HomeMy WebLinkAboutXR2023-0807 - PermitsCity of Newport Beach
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Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
111���III��1111111111111111111111111111111111111111111111 jjCOMB Permit : XR2023-0807
Plan Check No:
Issued Date : 03/28/2023
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: 284 MORNING CANYON RD Legal Desc : N TR.1116 BLK: LOT.82
Description: SFR REROOF T/O COMP, INSTALL NEW OSB SHEATING AND COMP SHINLES 30 SOS "CLASS A"
Owner:
MAILMAN SUSAN ANNE TR
Address :
284 MORNING CANYON RD
CORONA DEL MAR, CA 92625
Phone :
Applicant:
JDF CONSTRUCTION
Address :
3162 E LA PALMA #E
ANAHEIM, CA 92806
Phone:
(714)630-1120
Owner/Builder :
Address :
Phone
Contractor:
JDF CONSTRUCTION
Architect:
Address :
3162 E LA PALMA #E
Address
ANAHEIM, CA 92806
Phone:
(714)630-1120
Phone:
Con State Lie
: 956749
State Lie
Lie Expire :
01/31/2025
Bus Lie:
BT30081102
Engineer:
Bus Lie Expire : 03/31/2024
Address:
Workers' Compensation
Insurance
Phone:
Carrier: FALLS
LAKE
Policy No:
FLA00086506
Designer:
W. C. Expire :
8/15/2023
Address
Phone:
Code Edition : 2022
Fire Sprinklers :
NO
Type of Construction : V-B
Fire Hazard Zone :
YES
Occupancy Groups : R-3
No of Units :
1
Bldg Height:
No of Stories :
2
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 CONDITIONS: FUEL MOD AREA
Construction Valuation :
Added/New/Ti sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage:
TOTAL sq. ft. :
$8,000.00
0
0
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 applicable items)
(Section 7031.5, business and Professions Code: Any city or county (het requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant tar
the permit to file a signed statement that lie 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
Professions Code) or that he or she is exempt from licansure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora parmit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500),
71 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or
improved for the: purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Secton 7044, Business and Professions Coder The Contractors' State License Law does trot
ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
I am exempt from 1wensure under the Contractors' State License Low for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I most have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall)
sell a structure that I have built as an owner-builoor if it has not been constructed in its ontiroty by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and
Professions Code, I, d, linable upon request when this application is Submitted or at the following Web site:http.tfwww.Iaginfo.ca.go�•�lcaiaw.html.
Sips cI l-c cf Property Cv. ner or Authorized Agent_ Date
LICENSED COR'TRACTOR'S DECLARATION
I heresy afPrm under aenaity of p$tWury that. I am licensed under provisions of Chapter 9 (commencing with ScottKAL—POUINALTIES
) ion 3 of the Business and Pr f ions C rid m license lain full farce
arc effoo,. License Class ( '3�7 License. No %c-(S' Contractor Signatu
WC1kKERS' COIIIIPENNATION DECLARATION -
NAhNING: FAILURE TO RECHRE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRk AND CNLL FWES UP TOONE HU RED THOUS ' DO LARS 00,000I. IN ADO. N TO THE
C08T-1^nl PENSATcN DAm'oFs AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I herpvy zfhrm under penalty of perjury one of the following declarations:
rl i iidva .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 th•
pa�ormanc.a of the woh. fez which this permit is issued. Policy No.
have and will maintein 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 a, id policyaumber are:
is of Agent
Certify that, in the performance of k for
it I should beconi slVbjact tD t worker
isture of Applicsnl \�_-_,_ __
Policy Number I'I""[]cam Expiration ('Date
s Phone Is
this permitle Issued. I shall not employ any person if) any manner so as to become subject to the
atisin provitt(ons of yesCLn 3700 of the Labor Code, I shall forthwith comply with those provisions.
iueby affirm under penalty of B[jury f there Is a construction lending agency for the performance of the work for whichthispermit Is issued
iders Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to oat on thegr
it owner's behalf,
I have read this application and the Intormalton I hovided IS correct. _
I agree to comply with all i mphcable city and c vltances and state laws elating to building construction.
I authorize rapresantaoues of this city tit coo s a vo•Idanlif property for inspection purposes.
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITI.E 40 AND AQrvTD RULE
1403
PERMPT EtT€NDED OMp
PERMPTFIPAL� 's SE5Tp5 oT i'ATtq NOT APPLICARGE 7o
CERYIEICA tE OF /�1�j PROPO DOE LIT -
OCCUPANCY ISSUED I SIGNATURE; /
Civil Code).
laws of California, and
s
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