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Home My WebLink AboutXC2024-0022 - PermitsagwaoRr City of Newport Beach II IIIII II I II I � III IIIIII IIII II I II COMB Permit : XC2024-0022 Community Development Department - Building Division X C 2 0 2 4 0 0 2 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 -- .. ---�, Issued Date : 01/1812024 newportbeachca.govlcivic ` Final Date: C9��F00.0.�P Combination Type "'' ' a yp - Permit Status: Issued Work Class - Repair 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 : 190 NEWPORT CENTER DR Legal Desc : P BK 52 PG 37 PAR 9 Description: COMM REROOF -REMOVE EXISTING ROOF DOWN TO ROOF DECK- INSTALL NEW INSULATION AND 77 SQ'S SINGLE PLY ROOFING (CRRC 0610-0001A) 77SQUARES Owner: MEADOWS MANAGEMENT GROUP LLC Contractor : J J ROOFING Architect Address : 190 NEWPORT CENTER DR Address : PO BOX 5657 Address NEWPORT BEACH, CA 92660 RIVERSIDE, CA 92517 Phone: (909)261-4121 Phone: (951)784-7663 Phone: Con State Lie : 409528 State Lie Lie Expire : 07/31/2025 Applicant : ANDY OMLOR Bus Lie: BT30083400 Engineer Address : 2011 SPRUCE ST. Bus Lic Expire : 01/31/2025 Address RIVERSIDE, CA 92507 Phone: (951) 784-7663 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No : 9149349 Designer Address : W. C. Expire: 1/1/2025 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $125,000.00 Type of Construction : III -A Fire Hazard Zone : NO Added/Now/Ti sq. ft. Bldg: 0 Occupancy Groups : R-3,U No of Units : 0 Alteration sq. ft. Bldg : 7,700 Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 , TOTAL sq. ft.: 0 = Building Setbacks Flood Zone : X Use Zone: OR - Office —Regional PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placednext to the applicable iterI (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 signedstatement that he or sheds licensed pursuant to the provisionsof 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($590). 1, 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, Business and Professions Coda: 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). 0 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not a 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: Slate License Law), LJ I am exempt from licensors under the Contractors' Stale License Law for the following reason By my signature below I acknowledge that, exceptfor my personal residence In Which I must have resided for at feast one year prior to completion of the Improvements covered by this permit, I. cannot legal 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:/Iw ,leginfo.ca.gOvlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o �— D' n 3 of the Business and Professi a C d 0, (r Il is in II force and effect. License Class . License No Date I A Contractor Signalura WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1100,000), IN ADDITION TO TH COST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the fallowing declarations: y 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 it p ormance of the work for which this permit is Issued. Poiicy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit Is issued. My workers' ranee/�errle€ a di n^,'�I`�n-her are: v I /% -2 5 X q 'ter no 11 1 _ L✓'I . Policy Number W'S'✓ � / �J �� Expiration Date `—I _�� 1e of Agent ` � I, P en /> certify that, in the perforlI�Yj¢¢nce of the ld . if I shotbecome subldf to the 'No Iature of Applicant . 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 I provisic , of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. III 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 Iders Name _ _ Lender's Address my signature below. I certify to each of the foilowinib I am the property owner or authorized to act on the property owner's behalf. 1 have read 6 ii, application and the information I have provided is re t. I Pgri a to cc.np:y with all applicable city and count�„ rdinances an st a la s rotatingto building construction. PP tY Y/� ��[L ,iiJ g .authorize .eprosinflatives of this city or county ioi oRth044 de ,.tie j(popor dr inspection purposes. 4 AITIUN DATE BY ' PPEAWT EXPIRED PITW I)T CANCF'.LED PERM77 EX7ENP'D � rEAnrrerNAc %/p_Zrl �- SG CERTIFICATE 01 5 0C(1JPANCY155UED DECLARATION OF COMPLIANCE WITI4 CODE OF FEDERAL REGIAATIONS PART fit OF TITLE 40 AND AQMD RULE. SIGNATURE;: To FOR OFFICE USE ONLY Civil Code).