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HomeMy WebLinkAboutXC2024-0170 - PermitsCity of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIII COMB Permit : XC2024-0 1 70 o dCommunity Development Department- Building Division Plan Check No y 100 Civic Center Drive, Newport Beach, CA 92660 Issued Date : 04/29/2024 n Permit Counter Phone: (949) 718-1888 Final Date: newportbeachca.gov/civic Permit Status: Issued Combination Type - WInspection Area : 7 Work Class - Repair 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: 2121 COAST HWY E Legal Desc : P BK 152 PG 28 PAR 2 Description: COMM REROOF - INSTIL LAYER (1) OF GAF BARRIER BOARD UNDERLYMENT, INSTL GAF 60MIL TPO FLEECEBACK 193 SQS COAST BUSINESS CENTER LTD Contractor: DEPINHO ROOFING INC Architect Address Owner: Address : 1451 QUAIL ST STE201 Address : 2832 N OLIVE AVE ORANGE, CA 92865 NEWPORT BEACH, CA 92660 Phone : (714) 632-7663 Phone Phone : Con State Lic : 683894 State Lic Lic Expire: 02/28/2026 Bus Lic: BT30009054 Engineer: Applicant: DEPINHO ROOFING INC Bus Lic Expire : 05/31/2024 Address Address : 2832 N OLIVE AVE ORANGE, CA 92865 Workers' Compensation Insurance Phone: Phone: (714) 632-7663 Carrier: TRANSVERSE INSURANCE COMPANY Policy 02/14/2 Designer Owner/Builder: 24 W. C. Expire: 12/14/2024 xp: Address Address : Phone: Phone: NO Construction Valuation : $200,000.00 Code Edition : 2022 Fire Sprinklers : Fire Hazard Zone : Added/NewlTl sq. ft. Bldg : 0 Type of Construction : I -A 0 No of Units : 0 Alteration sq. ft. Bldg : 0 Occupancy Groups : B No of Stories : Added/New sq. ft. Garage : 0 Bldg Height: TOTAL sq. ft. Building Setbacks Flood Zone: X Use Zone: OG - Office -General PROCESSED BY: SPECIAL CONDITIONS: 1p�� INSPECT j!j OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(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 llcensure and the basis for the alleged exemption. Any violation of Section 703t5 by any applicant for a permit subjects the applicant to a civil penalty of ;not more than five hundred dollars ($500).. I❑ I, 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). 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). EJ 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 iegall 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 the applicable 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://www,leginfo.ca.gov/calaw,btml. 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 f Divi f n 3 of the Business and Professions Code, and MY license is in full force and effect. License Class License No Date Contractor Signature ivYd NORKERS' COMPENSATION DECLARATION �.r/ NARNING: FAILURE TO SECURE WORKERS, COMPENSATION COVERAGE IS UNLAWFUL„ AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES OF TO ONE HUNDRED THOUSAND DOLLARS (S100,000),IN ADDITION TO THE ]DST OF COMPENSATION, DAMAGES AS PROVIDED FOR iN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one or the following declarations: -1 1 have and will maintain a certificate of consent to calf -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for In, lerformance of the work for which this permit is issued. Policy No. 21 have and will maintain workers compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued, My workers' compensatior nsurance carrier and policy number are: � , 1, I :arrier�(7.✓ISLw'S nC �.prj- (7d^l�wK Policy Number Eo\z tar 6-�O©CJ tq— Jame of Agent Ga�G1Cyp7V T 4rS. �i 1LiJ (C +/'�J Expiration Date Phone # let certify that, in the performance of the work for which [his 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 agree Tat, it I shou9d become subject to the workers' compensation provhsions of Secfien 3700 of the Labor Cade, I shall forthwith comply with those provisions. iiynature of Applicant Date /ECLARATlGN REGARUiN STf'j)}f, 'ION LENDING AGENCY hereby affirm under pena ty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). ender's Name Lender's Address ''y 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 state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes, ignature of Property Owner or Authorized Anent Zl / r/ 6, AL IIUiN DATE BY ( DFeMRATZ_NOjF`COMPLIANCE WITHCOOEOF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART 51 OFT€TLE40ANOACMD RULE 1403 PERMIT EXPIRED—Tu�15UBNnTTED ASBESTOS NOTIFICATION To -- PERMITCANCELLED � L..IhPA PERMIT EXTENOfD I LIAQMD PER'MI7 FINAL �J7r�l G AS$E5To5N0T1 KICAFIONiSNOTAPPLICAbLE 10 CERTIFICATE OF /'•L { PROPOSED DEMCLIT[ON OCCUPANCYISSUED _ _ _ 1 SIGNHTURE: