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Home My WebLink AboutXC2024-0243 - PermitsrEWP�Rr City of Newport Beach III�III�IIIIIIIIII��IIIIIII II p� , Community Development Department- Building Division COMB Permit:XC2024-0243 y. 100 Civic Center Drive, Newport Beach, CA 92660 X C 2 0 2 4 0 2 4 3 Plan Check No Permit Counter Phone: (949) 718-1888 > r+ Issued Date : 06/14/2024 newportbeachca.gov/civic Final Date: Combination Type- - `"�"�°" "` Permit Status: Issued Work Class -Repair 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 : 355 PLACENTIA AVE Legal Desc : P BK 154 PG 1 PAR 1 UN 1 P M 154-01 PAR 1 UNIT 1 O Description: COMM REROOF WITH MALARKEY COMPOSITION SHINGLES (CRRC 0850-0049 "SIENNA") 18 SQUARES Owner: AMIT SHAH LLC Contractor: TOP NOTCH ROOF CO INC Architect Address : 137 W CHAPMAN AVE STEA Address : 6771 WARNER AVENUE #3749 Address FULLERTON, CA 92832 HUNTINGTON BEACH, CA 92605 Phone : (714) 960-4441 Phone : (714) 746-9999 Phone Con State Lic : 696973 State Lic: Lic Expire : 10/31/2024 Applicant : TOP NOTCH ROOF CO. Bus Lic : BT30081869 Engineer Address : 6771 WARNER AVE. #3749 Bus Lic Expire : 06/30/2024 Address HUNTINGTON BEACH, CA 92647 Phone: (714) 746-9999 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No: 1675130 Designer Address : W. C. Expire: 1/1/2025 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $16,164.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B,U No of Units : 0 Alteration sq. ft. Bldg : 0 Bldg Height : No of Stories : 2 Add/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : OM - Office --Medical 6 -3 PROCESSED BY: SPECIAL CONDITIONS: V YY IY Cf��uv,�✓�-ram ✓✓✓�'+rvr..�.- I hereby affirm under penally 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 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 Cade) 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 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). 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' Slate 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 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.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 C epter 9�(commencing with Section 7000) of Division 3 of the Business and Professions Codand my license Is in full farce and effect. License Class !�''��'( License No i (mot 7 Date in-i'{zW Contractor Signature ORKERS' 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 15100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: El I 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. 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' compensatioi insurance carder 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 not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree , if I should become subject to the workers' compensalipn provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. of ApplicantDale "" Y CLARATION REGARDING CONSTRUCTION'LENDING AGENCY Iraby affirm under penalty 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). Ider's Name Lenders 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 iros, apollcation and the information I have provided is correct. I apree to comply with all applicable city and county ordinances and state laws relating to building construction. I aub iorize repr�sen:atives of this city or county to enter the above.�I/�'a�rlDfled property for inspection purposes. nature of Property Owner or Authorized Agent 6�� Print Property Owner's or Authorized Agent's Name d.< ACTION BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ITiLiSllff9c\ILiL`i[E' PERMITFINAL V I' E�YASBE5T05 NOTIFICATIOOi PPUCABLE TO 'ERTIFK4TEOF L( PROPOSED DEMOLITION 1. OCLUPANCY ISSUED SIGNATURE: 717 FOR OFFICE USE ONLY Date