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Home My WebLink AboutXC2023-0118 - PermitsCity of Newport Beach ��Er<PoRT D @ Community Development Department- Building Division �r 100 Civic Center Drive, Newport Beach, CA 92660 ems. Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: 644-3255 (949) CgGIFORN`P newportbeachca.gov/inspections Combination Type - Work Class - Other X C 2 0 2 3 0 1 1 8II COMB Permit : XC2023-0118 Plan Check No: Issued Date : 04/13/2023 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 : 2800 COAST HWY W Legal Desc : N TR 919 BLK LOT F TR 919 LOT F SELY 129.15 FT SWLY 130 FT Description: COMM - T/O EXIST'G ROOFING MATERIAL AND INSTALL NEW MODIFIED BITUMEN "POLYFRESKO G" TORCH -DOWN 41 SQ Owner: YU MAU Contractor: JOBE ROOFING COMPANY Architect Address : 1100 KINGS RD Address : 3022 W 48TH STREET Address NEWPORT BEACH, CA 92663 LOS ANGELES, CA 90043 Phone: Phone: (323)293-9684 Phone: Con State Lic : 899514 State Lic Lic Expire : 07/31/2023 "" Applicant : JOBE ROOFING COMPANY Bus Lic: BT30081269 Engineer Address : 3022 W 48TH STREET Bus Lic Expire : 04/13/2024 Address LOS ANGELES, CA 90043 Phone: (323) 293-9684 Workers' Compensation Insurance Phone: Carrier: NATIONAL CASUALTY COMPANY " Owner/Builder : Policy No: WCC336271A Designer Address : W. C. Expire : 3/12/2024 Address Phone: Phone: �,,,,• Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $33,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : A-2 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone: X Use Zone: MU-MM - Mixed -Use Mariners' Mile PROCESSED BY: SPECIAL CONDITIONS: LIQUEFACTION NRCC FORM ATTACHED OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasoo(s) 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 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 71 1, as owner of the property, or my employees with wages as their sale compensation, will do I all of or (_) 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 Improvemants 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 Improved. for the purpose of sale). 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 apply 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), 171 1 am exempt from licensure under the Contractors' State License Law for the following reason By 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 legally sell 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 theapplicable law. Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca,govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 t I isien 3 of the Business and Pro ssio Code and my license is In full force and effect. License Class License No Data Contractor Signature WORKERS' CnmPEAfSATION DECLARATION R,ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO' ONE HUNDRED THOUSAND DOLLARS ISt00,D00i, IN ADDITION TO THE CFFT CT CDMPENS/.T'r N,. DAMAGES AS PROVIDED FOR IN SECTION 370S OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ihereby affirm unir ally of perjury one of the following declarations: Ih u I have and Will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ft pe crmance of the work or which this permit Is issued. Policy No. 11 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 ermit is issued. My workers' compensatior insurance ar er'and policy number are'. Carrlpr_ '�"i QN' /r-`vl ,;4clicy Number �% CC- > J �� ✓n' Expiration Date 1 2i Name of Agent Phone If CI certify that, inthe pel;iormsnce 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 agral th,,I if I •should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I Signature of Applicant __ Date DECLARATION REGARDiNG� STRUC7tON LENi31NG AGENCY =Peby affirm underpenalty ofre-qury that there is a construction lending agency for the performance ofthe work forwhich this permit is issued (Section 3097, Civil Code). tders Name 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 comply with all applicable city and county o dinances and slate laws relating to building construction. I authorize representatives of this city or county enter the above -identified property for inspection purposes. �/t,� mature of ProDertv Owner or Authorized Anent Print Procertv Owner's or Authorized Acent's Name Swain S_v� V Y \O ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE BY ! DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61, OF TITLE40 AND AQMD RULE /1- NOTIFICATION IS NOT APPUCAeLE TO