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HomeMy WebLinkAboutXC2023-0495 - PermitsCommunity of Newport e ppoett Beach patment-Building Division �IIII� �IIIII�I�III��III�I�IIIIII III COMB Permit : XC2023-0495 e Plan Check No . 100 Civic Center Drive, Newport Beach, CA 92660 Issued Date i. : 1210612023 Permit Counter Phone: (949) 718-1888 ., newportheachca gov/civic Final Date: Permit Status: Issued Combination Type - WInspection Area : 7 Work Class - Repair 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: 2131 WESTCLIFF DR Legal Desc : N TR 4225 BLK LOT 3 TR 4225 LOT 3 NWLY 140 FT Description: COMM REROOF 70 SQ OVER (E) LAYER OF BUR, INSTALL 1 LAYER GAF BARRIER BOARD AND APPLY TPO (CRRC#0676-0045) Owner: HANKEY INVESTMENT COMPANY Contractor: DEPINHO ROOFING INC Architect Address Address : 4751 WILSHIRE BLVD, 110 Address : 2832 N OLIVE AVE ORANGE, CA 92865 LOS ANGELES, CA 90010 Phone : (714) 632-7663 Phone Phone : Con State Lie : 683894 State Lie: Lie Expire : 02/29/2024 Applicant: N ROOFING INC Bus Lie: BT30009054 05/31/2024 Engineer Address N OLIVE AVE 2832O Address : 832 Bus Lie Expire : ORANGE, CA 92865 Workers' Compensation Insurance Phone: Phone: (714) 632-7663 Carrier: TRANSVERSE INS CO Policy No: 000000141 Designer owner/Builder: W. C. Expire : 12/14/2023 Address Address : Phone: Phone: NO Construction Valuation : $69,000.00 Code Edition : 2022 Fire Sprinklers : NO Added/New/TI sq. ft. Bldg: 0 Type of Construction : V-B Fire Hazard Zone : 0 Alteration sq. ft. Bldg : Occupancy Groups : B No of Units : 2 Added/New sq. ft. Garage : 0 Bldg Height: No of Stories : TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : CG - Commercial General PROCESSED BY: J e SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION _-- I hereby affirm under penalty of perjury that I ant exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmarke) I have placed next to the applicable ilem(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to Construct, alter, improve, dernolish, 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 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 not more than five hundred dollars ($500). liM 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044, Business 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 improvements are not intended or offered for sale. If however, the building orimprovement 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). El 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 ©apply to an owner of properly 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 fire Contractors' State License Law for the following reason: y my signature below I acknowledge that, except for m y p p ------- �_.—._ g p y personal residence in which I must have resided for at feast one year prior la Completion of the improvements covered by this permit, i cannot iegalt sell a structure that I have built as an owner -budder if it has not been constructed in its entirety by licensed Contractors. j 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:/fwww.leginfo.ca.gov/celaw.html. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION Date _. ---- I hereby affirm under penalty of perjury that am licensed under provisions of C ap er �( ommencing with Section 0 0} of vision 3 of the Business and Pr esgIons Coda, and my license is In full force and effect. License Class L39� (3 1_icense'No �.)fjS9 Dat Z Contractor Signature .ar LNORHERS' COMPENSATION DECLARATION NARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOR -DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, ED THOUSAND DOLLARS 15100,000I, IN ADOn10N TO THE hereby affirm under penalty of perjury one of the following doclaretions: ±-1 1 have and will maintain a cedifcate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as providedfor by Section 3700 of the. Labor Code, for th, anal of the work for which this permit is issued. Policy No. Indite 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' compensatiol era a carrier and policy number are: _ r . S V-T-,5 S $ Cyrry 60K Policy Number r0 - W C- r"X U to of Agent Ze2e tFEM 2v'Sw �i'<-r'S y' Z Expiration Date Phone ti 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 agree If I should become subject to the Workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with Ihese orovislons_ of hereby affirm under penalty of perjury that Liners is a construction lending agency for the performance of the work for which this permit Is issued (section 3097. enders Name Lenders Addra6s. ly my signature below, certify to each of lha 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, I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the abov -id ffied property for inspection purposes. �r iwieture of Property Owner or A, nn�rs,�„� n�a , \f _ter— _ . . _ _ BY ,,j-fTECLARAYI'ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RF,G UtAt1ON9 PART 61 OF TTLE 40AND AQMD RULE PERMiTEXPfREO I SUBMITTED,;SBELTCIS NOT9C.'%TION TO PERN1l7CANCELLE5 '-'— — "--— —'— --- ._......_. PERMIT EXTENDED _QM D__ _ __.._.. ...._._._._—._._..-._ _q_.v... 7•—� PERMITI`IAWE 4-rS=ZN f� Nor' SBESTOSNOTIFICAr1ONISNOTAPPGCABLE TO OCCUPANCY Of PROPOSED DE LITIOP^.9e OCCUPANCY TEOFUE0 ' SIGNATURE: Civil Cade). z