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HomeMy WebLinkAboutXC2023-0324 - PermitsFWvo�T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2023-0324 @ Community Development Department- Building Division X C 2 0 2 3 0 3 2 4 i 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: �} n Permit Counter Phone: (949) 710-1888 Issued Date : 0812412023 $ c 7 newportbeachca.gov/civic Final Date: Combination Type- Permit Status: Issued Work Class -Other 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: 240B 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 SQS Owner: NEWPORT MARINA COMPOUND LLC Contractor: R H ROOFING INC Architect Address : 2410 NEWPORT BLVD Address : 2020 SUSAN #R Address NEWPORT BEACH, CA 92663 SANTA ANA, CA 92704 Phone: Phone: (714)381-1870 Phone: Con State Lie : 1007845 State Lie Lie Expire : 10/31/2023 Applicant : R H ROOFING INC Bus Lie: BT30053038 Engineer Address : 2020 SUSAN #R Bus Lie Expire : 11/30/2023 Address SANTA ANA, CA 92704 Phone: (714) 381-1870 Workers' Compensation Insurance Phone: Carrier: EPLOYEE SERV GRP Owner/Builder : Policy No : WC140631703 Designer Address : W. C. Expire : 6/1/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $60,000.00 Type of Construction : Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : AE, 8 FT; X ° Use Zone: MU-W2- Mixed -Use Water h ) PROCESSED BY: SPECIAL CONDITIONS: �a e� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons), indicaled below by the check marks) I have placed next to the applicable Items) (Section 703f.a. Business and Professions Code: Any City or county that requires a permll to construct, alter, improve, dernollsh, 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 licensers 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). ❑ I, as owner of the property, or my employees with wages as their sole Compensation, will do f_) all of or L) 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 Phorl, holds 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 compioten, the Owner -Builder will have the burden of proving that It was not built or improved for the purpose of sale). © I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsSlate 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). El I am exempt from IICarI5Ure, under the Contractors` State License Law for the to lOWtng reason _. �' Y _ ne y p By my signature Oolov; h acknowledge that. except for my personal residence in which I must have loaded for at least one year riar to completion of the Improvements covered by this permit, I cannot legally] ball a structure that I have built as an owner -builder It it has not been constructed in its entire b licensed contractors. I Understand that a copy of the applicable law, Section 7044 of tho Business and Professions Code, is available upon request when this application Is submitted or at the following Web sitemttp�l/vrv,'w,legtnlo.Oa.gaNcalaw.ntmL Signature, of Property Owner or Autharized Agent _._._._.___________..._________ Date, ....__�__ _......__._ LICENSED CONTRACTOR'S DECLARATION l hereby office under penalty of perjury hat I am licensed under provisions of Chapter 9 (commanding with Section O) of Division 3 of the Business and Pr� sic _lid vr�y license is In full force and effect.License Class License No Date Contractor Signatu WORKERS' COMPENSATION DECLARATION V r— WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 13 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HONORED THOUSAND DOLLARS t$100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES_ I hereby affirm tinder penalty of ornun/ one of the following declarations: ❑ I have and Will maintain a rernficate of consent to self -insure for workers' Compensation. Issued by lha Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the p formanco of the work for which this permit Is issued. Policy No. Zwave 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' compensatior Insurance carrier and policy number are: Policy Number of Agent Date �I 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 afire rat, if I should became subjB to e,, rker ' c Ipansahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignalure of Applicant) .__._.... .—_......Da ECLARATION REGARf7UTRIIC ION LENDING AGENCY Y 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, Civil Code/ ender's Name Lender's Address y my signature below, I certify to each of the fallowing: I am rile property owner or authortzed to act on theproperty owner's behalf, I havp read !his application and the Information I have provided is corracy I agree to comply VPL, all applicable city and county a os i s[ra�t(� laws relating to building construction. authorize representatives of this city or cou r�tyf r e ROPY -de Ifivd proport;,� for inspection purfmses. n e ianmure of ProDerty Owner or Authonzed Aaenl X Print Property Owner's or Authorized Agent's Name �[ ate ACTION DATE (1 BY Lit —Mr AAATIlA OF CONIPLIANC CV17ICODEOFFEDERAL FOR OFFICE USE ONLY REGULATIONS PAR751 L)F I'ITI.t 10 AND AQPIEI RUi.E -{-�14u3 PERMIT EXPIRED I 0, +IIRMII i5D ASHF FOS vOTIF CATION TO PFRMIF CANCTIl ED { .. CPA PERXVTEXTENDED E OAOMD PERNIn 17NA! t;SBE510N TIFICA❑ I UI PpLI .ABLE to CERTr(tCATE OF PROPOSE)b OLITID �1� OCCUPANCY ISSUED I.. SIGNATURE;%/