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Home My WebLink AboutXR2023-0437 - Permits�EvuaoRr City of Newport Beach p4 Community Development Department- Building Division �n too Civic Center Drive, Newport Beach, CA 92660 SPermit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 �a4coa"`P newportbeachca.gov/inspections Combination Type - MFP ELEC MECH PLUM Illlliiiiiiiiiii7 ill COMB Permit : XR2023-0437 Plan Check No : 1106-2022 Issued Date : 0310812023 Inspection Area : 4 Work Class - Alteration TER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LA NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 2715 VISTA UMBROSA Description : EXIST'G RAFTERS & D Owner: BEVERLY CORCORAN Address : 2715 VISTA UMBROSA NEWPORT BEACH, CA 9 Phone: (949)310-3758 Applicant: LA ROCHE DENIS A Address : PO BOX 370E TUSTIN, CA 92781 Phone: (949)939-3047 owner/Builder: BEVERLY CORCUIr Address: 2715 VISTA UMBROSA NEWPORT BEACH, CA Phone: (949)310-3758 Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U,R-2 Bldg Height: Building Setbacks DEL EXIST'G FIREP R T EXT'G TREL S 0 Contra for '"` Addres9l -9 Phone: v Y ; Con State Lic . J Lic Expire 2�''" Bus Lic Bus Lic Expire LOT 49__,_,-," E, REFRAME PORTION OF : HEATER, REROOF, REPAIR RO 5r'"ffT1"rff I" ..- __--- If applicable: Architect: LA ROCHE DENIS A CA 92761 El&CkNIM�I 1 Xr�fl�li Phone : (949) 939-3047 = to whstW:LIc: `- -- Workers'CompensationInsurance C r • Note -. arrie . Policy No W C. Expire plan (wor", et§00)rs : NO Fire Hazard Zone : NO No of Units : 1 Engineer: HOAD AUREA Address : PO BOX 1692 SUNSET BEACH C� 92742, CA 92742 Phone: Designer Address i afn scan (no work Qt�t ydtionvawation: Added/Ne /TI sq. ft. Bldg: Alteration sq. ft. Bldg : TOTAL sq. ft. ?ilSp. initicaiSa- Flood Zone : X Use Zone : R-1 - Single -Unit Residential l `.. PROCESSED BY: SPECIAL CONDITIONS: I hereby affirm under penalty of penury 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 item(s) ution 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 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 essens Code) or that he or she is exempt from lieensure and the basis for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). as owner of the property, or my employees with wages as their sole compensation, will do ass and Professions Code: The Contractors' State License Law does not I ly to an owne cements are not intended or off - led for the purpose of sale). LI I. as owner of the property, am e apply to an o•,mer of property ,he bL ❑ I am exempt from Ilcensure unde By my signature below I acknowledge sell a structure that I have built as an Professions Code, is available upon I Signature of Property Owner or ALIN LICENSED CONTRACTOR'S DE 1 hereby affirm under penalty of petju: and effect. License Class NORKERS' COMPENSATION D YARNING: FAILURE TO SECURE WORKERS' AST OF COMPENSATION, DAMAGES AS PRC hereby affirm under penally of pequr 1 have and will maintain a cenirrl performance of the work for which this 71 have and will maintain workers' I Isurance carrier and policy number a ne of Agent certify that, in the performance of if I should become subject to the lature of AoolicanF Y ✓Z 9., r. of or L) Portions of the work, and the structure is not intended cr offered for sale (Section 7044, Verty who, through employees' or personal effort, builds or improves the property, provided that the ttn"one"3'eTlfthe Owner -Builder vmtltava the burden of proving that it was not built or 3w l cling with Ii/e ed-Obn C104 tg,�Onstruct the project (Section 7044, A? Improvas t ,ff�, pl�rR�S(9fassions Code: The Cent Witt An putts a�t(t'(he Contractors' State License r Contractors' State Li nse Law or the following reason �t— it, y per ide n w I t T' t I st one }+eaY �pl--� y "'`gip IQ uildor if as n been con d o y II on saui�tr I rs. I understand that a copy of the applicable law, Re wherrXI , PPilg n is..0 r ., „ rnro� 2,P that I an, licensed under prdgons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions 9 '-"` Contractor Signature k1 � zEs Iola mi AND CIVIL FINES UP To ONE HUNDRED THOUSAND one Olghe following ded,rations; of consent to self -Insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by ued ollcy No. _ in ^ ui d � - f S i of the Lab Cod to th p a b l.Ta 1t�;,[ M � a 5 , ]" which this permit is issued. I shall not employ any person in any manner rweso as to become subject to the workers' nSatlon provisions Of 77nn nr H,.0 I L.n. n..�_ , _ ., . ., ... f sreby affirm under penalty of perjur,_ 1. _ t r 'g f n le dl a an for fhe erfarmance of the work 'der s Name, my signature below, I certify to each Of the following: an, a s ress 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 ws relating to building construction. I authorize representatives of the city or couatv�o en the above-' flab property for inspection purpeses. nature of Property Owner or Authori>ed Ana„I n.»s/� lL ,n _ _ . , ACTION -- ••^• ='•r +.wnm a ur rumonze0 A DATE BY i O£CLARARO FCOMPLIANCE wnrH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE / 7 1403 PERNFIT EXPIRED QI w __. I'[RNI7T F/NA( I BE$TOS N TIFiCATION IS NO CERTIfICATE OF l gppLiCAaLE TO - r I PROPOS D�(�p0 TtON OCCUPANCY ISSUED ! _.__._7"'i_ State License Law does not his permit, I.cannot Of the Business and and my license is In full force (S1 Dp,000), IN ADDITION TO THE 3700 of the Labor Code, for My workers' laws of CAROPI and takcoA4