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Home My WebLink AboutXC2023-0226 - PermitsR City of Newport Beach �EWv 04 ! o , Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 i,. Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - Work Class - Repair iiiiiiiiiiii II COMB Permit : XC2023-0226 Plan Check No: Issued Date : 06/2112023 Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPEETIO4, 6UTN6 CATER 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: 2703 COAST HWY W Legal Desc : N TR 919 BLK LOT H TR 919 LOT H SELY 100 FT NWLY 450 FT Description: COMM T/O (E) ROOFING. INSTALL CLASS B CEDAR SHAKES (CRRC 1174-0003) 17 SQUARES Owner: LARSONS BOAT YARD Address: 2705 WEST COAST HIGHWAY NEWPORT BEACH, CA 92663 Phone: Applicant: Lawrence Timothy Williams Address : 3002 JEFFREY DR, A COSTA MESA, CA 92626 Phone: (714)329-7756 Owner/Builder Address : Phone : Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : 2022 V-B M,U AE, 8 FT; X; X MU-W1 -Mixed-Use Water PROCESSED BY: _ tp Contractor: ABC WATERPROOFING Architect Address : 3002 JEFFREY DR, UNIT A Address COSTA MESA, CA 92626 Phone : (714) 444-1111 Phone Con State Lie : 598440 State Lie Lie Expire : 07/31/2024 Bus Lie: BT30081946 Engineer: Bus Lie Expire : 06/30/2024 Address Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9218467 Designer: W. C. Expire : 9/26/2023 Address Phone: Fire Sprinklers : NO Construction Valuation : $23,400.00 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 No of Units : 0 Alteration sq. ft. Bldg : 1,700 No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 SPECIAL CONDITIONS: LIQUEFACTION; AE8 FLOODZONE 10ri I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State 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 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 :he permit to tale 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 'rofesslons Code) or that he or she is exemptfrom licensure and the basis for Vie alleged exemption. Any vtolatton of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of Tot more than five hundred dollars ($500). 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, 3usiness and Professions Cafe: 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 mprovements 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 boilt or in roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Coda: The Contractors' Slate License Law does not reply 1G an owner of property 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 licensors under the Contractors'State License Law for the fallowing reason: 3y 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, :ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a. copy of the applicable law, Section 7044 of the Business and Drofessions Code, Is available upon request when this application is submitted or at the following Web she:http,.Iiwww.leginfo.co.gov/calaw.htmi- Signature of Property Owner or Authorized Agent Date _ICENSED CONTRACTOR'S DECLARATION - -- hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f LLIIi let 3 of the Business and ProfesalCode an ens is in full force and effect. License Class License No Date aI Contractor Signature NORKERS'COMPENSATION DECLARATION DARNING: 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 (fiUd,U08), IN ADDITION TO THE :oST OF COMPENSATION, nA oes AS PROVIDED FOR IN SECTION ]TUB OF THE LABOR CGOF, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjuryone of the following declarations: Feve 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 IN iance 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' compensatior isuuance cam an all mbar re: .anierPolicy Number Expiration Date lame of Agent Phone # 31 certify that, in the, performance of (he war which this permit Is issued, I shalt not employ oily person in any manner so as to become subject to the workers' compensation laws of California, and agree rat, if I should become sublet t to the r ' co pensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with Those provisions. _II_�� ignature of Applicant- Date,,, b fECLARATION REGAROIN TRUCTIO ENDING AGENCY 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 following: -- I am the property owner or authorized to act an the property owner's behalf. I have read this cppleation and the Information I have provided is correct. 1%�\ I agree to comFi; wv+Nh all applicable city and county ordinances and state laws relating to building construction. ' 11't'I^rize repro=PPiaOvas of this city or oountyto enter the abov"ntffie(1 property for inspection purposes. 1r Il ACTICN DATE By DECLARATIM OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART ESE OF TITLE 40ANO AQMD RULE 1403 PERMIT EXPIRED - _ 1SUBMITTED ASBESTOS NOT] FICATION TO PERNAT Cf'NCELLEt) PfRMfT EXTENDED 4MD PLRry dT FldAL CERTIFICATE OF OYCUPAN�"Y ISSUE? /�,._ ASBESTOS NOTIFICATION IS OT BLE TO PROPOSED DEMO -_/ SIGNATURE: ^ `_ /F: