �_)GJ.y ie of Agent hrnul I Phone tf 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date_-_,_0q ireby 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). )der 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 t' *3 application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state jaws relating to building construction. I authorize re?nose..tatives of this city or county to enter the above-dentified property for inspection purposes. natma of ProrsRt' Owner or Authorized Aaeot Print Pmnertv Owner's nr Authnrized Anan's Name /- e ut rryt ( i; ANION ' DATE , BY DECLARATIO TOF COMPLIANCE WITH CODF OF FEDERAL REGULATIONS PART 61 OFTITLE 40 AND AQMO RULE 1403 FOR OFFICE USE ONLY FFRA4.7 EXPIRED - I SUBMITTED ASBESTOS NOTIFICATION TO F 'IibT CANCEttEC EPA P e,bHTtXTENDED I r �ngMD PrhN91"F/MAi .___. .._.___. .. ._ .._... pRIr _ )ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CLRTIFICA IFOF `/ II PROPOSED DEMOLITION � OCCUPA,AYiSSUEn) I i SIGNATUR€:S /