HomeMy WebLinkAboutXR2023-0754 - Permit��,EWPoRr
City of Newport Beach
6+
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
U tea.. S
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
Cq�IFDAN�P
newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
111I��III��1111111111111111111111111111111111111111111111 jj COMB Permit: XR2023-0754
Plan Check No
Issued Date-: 03/22/2023
Inspection Area : 6
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 : 2 GENEVE Legal Case: N TR 9862 BLK LOT 9
Description: PARTIAL REROOF; TEAR OFF 25 SQ'S FLAT ROOF; INSTALL APP MODIFIED BITUMAN WITH 3-LAYER SPECIFICATION 25 SQ
Owner: GUPTA SUDHIR TR
Address : 2 GENEVE
NEWPORT BEACH, CA 92660
Phone
Applicant: Alas And Bravo
Address : 125 Marketview
Irvine, CA 92602
Phone : (949) 522-0266
Owner/Builder :
Address :
Contractor :
Alas And Bravo
Architect
Address :
125 Marketview
Address
Irvine, CA 92602
Phone :
(949) 522-0266
Phone
Con State Lie
: 1024503
State Lie
Lie Expire :
03/31/2025
Bus Lie :
BT30071445
Engineer
Bus Lie Expire : 03/31/2023
Address
Workers' Compensation Insurance
Phone:
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No:
9205142
Designer
W. C. Expire:
2/18/2024
Address
Phone: Phone
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
2
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks :
Front: 5, Side: 5, Side: 5, Rear: 5
Flood Zone :
X
Use Zone:
PC - Harbor View Hills
7-�
PROCESSED BY:
�t8 C. V YU.i
SPECIAL CONDITIONS:
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)
iection 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
to 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
�rofessfons Code) or that he or she is exempt from licensors 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
of more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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
nprovements 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
nproved for the purpose of sale).
3 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
pply 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).
a I am exempt from licensure under the Contractors' State License Law for the following reason:
;y 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 legalll
ell a structure that I have built as an ownar-builder it it has not been constructed in its entirely by licensed contractors. I understand that a copy of tho applicable law, Section 7044 ofthe Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:(iwww.leginfo.ca.gov/calaw.html.
.lgnahrre of Property Owner or Authorized Agent Date _
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Proffe a Code, an>#;my license is In full force
nd effect. License Class License No Date Contractor Signature/
COtNPFNSATION DECLARATION
ARr9NP: 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 (6100,0001, tN ADDITION TO T
O :T OF CCMPENSA`nOE', DAMAGES AS PROVIDED FOR W SECTION 370r. OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
heraby iffirm under penalty of perjury one of the following declarations:
I I nova 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
egrE,rmzace of th wo-k fhr 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 permit is issued. My :workers'
carrier wnd Foliuy number are:
Policy Number
of Agent _ _ _
Date
It 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
hrL if I should become, subje t to wvorkers' corrypensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. t,,
Spiralure of Applicant_ _ �..�.--�1v.—''-"L`� Date
)ECLARATION REGARDING C NSTRUCTION LENDING AGENCY
hereby 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 Cade).
-enders Name _ Lenders Address
3y 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�nte above-idarji,so property for inspection purposes.
Signature of Property Owner or Authonzed Agent,!/ /��rn„-„ I n rvc_..C. Print Property Owner's or Authorized Agent's Name �7 P`7•- a Y>v� G G✓cr� Date ,!J?�
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND ACir RULE
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
L-IASHE510S NOTIFICATION IS NOT APPLICABLE 10
PROPOSED DEMOLITION
SIGNATURE: