HomeMy WebLinkAboutXC2023-0200 - Permits�EWPORr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XC2U23-U2UU
0� @ Community Development Depadment- Building Division X C 2 0 2 3 0 2 0 0
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
u > r Permit Counter Phone: (949) 718-1888 Issued Date : 06/1312023
.�., newportbeachca.gov/civic Inspection Area : 7
°g4coaN`P Combination Type -
Work Class - Other
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 : 300 MAIN ST Legal Desc : A TR BALBOA TR BLK 11 LOT 1 BALBOA TR LOT 1 BILK 11 SLY 30 FT THEREOF(SLY 30
Description: COMM REROOF; T/O BUR TO DECK. REPLACE DAMAGED WOOD; INSTALL 50 SQ BITUMAN CRRC #0662-0042C
Owner:
MEURS PLACE LLC
Contractor: VIRGEN ROOFING
Architect:
Address :
1944 SW VERMONT ST
Address : 3029 E CADE STREET
Address
PORTLAND, OR 97219
LONG BEACH, CA 90805
Phone:
(406) 203-6282
Phone: (323) 271-6244
Phone:
Con State Lic : 1063338
State Lic
Lic Expire : 02/29/2024
Applicant:
VIRGEN ROOFING
Bus Lic: BT30080405
Engineer
Address :
3029 E CADE STREET
Bus Lic Expire : 01/31/2024
Address
LONG BEACH, CA 90805
Phone:
(323) 271-6244
Workers' Compensation Insurance
Phone:
Carrier: STATE COMPENSATION INSURANCE FUND
Owner/Builder
:
Policy No : 9266639
Designer:
Address :
W. C. Expire : 12/28/2023
Address
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
Type of Construction :
V-B
Fire Hazard Zone
Occupancy Groups :
B
No of Units :
Bldg Height:
No of Stories
Building Setbacks
Flood Zone:
AO 1; X
Use Zone :
MU-V - Mixed -Use Vertical
PROCESSED BY:
SPECIAL CONDITIONS:
NO Construction Valuation : $20,500.00
NO Added/New/TI sq. ft. Bldg : 0
1 Alteration sq. ft. Bldg :
1 Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
NO CONSTRUCTION NOISE
ON THE WEEKEND
I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reasorl(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
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Irofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of ar U portions of the work; and the structure is not intended or offered for sale (Section 7044,
Iusiness and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements 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
nproved for the purpose of safe),
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coda: The Contractors' State License Law does not
poly 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 Bcensure under the Contractors' Stale License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior IG completion of the improvements covered by this permit, I cannot legally
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 copy of the applicable law, Section 7044 of the Business and
Irofessions Code, is available upon request when this application is submitted orat the following Web siteihttp://wwwJeginfo.ca.govicsiaw.htmi.
lignature 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 7g010 f ,visinn 3 of the Business and Prof forp"e, and my bceu
nd effect. License Class License No Date /L 7 Contractor Signature
VORKERS' CCMPENSATION DECLARATION
TWINING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (S10e,00D, IN ADDITION TO THE
OS I' Q! L4MPENSATIJ,I, JAMAGES AS PROWOED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES,
hereby affirm unJer Fa.iaily of perjury one of the following declarations:
..' hme 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 On
ri rm-Pnce of the work for which this permit Is issued. Policy No.
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.
-cs carrier inrl popsy number am:
r"�v F� ��� PolicyNumber b� �- 1\ Expiration Dale
Y Agent Phone #
My workers'
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
d I ayould become subject to the ers' compensation provisions or 5sooanF_ 0 of the Lobar de; bshall forthwith comply with those provisions.
ialure of. App"can! Y. / 6— Delay —
'I AOATInu oCr AUnl�ifr nnu4rOurTlnu r cunrun Anmklry
sreby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section3097, Civil Code).
ides s 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 ordinances and slate laws relating to building construction. uC v
(authorize representatives of this city or cDun aqW the aabo/vee--I/den�ti e .property for inspection purposes.
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DATE: I BY DECLARAION OF COMPLIANCE WITH ( REGULATIONS. PART fi OF IT E 40 AND DAQMD RULE
DE Or ERAL I FOR OFFICE USE ONLY
PERMIT EXTENDED
PERMIT FINAL
CERT(FICATEOF I¶1
OCCUPANCYISSUEO
IS NOT
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