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Home My WebLink AboutXC2024-0155 - Permits0Q.- City of Newport Beach I��III��I��III��I�I��II�I��Community Development Department- Building Division X C 2 0 2 4 0 1 5 5COMB Permit:XC2U24-U155 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 Plan Check N1newportbeachca.gov/civic Issued Date : 04/17/2024 CoCombination Type - Final Date: 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 : 6000 COAST HWY W Legal Desc : A TR RIVER SECTION BLK 160 LOT 16 RIVER SECTION LO Description: COMM REROOF - T/O COMP SHINGLES, INSTL TORCH DOWN ROOF SYSTEM 21 SOS Owner: DAVID JALALI Contractor: OWNER/BUILDER Architect Address : PO BOX 8412 Address : Address Newport Beach, CA 92658 Phone : (949) 433-5626 Phone: Phone: Con State Lic: OWNER/BUILDER State Lic Lic Expire Applicant : DAVID JALALI Bus Lic: Engineer: Address : PO BOX 8412 Bus Lic Expire : Address Newport Beach, CA 92658 Phone : (949) 433-5626 Workers' Compensation Insurance Phone: Carrier : Owner/Builder: DAVID JALALI Policy No: Designer: Address : PO BOX 8412 W. C. Expire: Address Newport Beach, CA 92658 Phone: (949)433-5626 Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : I -A Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg Occupancy Groups : M No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks Flood Zone : X; X Use Zone : CV - Commercial Visitor -Serving PROCESSED BY, ttA SPECIAL CONDITIONS: - - - $5,000.00 0 0 0 UW4VCK-151JILLICrt ucr.Lnrcnrrvly I hereby affirm 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 rem(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 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 iicensure and the basis for the alleged exemption_ Any violation of Section 7031.5 by any applicant fora permit subjects the apphcantlo a civil penalty of Tat more than five hundred dollars ($500). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 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). 0 I, 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). 0 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 re idad for at least one year prior to Completion of the improvements covered by this permit, I cannot legal sell a structure that I have built as an owner-buildor if it has not been constructed i ' entirety by Gnsed contractors. I understand that a copy of the applicable law, Section 7044 of the Business nd Professions Code, is available upon request when this appli 'on is submitted or the Ilowl b site:http:liwww.leginfo.ca.govlcalaw.himl. 0 Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that i am licensed rider rovisiDris of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and. my license is in full force and effect. License Class icense 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 ($100,0001, IN ADDITION TO TH COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of Consent to self -insure toff Workers' Compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, fort performance of the work for which this permit is issued. Policy No. DI 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' Compensati insurance carrier and policy number are: Policy Number Date is of Agent certify that. in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant. - Date— CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). )dar 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. r. I agree to comply with all applicable city and county ordinances and Ste laws rely g to building. construction. I authorize representatives of this city or county t a the above,* ntifi ro ri : or inspection purposes. pature of Property Owner or Authorized Agent Print Propeqy Owner's or Authorized Agent's Name (/l/ �TION DATE BY i. DECL RA NOF COMPLIAN ITHCODEOF FEDERAL FOR OFFICE USE ONLY RE LATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRFU f SURMITTEDASBESTOS NOTI FICATION TO _�— PERMtTCANC !L_°D '. I EPA PERMIT fXTENL°D I j MQMD r\ OCCUPANCY ISSUED 1 �+ �� '�/ I�NATUD EMOU`F aN 10N 1� PL1