HomeMy WebLinkAboutXR2023-0422 - PermitsCity of Newport Beach
�EWPp�T
D4 A
Community Development Department - Building Division
`r.
100 Civic Center Drive, Newport Beach, CA 92660
r
Permit Counter Phone: (949) 644-3288
t+?
Inspection Requests Phone: (949) 644-3255
°q<iFonN`P
newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
11111111111111111111111111111111111111111111111111111111111COMB Permit: XR2023-0422
Plan Check No :
Issued Date : 02/14/2023
Inspection Area : 5
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 : 319 HELIOTROPE AVE Legal Desc : A TR CORONA DEL MAR BLK 234 LOT 19 CORONA DEL MAR LOT 19 BLK 234 FOR OF LOT AND
POR
Description: SFR - REROOF W/30 YR COMP SHINGLES 24 SQ CL "A'; T/O AND REPAIR SHEATHING AS REQ'D
Owner: BELLE DESIGN BUILD
Address : 13115 BARTON RD
WHITTIER, CA 90605
Phone : (626) 250-5141
Applicant: M R K ROOFING SERVICES INC
Address : 6123 STRICKLAND AVE
LOS ANGELES, CA 90042
Phone
Owner/Builder
Address :
Phone
Contractor: MR K ROOFING SERVICES INC
Address : 6123 STRICKLAND AVE
LOS ANGELES, CA 90042
Phone:
Con State Lie :
1048426
Lie Expire :
12131/2024
Bus Lie:
BT30080715
Bus Lie Expire
: 02/29/2024
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No : 9329321
W. C. Expire 12/13/2023
Code Edition :
2022
Fire Sprinklers : NO
NO
Type of Construction
: V-B
Fire Hazard Zone :
Occupancy Groups
: U,R-3
No of Units : 2
2
Bldg Height:
No of Stories :
Building Setbacks :
Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone :
- Two -Unit Residential
/R-2
'k
PROCESSED BY:
SPECIAL CONDITIONS: HIGH -DENSITY
Architect
Address
Phone:
State Lie:
Engineer
Address:
Phone :
Designer:
Address
Phone:
Construction Valuation : $6,0ob-W .
Added/New/Ti sq. ft. Bldg : 0
Alteration sq. ft. Bldg
Added/New sq. ft. 9p,
�SfA ° � fit.. o
)I� HE fi=
i hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law tar the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
;Seetlon 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 sho is licensed pursuant to the provisions of the Contractors' State License Law (Chapter g (commencing with Section 7000) of Division 3 pf the Business and
Drofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section. 7031 Z by any applicant for a permit subjects the applicant to a civil ponafty of
sot more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work; and the structure is not intended or offered for sale (Saction 7044,
3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who,through employees' or personal effort, builds or improves the property, provided that the
mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion. the Owner -Builder will have the burden of proving. that It was not built or
mproved for the purpose of sale).
I, as owns, of the property, am exclusively contracting with licensed Contractors to construct the project ($action 7044, Business and Professions Code;. The Contractors' State License Law does not
Ty 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),
am exempt from licensure under the -Contractors' State License Law for the following reason:
3y my signature, below I acknowledge that, except for my personal residence in which I must have residod for at least ono year Prior t0 completion of the improvements covered by this permit, f cannot legal],
:ail a structure that I have built as an owner -builder if ithas not boon constructed in its entirety by licensed contractors. ) understand that a copy of the applicable law, Section 7044 of the Business and
'Tofesslons Code, isavailable upon request when this application is submitted or at the following Web site;httpaiwww.ieginfo.ca.govtcalaw:htmL
signature of Property Owner or Authorized Agent _ Date
.ICENSEQ CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am Ilcensed under provisions of Chapter g: (commencing with Section 70 1 vision 3 of the Business and Prot s ons Code, in i ais to full e Ind effect. License Class License No Date Contractor Slgnatu�
YORICERS' COMPENSATION -DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS IS100,000L IN ADDITION TO THE
'.OST OF COMPENSt T CN. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAROR CODE, INTEREST, AND ATTORNEYS FEES,
hereby affirm ur.dn: };enatty of perjury one of the following declarations:
2 : I awe and w0l 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,
erformance 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`
rance carrier rind policy number. are:
no of Agent
re'ffy that, in the III
if I should become
Policy Number
Date
Phone #
of the work for f t ' permit is issu . shah not employ any person in any manner sous to become subject to the workers' compens lion law of California, and ogre,
the workers' DO ns on prov€si ns f on 3700 of the any Code, I shall forthwith comply w ilh those provisions.
STRUGTiO LENQ 6 AGENCY
Date
— Cj
hereby affirm uniel pen-&Y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,. Civil Cade).
ender's Name Lender's Address
,y my signature boloW, 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 ire I.
I agree to comply with ail applicable city and county ordinanc s an st a laws re ting to building construction. pI
I authorize representatives of this city or count t4 enter thekov Ofied prq�ty for inspection purposes. I ll
ACTION
EXPIRED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY i DECLARAYION bF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
TO
FICATiON IS Np7 AtPVVA8.LE TO
FOR OFFICE USE ONLY