HomeMy WebLinkAboutXC2024-0102 - Permits�EWPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2U24-� U2
OF Community Development Department- Building Division X C 2 0 2 4 0 1 0 2
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
G > z Permit Counter Phone: (949) 718-1888 Issued Date : 03/1312024
.s.. newportbeachca.gov/civic Final Date:
Cq«FOQN`P 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: 5 UPPER NEWPORT PLAZA DR Legal Desc : P BK 139 PG 32 PAR 5
Description: COMM REROOF T/O HOT MOP AND INSTALL 1 LAYER FELT, HOT MOP AND CAP SHEET 38 SOS
Owner: PARK HOUSTON AFFORDABLE MYERS-O Contractor: MZ ROOFING
HILL LTD
Address : 3510 OAK FOREST DR Address : 13358 SIERRA RD
HOUSTON, TX 77018 VICTORVILLE, CA 92392
Phone
Applicant: MZ ROOFING
Address : 13358 SIERRA RD
VICTORVILLE, CA 92392
Phone : (951) 569-5008
Owner/Builder :
Address :
Phone: (951)569-5008
Con State Lic:
1034144
Lic Expire:
06/30/2024
Bus Lic :
BT30083789
Bus Lic Expire :
03/31/2025
Workers' Compensation Insurance
Carrier: INSURANCE CO OF THE WEST
Policy No: WVE506497301
W. C. Expire : 4/1/2024
Architect
Address
Phone:
State Lic
Engineer
Address
Phone:
Designer:
Address
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation
Type of Construction :
Fire Hazard Zone :
NO
Added/NewITI sq. ft. Bldg
Occupancy Groups :
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 - Newport Place
PROCESSED BY:
SPECIAL CONDITIONS
$40,000.00
0
0
0
OWNER -BUILDER DECLARATION
I hereby Minn 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 Code: Any city or county (hat requires a permit to construct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires She applicant for
the permit to file a signedstatement 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 io a civil penalty of
not more than five hundred dollars ($500).
rl 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044,
Business and Professions Corte: 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
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
a ply to 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 Iicensureunder 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 legal)
soil a structure that I have built as an ownor-builder if it has not been constructed in its on[iroty 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 oral the following Web site;http://w w.leginfc.ca.gov(calaw.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 Sectio 7060 of Division 3 of the Business and Prof ions Code �ed-my-I censais In full force
and effect. License Class License No Date 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penally of perjury one of the following declarations:
❑ 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 th
performance of the work for which this permit is issued. Policy No.
ve 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' compensmio
'insurance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone IS
DI 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 agre
that, if I should beco bject to ers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / `�% /l
Signature of Applicant Da L `�
DECLARATION REG p 5TRUGTIGN LENDING AGENCY
I hereby affirm under enafty of perjury re is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ Coda).
Lenders Name _ Lender's Address
By 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 ��e
I agree to comply with all applicable city an c unty ordinances and state laws relating to building construction. J
I authorize representatives of this city or cou to enter eve- entified property for inspection purposes.
Si nature of Pro: e Owner or Authorized A ent Print PropertyOwner's or Authorized Agent's Name e 2
ACTION DATE BY V ffft*_AMT4ONOF_COMPLIANCFWITH CODEOFFEDERAL FOR OFFICE USE ONLY /
t REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
14U3
PERMIT EXPIRED E ISUPMI FTED P SREST05 NOTIFICATION TO
PERMIT CAAICEICED DEPA
PERuiT EXTENDED QMD
PERMIT FIrfAL Zy fL T Jm ASRESTA$ qOTIFICATION.I$ NOT APPUCABLt r0
CERRFICATEOF I PRO ZSED OLITfON
OCCUPAflCYVESUED SIGNATURE;
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