HomeMy WebLinkAboutXC2023-0325 - Permits,�EWVpaT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2023-0325
p`� iA Community Development Department- Building Division
g�, r 100 Civic Center Drive, Newport Beach, CA 92660 x C 2 8 2 3 e 3 2 5
,= Permit Counter Phone: (949) 718-1888 Plan Check No
Issued Date : 08/24/2023
newportbeachca.gov/civic
9 910Combination Type - Final Date:
Work Class -Other 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 : 2410 NEWPORT BLVD Legal Desc : P BK 334 PG 23 PAR 1
Description: COMM REROOF T/O METAL ROOFING AND REPLACE W/ METAL COOL ROOF 25 SOS
Owner: NEWPORT MARINA COMPOUND LLC
Address : 2410 NEWPORT BLVD
NEWPORT BEACH, CA 92663
Phone:
Applicant: R H ROOFING INC
Address : 2020 SUSAN #R
SANTA ANA, CA 92704
Phone: (714)381-1870
Owner/Builder :
Address :
Phone
Contractor :
R H ROOFING INC
Address :
2020 SUSAN #R
SANTA ANA, CA 92704
Phone:
(714) 381 -1 B70
Con State Lie
: 1007845
Lie Expire :
10/31/2023
Bus Lie:
BT30053038
Bus Lie Expire : 11/30/2023
Workers' Compensation Insurance
Carrier: EPLOYEE SERV GRP
Policy No : WC140631703
W. C. Expirr. : 6/1/2024
Code Edition : 2022 Fire Sprinklers : NO
Type of Construction : Fire Hazard Zone : NO
Occupancy Groups : B No of Units : 0
Bldg Height: No of Stories : 1
Building Setbacks :
Flood Zone : AE, 8 FT; X
Use Zone : MU-W2 - Mixed -Use Water
PROCESSED BY: l=
SPECIAL CONDITIONS:
Architect:
Address
Phone:
State Lie
Engineer
Address
Phone:
Designer:
Address
Phone :
Construction Valuation :
Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. :
$60,000.00
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I are exempt from the Contractors.' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Itent(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
the 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 Iicensure 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
not more than five hundred dollars (5500).
0 1, 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,
business and Professions Code: T"he 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).
F1 1, 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
apply to an owner of property who builds or improves thereon, and %he contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
EI I am exempt from licensure under the Contractors' State License Law for the following reason _,_,-------- _..._._,— ...._-_.___ _ _ ..... By 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 legal)
sell a structure that I have built as an owner-builder'rf 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:llvvw.leginto.ca.gov/calaw.btmi
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 0) f Divisio 3 of the Business and Prof ens , e., a d y license is In full force
and effect License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
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
manco of the work for which this permit is issued. Policy No.
aye 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' compensa
once carrier and policy number are:
Policy Number
is of Agent
Date
]I certify that, in the pelOrmanC>Afflne wor 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 oc
lot, if I should becom Wjec O t e w ker ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith core with those provisions.
` comply
ignalure of AUPlieant ._,.. _ _ ____..__... Date_ _,
,ECLARATION RIG DI CGNSTRU TION LENDING AGINCV
hereby 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, it Code).
Hader's Name _ _ Lenders Address _
N 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. Fj
I agree to comply with all applicable city and cou Yj%rdlnances and slat aws relating m huilding. construction. ' /C)
I authorize representatives of this city or county Dante, the)aIl ive-+ritif n property, for inspection purposes. �/z y/
., ..r o.,...on n ,.,e..,.. n IP .�,o.I A-11 / � � Print Pmnarty Owner's or Authorized Aaert's Name Y� - Date r
ACTION DATE BY y'1 DE[lnnATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
HF_C ULAI-IIONS PART 51 0E 7140 AND AQMD RULE
14C2
PERMIT EXPIRED
PERMIT CRMCELi
NOTIFCATIGN TO
PERIWIT FINAL CERTIFCATE OCCUPANCY OSUED �3���,Cj� SI�OPOSER7:\ OtITIO fIO: 1'ARPLICgtlLE 10
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