HomeMy WebLinkAboutXR2023-1775 - Permits (3)Off? ,P QT City of Newport Beach II III IIIIII IIII III �IIIIIII IIIIIIIIIIII II COMB Permit : XR2O23-1775
6 Community Development Department- Building Division X R 2 0 2 3 1 7 7 5
yr. n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
u - S Permit Counter Phone: (949) 718-1888 Issued Date : 06/2812023
�newportbeachca.gov/civic Inspection Area : 5
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`9`>!` Combination Type - SFP P
Work Class - Repair
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: 3207 OCEAN BLVD Legal Desc : N TR 1026 BLK LOT 12 TR 1026 LOT 12(AND NWLY1/2 LOT 13
Description: SFR REROOF, T/O COMPOSITION SLATE, INSTL 1 LYR 30# FELT, R/R SHEATHING AS NEEDED, INSTIL (20 SQS) OF ASPHALT COMP SHINGLES
Owner: MCKINNON FAMILY TRUST
Address : 3207 OCEAN BLVD
CORONA DEL MAR, CA 92625
Phone: (949)697-6222
Applicant: MCKINNON FAMILY TRUST
Address : 3207 OCEAN BLVD
CORONA DEL MAR, CA 92625
Phone: (949)697-6222
Owner/Builder: MCKINNON FAMILY TRUST
Address : 3207 OCEAN BLVD
CORONA DEL MAR, CA 92625
Phone : (949) 697-6222
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
2022
V-B
U,R-3
Front: 5, Front: 10, Side: 4, Side: 4
X
R-1 - Single -Unit Residential
SPECIAL CONDITIONS: O/B AUTH SCANNED
Contractor
Address :
Phone:
Con State Lie
Lie Expire
Bus Lie:
Bus Lie Expire
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Architect
Address
Phone:
State Lie
eer
NQkOGNSTRUCTION WORK
Phone
DesAddee DN SATURDAYS
Addre�sl7 �1
Phone:
Fire Sprinklers : NO Construction Valuation : $13,500.00
Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0
No of Units : 1 Alteration sq. ft. Bldg :
No of Stories : 2 Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
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 applicableitem(s)
Section 7031.5, Business end 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
is permit to rile a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State. License Law (Chapter 9 (commencing With Section 711 Division 3 of the Business and
r sCode) 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 acivil penalty of
of Ann five hundred dollars ($500).
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 (Section 7044,
lusiness 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 bull or
nproved for the purpose of sale).
11, 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
ly 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 Ilcensureunder the Contractors' State License Law for the following reason: _
Iy 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)
ell 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
'ro€essions Code., is available upon reques thl tic iio is suuyyfi��i 4 aj the toilowing Web site:http:l/www.leginfo.ca,gov/calaw.html.
of Property Owner or Authorized het /!7 %( _.�-_Ate ®�
.ICENSED CONTRACTOR'S DECLARA ON�
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 Professions Code, end my license. is In full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND COLLARS (5100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a Certificate of Consent to self- insure tot workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
3du.nance 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'
rat acts carrier and policy number are:
(Carrier _ " Policy Number Expiration Date
ppT Agent _ Phone #
d'.tlfy that. IF th3 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 agra
thgNf I should become subje the workers' co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
�iytatvr�oplicar..jI �
CECLAFLATION R,EGAFiOiN0 CtItIlEITIlitUCTION LENDING AGENCY
I hrr3:)y affirm order punalty 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).
Lrndg'r Name Lender's Address
By 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 count enter 1 a above -Identified property for inspection purposes.�n
Signature of Property Owner or Authorized ge Print Pro art Owner's or Authorized A ent' a iZC6Er_
ACTION DATE Y DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I Q 1 LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED I PA
PERMIT FINAL r"fi$f(3'�'NO ]CATION 15 Or PPf LICABLE TC
CERTIFICATE OF I L%' p0 �( a,l V? _
OCCUPANCY ISSUED Str,NATu 44 (((�����`