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HomeMy WebLinkAboutCOMB22-0131 - PermitsCity of Newport Beach 100 CIVIC CENTER DRIVE NEWPORT BEACH, CA 92660 Permit No:COMB22-0131 5/2/2022Final: Job Address:1305 ANTIGUA WAY, NEWPORT BEACH CA, 92660 Final Inspection by: Description of Work:Tear off existing tile roof and replace with new U.S. Tile S tile roofing Legal Description:N-TRACT: 3852 BLOCK: LOT: 22 Owner:Michael Potoma 1305 Antigua Way Newport Beach, CA 92660 747706Contractor: JSL ROOFING INC Jeffrey Scott Lehman 2415 MARGARET DR NEWPORT BEACH CA, 92663 Worker's Compensation Insurance: Carrier:STATE COMPENSATION INSURANCE F Expire:06/18/2022 Jeffrey Scott LehmanApplicant: 2415 Margaret Drive Newport Beach CA, 92660 Amount ($)Fee Description Qty Re-Roof Permit Fee 351.00 1 $351.00 The issuance of this permit shall not prevent the Chief Building Official from thereafter requiring the correction of errors in the plans and specifications or from preventing building operations being carried on thereunder when in violation of the California Building Code or of any provision of the Newport Beach Municipal Code . Except as otherwise stated, a permit for construction under which no work is commenced within six months after issuance, or where the work commenced is suspended or abandoned for six months, shall expire, and fees paid shall be forfeited. Owner Builder Declaration You certified to each of the following: ·I am the property owner or am 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 City ordinances and state laws relating to building construction. ·I authorize representatives of this City to enter the above-identified property for inspection purposes. License Contractor Declaration You certified to the following: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of division 3 of the Business and Professions Code, and that my license is in full force and effect. WARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY’S FEES. DOC200Finalpermit_Document_CNB.rpt / version 2015-11-04