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HomeMy WebLinkAboutXC2024-0084 - Permits�EWPo�T City of Newport Beach IIIIIIIII II IIIIIIIIIIIIIIIIII III IIII IIIII II COMB Permit : XC2024-OU84 Dk ) @ Community Development Department- Building Division X C 2 0 2 4 0 0 8 4 F y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1888 Issued Date : 0310112024 2 newportbeachca.gov/civic Final Date: cg4FORN'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: 3121 COAST HWY E Legal Desc : N TR 323 BLK I LOT 2 TR 323 LOT 2 BLK I SELY 25 FT Description: COMM REROOF REMOVE ROCK ROOF AND INSTALL SINGLE PLY ROOF SYSTEM 16 SQS Owner: KEVAN FOLSOM Address: 300 VISTA SUERTE NEWPORT BEACH, CA 92660 Phone: (949)630-6937 Applicant: KASINGER ROOFING & WTRPRFING Address: 1575BRADLEY STREET RIVERSIDE, CA 92506 Phone: (951)685-7430 Owner/Builder: Address: Phone Contractor: KASINGER ROOFING &WTRPRFING Architect Address: 1575 BRADLEY STREET Address RIVERSIDE, CA 92506 Phone : (951) 685-7430 Phone Con State Lie : 730243 State Lie Lie Expire : 10/31/2024 Bus Lie: BT30022742 Engineer: Bus Lie Expire : 04/30/2024 Address Workers' Compensation Insurance Phone: Carrier: STATE COMP Policy No: 3002535 Designer W. C. Expire: 1/1/2025 Address Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : Fire Hazard Zone : NO Added/New/TI 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 : CC - Commercial Corridor PROCESSED BY: , SPECIAL CONDITIONS: $13,175.00 0 0 0 OWNER -BUILDER DECLARATION i 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 Coda) or that he or she is exempt from ticensure 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). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or I 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). L as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70", Business and Professions Code: The Contractors' Stale 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). ©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 legall) sell a structure that I have built as an Owner -builder if it has not been constructed in its entiroty, by licensed contractors. I understand that a copy of theapplicable 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:liwww.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 71 Division 3 c the Business and Profef)iona Code, and my license is In full force and effect. License Class License No Date l Contractor Signature WORKERS' COMPENSATION DECLARATION NARKING: 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 ($100,000)., IN ADDITION TO THE COST OF COMPENSATION, DAMAGES "PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty Of perjury one of the following declarations: rl 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, forth performance 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 permitis issued. My workers` carrier and policy number are: Policy Number of Agent Date 11 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 e workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi sions. tat, if I should become VVIC, 10 11 ignalure of Applicant - Date IECLARATION REGAR Il CO CT7D ND ENCY hereby affirm under penalty of rjury that there' construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil oii endar's Name Lenders 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 o it OrI ancos and state laws relating to building construction. I authorize representatives of this city or coup o enter the above-cintff l propa for inspection purposes, iatature of Prooenv Owner or Authorized AgentPrint Property Owner's or Authorized Agents Name �!/�/%� ACTION DATE 6y V D¢ REGULATIONS 0,r- b10IANCE 40 AND AQ OF FEDERAL FOR OFFICE USE ONLY PERMIT EXPIRED { SJWITT'D ASBESTOS PERMiTFINAL SBEST OfIFICA"IIONISNO1"AFPLICAHLE TO CER17FlCA7'E OF 1��//i PRO SEDD CUTE J� OCCUPANCYISSUEO r 15NMAT(if.E �/