HomeMy WebLinkAboutXR2023-1124 - PermitsCity of Newport Beach
Community Development Department - Building Division
y. 100 Civic Center Drive, Newport Beach, CA 92660
U •z Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255\
1-f PO r, newportbeachca.govlinspections
Combination Type - SFP
Work Class - Other
COMB Permit:XR2023-1124
IIIIIIIII�III�llllllll�ll�l��11111111�11111111111111[[I�
Plan Check No:
Issued Date: 0510212023
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 : 11 MONTEREY CIR
Legal Desc: N TR,.75.1.0 BLK: LOT 1
Description: SFR - REROOF HOUSE AND ATTACHED GARAGE 50 SQ TILE R/R WOOD/FELT, USE (E) TILE
Owner: ROGER THEODOREDIS
Contractor CURTIS ROOFING
OFING
Architect
Address 11 MONTEREY CIR
Address 163 DUMOND DR
Address
CORONA DEL MAR, CA 92625
LAGUNA BEACH, CA 92651
Phone:
Phone (949) 702-2471
Phone
Con State l-ic: 647204
State Lie
Lie Expire - 06130/2024
Applicant: CURTIS ROOFING
Bus Lie BT30081431
Engineer:
Address 163 DUMOND DR
Bus Lie Expire: 05131 1 /2Q24
Address
LAGUNA BEACH, CA 92651
Phone: (949) 702-2471
Workers' Compensation Insurance
Phone:
Carrier: STATE FUND
Owner/Builder:
Policy No:. 9168751
Designer:
Address
W. C. Expire: 5/112023
Address
Phone:
Phone:
Code Edition 2022
Fire Sprinklers .,.,NO
Construction Valuation
Type of Construction V-B
Fire Hazard Zone NO
Added/NewITI sq. ft. Bldg 0
Occupancy Groups U,R-3
No of Units 1
Alteration sq. ft. Bldg
Bldg Height:
No of Stories 2
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks: Front: 10, Side: 5, Side: 5, Rear: 10
Flood Zone: X
Use Zone: PC - Harbor View Hills
PROCESSED BY:
SPECIAL CON DITIO N—q •'Ql-�;At-IdE b F G'0'.WR9Cr0 FQ YREjP7E-A-
,,,� 0, n 0 0 nl•o
C C C 0
%D I
C C
t JILPERDECILARA1110N
: r� at of � `u .,1:l�at t ats� exempt from the Confractaars^:State License Lair for the i`easc5n�sj indicated f�elo�ir y the bheckmarf�sj i have placid next to the applicable item(s)
E hereby affirm unde I p ,f li ry ites a errxiit to construct, after, iplprov�, demollsh, 0 rerratr any struatur�s prior tr its jss�a a% also re ulres the applicant for
edion 7031 , uSlnPsS and. Pro. siorts 0, a � a.�v or Count} tiler le �r p
rs tta tfa +�sxans of ih onfra�tars' State License Law (Chapter 9 (Cornmencrng with Sedtion TOO!, } �f D�v(s�an 3 � €e B���r�sss d
ie permit Lea; file e signed-statipment that he or she is licensed pu u i
'rofessions code) or that he br she is exempt from Hoer sure and the basis for the alleged exrn5ption. ,any, vrolatitan �f Seciii3 73�31 w by anY �Ai�lii a€it fir pe rt �r tlaja�t� the a�pta�3trt ko a civil per€atty of
of more that -ve huntiteii=i diiillars ( 00),
roe or rri ° em 10 r es wath ivoges as ll elr s€s1e oo prrisation, v 11l do U all of or U portions of the work, and" the st€ucture is not inte'nded or differed foe sale (S�6ction 704,
I, a s caner of th P F ?1'. p p i� ,'.
n Code: The Contractors' Mate:License a defies not aPPil� to. an ov Her of property who, through employees ; or personal effort, b�€llds car y rea es the ovtdett that the
lusiness and Professions
nproverrr nt are not. or Offered for sale. if, however, the guilds"ng or criproverraetat is srrEd v�+ifl7in one year of completion, the OwnermB iider gill have the burden ofproving that it was not built. err
reproved for the purpose o! 4alel
1, as 0,,v ar of the property, � a.x iucrveiy contract'ng with licensed Contractors to construct:e project (Section 7�, Bus€Hess and Professions Dade; The �iantractars' State License Law coca not
ippty to o builds or improves thereon, and who ntraciif fear fine projects with a licensed Contractor pursuant to the C retractors"State License Law),
an owner of R Fe1
1 air exempt from litensure under the Cant ctors` Mate License Low for the following reason.,
that, exCe t fog' er riai re ldence In =vhtoh i must hr Fit resitfeCi for at Be tone year prior to compteflon Of the improvements, vered by fibs permit l nnot legal]
3y my Signature below l ao}crtcalge a , P p
yeti sfructuri tiler C avo built as an pv or t si der if it lies rzct l en tr dire `lWenti eta+ l r lit errs �l contractor . l tinrl .stand that a co} of #he: applicableiavv, Sdetion 7C��14 of the sinass and
'rafssiTstu`Code, is available upon r.tiest when %his ppiiT aticn is Submitted or at tiro fotor€ig ilFetai;ittp J vu.lirrfa oa gtse°}ca1a.?� anC. pate
�igrature of i's`oo�rty Amer or r'tstthor#zed Agent
_IC A4 CONTRAG.TQ °5 DECLARATION
hereby affirm under p n tt � of prrj rg thpt t a lfcr .reed tinder ruuisioi s r f Chapter 9. corramenc rig With
Section 7 0) o af}fvi on, ,of the Susfness and f'risfe it3 art tsc n is frt fuiffi fcsre
and effect. License Class, F; ' License lea L?at � 2, Contractor Sir�natur
NC' RKER ' COMPENSATION DECLARATION
YARNING: FAILURE TO Chi 10RKERT compENSA-noN covERAGE IS. UNLA°a'4'FuLi AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PS ALT S AND CML Ft #Ea gJP 7a ��E kiui#DR 1 i 6a? SA�it1 DOLLARS LAt?5 t5 t6�}, �j, AiJ%1 riC» TO THE
C�,OST OF CQ WENSATIDN .P7A .AraFs AS Pr OWbEft FOR 1N SECTION 47t#i:' 015 THE LAr3OR c4DUE; it ERES'#'.'e �AN#;i A'r7�3r'23*1 rS FEES.
Hereby affirm under pe.nalty. of perjury
o of the following declarations:
l ha�Fe ono Wit masntaiI � certificate of onsent to sell,..sure €of Yt rkere cornpen5-ation, issued by the Dir ctssr of Industrial k�elaticiYs as provided for by Sootiizr� 37f33� Of the Labor tstle, Poi th{
o nc of the Wort, for %tOch this permit is Issued. Policy hlo.
I ave mitt will rtimntelin ti nkers' comperisai€o€t irmuranae, as rNa uired by Section 3'r{ of theLabor Code, for the performance of t work for �, hich l is peitnit is s�zed. icy ricers' ocrripens ti�zr
nsi� rice Carrier and policy r6umber are:, /' c�
Policy Nua�iber �cl7 � _„ % Expiration bate
Barrie of Aggeat piano'
i 1 er rm-ance of the worm for Tc this pemst is h ued, shall nOt ernpl=ay any per'a to any marnerso as to to He'Subject to the workers' oorispensation laws, of California, and agrrl
�l certrfy ilia inthe p
that, if I should become subject to t a'workers' C p orlon provttjons of Se€°tion 3, 0 of the Labor Code, i strait ft�Tthvritit ornply v nth those Provisions.
bate
Signature of Apphrit
�AN NS RUCTION LENDING AOIENC i i .
l tte€eta5: affirm rfnr r pe aify ci erjury that there is a onstructibn len ding agency for tine:pe�rmance of e wow for vrFsicii his permit is issued (Section 3rJ97, Civil Cade),
Leader's Same Lenders Atidresp
`By my signature below!, l Certify each of the folio��rttu:.
I anti the property own authorized to act on the; propel olraise�'s behalf.
i have mad this app calloriand the information i ha �e provided is correct
I agree to Comply with all applicable eery and County ordinances and eta i s;� relating to building construction.
i authorize regreseniati s this city br aunty to eater' e � -fide ti d property- for inspection puriabses.
aSf jii til,e 0 P[ik{1k'rty �iL#iiEC O i�+urNnorized �kfi���d I�i�3t$ l�lS �J�iij krfLf"E s3J �l itl?f�ftZ�� t� �rr�t G l utl4 %��. �� Data
ACTIN DATE �� l DE, ARo�"rtL}NOFCC3MPUANCEL"a�3illCODE C3K FEDERAL RA_L FOR OFFICE USE �b�714
LAT.163 PART"6ti PTIT€E40AN€�Alta RULE
t 1403
^ ^ ^
JaERM3ITCANCELLE+' ± Pit.
P tsF P7 Fd3E i ? _ * MD
PE3FiflT Flo ALASBESTas NOTIFICATION is N.0 AP U SLE TO
. a l t A F tom' , l� i 3-.� lFl7 --� PROPOSED} D.E,I OUT N ^