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Home My WebLink AboutXC2023-0150 - Permits��EWPORT City of Newport Beach C @ Community Development Department- Building Division fiy 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 ui.. newportbeachca.gov/civic cqG ppµN�P Combination Type - Work Class - Repair iiiiiiii0 II COMB Permit : XC2023-0150 Plan Check No : Issued Date: 0511012023 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 : 4601 JAMBOREE RD Legal Desc : A TR IRVINE SUB BLK 50 LOT 138 IRVINE SUB LOT 138 BLK 50 FOR OF LOT Description: COMM REROOF: T/O (E) BUR AND INSTALL SARNAFIL G410 PVC MEMBRANE ADHERED (CRRC 0674-0002A) 606 SQUARES Owner: COUNTY OF ORANGE Contractor: ANNING - JOHNSON COMPANY Architect Address : 320 N FLOWER ST Address : 13250 TEMPLE AVE Address SANTA ANA, CA 92703 INDUSTRY, CA 91746 Phone : Phone: (510) 670-0100 Phone Con State Lic : 652825 State Lic Lic Expire : 08/31/2024 Applicant: ANNING - JOHNSON COMPANY Bus Lie: BT30081105 Engineer: Address : 13250 TEMPLE AVE Bus Lic Expire : 03/28/2024 Address INDUSTRY, CA 91746 Phone: (510) 670-0100 Workers' Compensation Insurance Phone: Carrier: ARCH INSURANCE COMPANY Owner/Builder : Policy No : 41WC18948405 Designer Address : W. C. Expire: 8/1/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : B,U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks Flood Zone : X Use Zone : PC - Koll Center 13-5 PROCESSED BY: SPECIAL CONDITIONS: $1,479,636.00 0 0 0 OWNER -BUILDER DECLARATION I 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 placed next to the applicable item(s) Section 7031.5, Business and Professions Cade: 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 is permit to file a signed statement that he or she is licensed pursuant to the provisions of the ContractorsStale License Law (Chapter 9 (commencing. with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from Ilcensure 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 of more than five hundred dollars ($500), 1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_j all of or I 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 nprovements 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 bullor nproved for thepurpose 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 .Daly to an owner of properly who builds of improves thereon, and %he 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: ly my signature below I acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the improvements covered by this permit, I cannot legally all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. ) understand that a copy of the applicable law. Section 7044 of the ausinoss and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwwwr.leginfo.ca.gov(calaw.html. signature of Property Owner or Authorized AgentDate _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)af ivisipn 3 of the Business and ProfsMmy lit ;din full force nd effect. License Class License No Date Cantracior SignatVORKERS'COMPENSATION DECLARATIONIARNING: FAILURE TO SECURE WORMERS'COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH14100,000i, IN ADDITION TO THE CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COPE, 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 the erformance of the work for which this permit is issued. Policy No. have 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' ranee carrier and policy number are: is of Agent certify that, in the performance of , 1f I should become subie lature of ADolicant Policy Number Date 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 npensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. !reby affirm under penalty of that tlL¢r$rIs a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Idlei p jury s Name J Lender's Address 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 cornnly with all applicable city and county ordinances fate laws relating to building construction. I authorize reoresentalives of this city or county to e. 'ed property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam 1"Ir1N QATE. BY DELL AT€ON. OF MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I ftEGU TIONS PART 51 OF TITLE 40 AND AQMD RULE Ctir rFINAL �4,Z`/��ASBEST'OS NOLITIONION IS NOI'APPLICABLE i0 CLR77 lCAiEOF 1, ((p/[ � PROPQSFO DEMOLITION OC4LFAYY15SUED If:;5Al SIGNATl1l am