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Home My WebLink AboutXC2023-0329 - PermitsCU"""w"O City of Newport BeachIIIIIIICOMB Permit: XC2023-0329 Community Development Department- Building Division100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO: Permit Counter Phone: (949) 718-1888 Issued Date : 08/25/2023 newportbeachca.gov/civic Final Date: Combination Type - 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 : 400 MAIN ST Description : Legal Desc : A TR BALBOA BAY FRONT TR BLK G LOT 4 BALBOA BAY FIR COMM - T/O COMP SHINGLES. INSTALL OC SYNTHETIC FELT, INSTALL 140 SF COMP SHINGLES. ICC-ES AC438. CRRC# 0890-0027 f Owner: ARMEN GUGASIAN Address : 39 GOLETA POINT DR CORONA DEL MAR, CA 92625 Phone Applicant: LAROCQUE BETTER ROOFS INC Address: 9077 ARROW RTE #100 RANCHO CUCAMONGA, CA 91730 Phone: (909)476-2699 Owner/Builder: Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups: A-2 Bldg Height: Building Setbacks : Flood Zone : AE, B FT; AO 1; X Use Zone: CV - Commercial Visitor -Serving PROCESSED BY: SPECIAL CONDITIONS: Contractor: LAROCQUE BETTER ROOFS INC Address : 9077 ARROW RTE #100 RANCHO CUCAMONGA, CA 91730 Phone: (909)476-2699 Con State Lic : 455773 Lic Expire : 04/30/2024 Bus Lic : BT30082436 Bus Lic Expire : 08/31/2024 Workers' Compensation Insurance Carrier: REDWOOD FIRE AND CASUALTY INS CO Policy No: LAWC322560 W. C. Expire : 1/1/2024 Architect Address Phone : State Lic Engineer: Address Phone: Designer Address Phone: Fire Sprinklers : NO Construction Valuation : Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg No of Units : 0 Alteration sq. ft. Bldg : No of Stories : 3 Added/New sq. ft. Garage TOTAL sq. ft. : $137,500.00 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I ant exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) 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 in permit to file a signed statement that lie or she is licensed pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure Bad 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), 3 I, 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, lusiness and Professions Code: The ContractorsState License La.v does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the aprovements 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 mproved 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' State License Law does not pply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 3 1 am exempt from licensure under the Contractors' State 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 legall, all a structure that I have built as an owner -builder jl II has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and 'rofesslons Code, B available upon request when this application is submitted or at the following Web site:http:b'wvlv.4eginfo.ca.govlcalaw.html. llgnatum of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of peI�ry that I am licensed under provisions of C,Jr�a ter 9 (com encing with Section O) of wrsi n 3 of the Business and Prot sic c Code, and my license is In full force no effect. License Class �! 1 License No 49"HY -7 Datz 5 23 Contractor Signatur VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,000j, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I 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 th erprmance of the work for which this parmit is issued. Policy No. 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' �a(rier and policy number are: [C,,Qv�6G0 Policy Number c3Expiration Date of Agent ?II -certify that, in the perform nce 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 Tat, if I should become Ural ct to th ers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. e iynature of Applicant __.�-' _ _ _ .__ Data�-'_____�_____ IECLARATION Rt t N LOTION LENDING AGENCY hereby affirm under pen fly of jury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil Cade). Rader III Name _ Lender's Address ly 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. 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 countty� t aaterth b--entified property for inspection purposes. .(� 1 j�//� 'ianature of Prooenv Owner or Authorized Anent \p �T�1r� /' Print Prooeriv Owner's or Authorized Aoeni Nam Kavor� L1A "CQUIF to 8,,l r2- ACTION ! DATE I BY V DECLARA710N. OF COMPLIANCE WITH LODE OF FEDERAL FOR OFFICE USE ONLY Itrf.GULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EATENDED UADM D PCRMiT FINAL ASBEST S NOI IHCAT ION IS N01�L'p�LiCA8U, t0 OCCUCERTfPtCATEANCY OF r PROPOSED OCCUPANCY ISSUED l SIGNATURE.