HomeMy WebLinkAboutXC2024-0016 - Permitsv��WPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIilllllllllll II COMB Permit : XC2024-001 s
p em Community Development Department - Building Division
y 100 Civic Center Drive, Newport Beach, CA 92650 Plan Check No : PC2023-2399
Permit Counter Phone: (949) 718-1888 Issued Date : 01/12/2024
V `P newportbeachca.gov/civic .•�, �. rz Final Date:
g4,pORN Combination Type - ; �, '"` '""" Permit Status: Issued
Work Class - Repair �- '"' ''^'' as .� 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: 3700 COAST HWY E Legal Desc : N TR 323 BLK W LOT 3 TR 323 LOT 3 BLK W ALL -EX HW
Description: COMM REROOF WITH COMPOSITION SHINGLES 14 SQUARES (PITCHED) AND TORCH DOWN 14 SQUARES (FLAT)
Owner: TJJ COX PROP LLC
Contractor: TRUJANO ROOFING INC
Architect
Address : 1434 SEACOAST DR
Address : 3311 BIG DALTON AVE
Address
IMPERIAL BEACH, CA 91932
BALDWIN PARK, CA 91706
Phone :
Phone : (323) 519-1548
Phone
Con State Lic : 1049641
State Lic
Lic Expire : 09/30/2024
Applicant: DIKLA SHECHORI
Bus Lic : BT30081535
Engineer
Address : 23414 ERWIN ST
Bus Lic Expire : 05/31/2024
Address
WOODLAND HILLS, CA 91367
Phone: (818) 220-9452
Workers' Compensation Insurance
Phone:
Carrier: CALIFORNIA INSURANCE COMPANY
Owner/Builder:
Policy No : 7491127004
Designer
Address :
W. C. Expire: 8/25/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$9,800.ati ,
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups : B.0
No of Units : 0
Alteration sq. ft. Bldg :
2,800 • , •> >
Bldg Height :
No of Stories : 1
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks
Flood Zone: X
r.
Use Zone: CC- Commercial Corridor
wO
CONSTRUG
PROCESSED BY:
SPECIAL CONDITIONS: HIGH DENSITY ZONE
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checlemark(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 lie 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).
''.M 1, as owner of the property, or my employees with swages as their sole compensation, will do U all of or (_) portions of the work, and the structure is notintended 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' orpersona I effort, builds 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 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 improves thereon, and who contracts for the projects with a licenser! Contractor pursuant to the Contractors' State License Law).
IEl I 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 ithas not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
!Professions Code, is available upon request when this application is submitted or at the following VVeb site.http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _ Date _.__-_-_-
LICENSED CONTRACTOR'S DECLARATION
II hereby affirm under penalty of perjury that I am licensed under provisions of Chppier g (commencing with Section 7000) of Division 3 of the Business and Professions Co my license is In full force
land effect. License Class C" �y License No (OP, 111 Date (-12-2/g Contractor Signature
(WORKERS' COMPENSATION DECLARATION
'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 (5100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LASOR CODE, INTEREST, AND ATTORNEYS FEES,
I hereby affirm under penalty of perjury one of the following declarations:
O 1 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 In(
performance 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 Somali is Issued. My workers'
Fence carrier and policy number are:
Policy Number }`1411'2}0041 Expiration Date
of Agent
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 taws of California, and
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply w hi those provisions.
of
Date_
d,L^KAI INN hi :'�9 K6WM 1:IJN7i IKV4:I IUN "NUINU ALOtNt:T
rreby affirm under oer,atty of perjury that theca is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's ,Jame Lenders Address
my signature' _ )4rw, 1 certify to each of the following:
I art the property owner or authorized to act on the property owner's behalf,
I t.cve read this application and the information I have provided is correct.
I acres to comply wrh all applicable city and county ordinances and state laws relating to building construction.
I v'tnorize represen.atives of this city or county to enter tpg f identified property for inspection purposes.
Icra`ce Of Pronafty llwnar or Authorzad
.,Ll�Gh I DATE
ncpgalr cXPIRED
P_i'F CANCELLED
PERMIT EXTENDED
PERILIIT FINAL
CERTIFICATE OF
OCCUPANCY 155UED
DECLARATION OF COMPLIANCE WITH CODE OK FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQVID RULE
1403
FICATION TO
@:f AS13ES105 NOTIFICATION IS NOT APPLICABLE TO
PROPOSED' DEMOLITION
FOR OFFICE USE ONLY
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