HomeMy WebLinkAboutXR2023-1048 - Permits�kWPORT City of Newport Beach 111111p111111111111111111111111111111111111111111p1111jj COMB Permit : XR2023-1048
D� @ Community Development Department- Building Division X R 2 0 2 3 1 0 4 8
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 644-3288 Issued Date : 04/25/2023
Us.r Inspection Requests Phone: (949) 644-3255 Inspection Area : 5
CqC/rpµN�P newportbeachca.gov/inspections P
Combination Type - SFP
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: 206 MORNING CANYON RD Legal Desc : N TR 1116 BLK LOT 95
Description: SFR - T/O WOOD SHAKE, RPR SHEATHING AS REQ'D. INSTALL 2 LAYERS 30# FELT, INSTALL 56 SQ CEDARLITE LIGHTWEIGHT TILE 6 PSF
Owner: TAKETA RICHARD TR 2010
Address : 206 MORNING CANYON RD
CORONA DEL MAR, CA 92625
Phone:
Applicant:
ALAS AND BRAVO
Address:
125 MARKETVIEW
IRVINE, CA 92602
Phone :
(949) 522-0266
Owner/Builder
:
Address :
Phone:
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height :
Contractor: ALAS AND BRAVO
Architect
Address : 125 MARKETVIEW
Address
IRVINE, CA 92602
Phone : (949) 522-0266
Phone
Con State Lic : 1024503
State Lic
Lic Expire : 03/31/2025
Bus Lic: BT30071445
Engineer:
Bus Lic Expire : 03/31/2024
Address
Workers' Compensation Insurance
Phone:
Carrier: STATE FUND
Policy No: 9205142
Designer:
W. C. Expire: 2/18/2024
Address
Phone:
Fire Sprinklers : NO
Construction Valuation :
$40,000.00
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
Building Setbacks : Front: 15, Side: 6, Side: 6, Rear: 6 _
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CQN`DITIONS:
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-hem(s)
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
le permit to file a signed statement that he or she is Iiconsad pursuant to the provisions or the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'reasslons Code) or that he or she is exempt from ]!censure 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 (S500),
3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or t_) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
usiness 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).
1, 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
ply 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:
',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 legally
oil a structure that I have built as an ownor-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
'rofessions Code„ is available upon request when this application is submitted or at the following Web site:http://wvny.leginfo.ca..gov/calaw.html,
signature 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 g (commencing with Section 7000) of Division 3 of the Business and Professiotr Code, aAdd my license is In full force
no effect. License Class l O-L r-k Sa'3 License. No C - 25-, Dads`\ ?2 Contractor Signal
VORKERS' COM'.PENSATION DECLARATION CC//
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000], IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOP, INTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
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, for the
orformance of the work for which this permit is issued. Policy No.
St Nave 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' compensation
1su nee carrier and policy number are:
Iar tigVC bra Policy Number Expiration Date
lame of Agent Phone ft
31 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 agrer
1a1, if I should become subject to the wprkerS*pOmpen&eApn provisions of'Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
signature of Applicant (�✓�-�L.�,. `�-ZCl✓CN` 7-
IECLARATION REGARI)1N S RUCTION LENDING AGENCY
hereby affirm under penalty of perittiry that there is a construction lending agency for the performance of the work for Which this permit Is issued (Section 30g7, vil Code).
Doctors Name Lender's Address
ly 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 t,7t�l,'nfI'fu'r thr7.�� 71ave-Idenli ad property for m5pectlon purposes. `/
denature of Property Owner or Authorized AGenl�i. 11.1/— IKSVw �� t-"'^ Print Property Owner's or Authorized Aoeo€s Name JC 1 "'�✓ �"'° ` �`v ` ��'L'
ACTION DATE BY € REGULATIONS PAR 061POFATITLE 40 AND AQMD RULE
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