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Home My WebLink AboutXR2023-0088 - Permits�gwaoRr City of Newport Beach IIIIIIIIII IIIIIIIIIIIIII III IIIIIIIIIIIIIIII II COMB Permit : XRZO23'0088 O Community Development Department- Building Division X R 2 0 2 3 0 0 8 8 ' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 644-3288 Issued Date : 01/1312023 a.Inspection Requests Phone: (949) 644-3255 Inspection Area : 5 newportbeachca.gov/inspections Combination Type - MFP Work Class - Re -roof 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 : 709 ACACIA AVE Legal Desc : N TR 682 BLK LOT 78 Description: Owner: MFR -'DETACHED GARAGE'T/O COMP SHINGLE. USE (E) SHEATHING. INSTALL 2 LAYERS 15# FELT, DANIEL LAYNE Contractor: KENNETH DEAN ALCANTRA 4 SQ COMP SHML5 Archjtq'Cawjy�W�i�' Address : Phone : 709 ACACIA AVE NEWPORT BEACH, CA 92625 Address : 10 ARADA ST RANCHO MISSION VIEJO, CA 92694`' Phone (945442828784 Con State Lic State Lic Lic Expire : 10/31/2024 Applicant: Address : Phone : KENNETH DEAN ALCANTRA 10 ARADA ST RANCHO MISSION VIEJO, CA 92694 (949) 246-8784 Bus Lic: BT30080448 Bus Lic Expire : 01/31/2024 Workers' Compensation Insurance Carrier: CLEAR SPRING PROPERTY & CASUALTY Engineer: Address : ,.., Phone: `� y �"'- '� �a 1 yyf 4 CO Owner/Builder : Address : Phone: Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone: Use Zone: PROCESSED BY: 2022 V-B R-3 Front: 15, Side: 3, Side: 3, Rear: 5 X R-2 - Two -Unit Residential SPECIAL CONDITIONS: Policy No: CWC00589600 W. C. Expire : 3/23/2023 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 2 No of Stories : 1 Designer: Address : Phone: Construction Valuation : $1,800.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 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 pieced next to the applicable Items) (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 the 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 Professions Code) 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 a civil penalty of not more than five hundred dollars ($500). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all Of or U 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 properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ffIV 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._3 I am exempt from Rcensure-under the Contractors' State License Law for the following reason: By 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 legal) sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors, j understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request whenthis application is submitted or at the following Web site:httpJAvww.teginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under ponatty of perjury t I atn licensed under provisions OLC1�1ap ter g Z•_egmmencing with Section 7 f Di Isi .3 Of the Business and Professions Code, and my license is in full force and effect. License Class. �' License. No — / D 2, Contractor Signature WORKERS' COMPENSATION DECaF ATION WARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. I hereby affirm under penalty of perjury one of the following declarations: 13 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 th 0 ormance of the work for Which this permit is issued. Policy No. I ave 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' compensatio in rance vie�ria,Lnd,,poo t 4num at are: /t Z 2, Carrier fdY(�-`s �ir / Policy Number ( U u S 9 Expiration Date �/� /.ZZ J Name of Agent i Phone # I 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 agre :hot, If I should become,s/ylbept to the workers' compensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. [\ Signature of Applicant / I_IA Dat� OEGL.ARATION REGAR-lt i�13 CTI NO AGENCY �"� 1 hereby affirm under penalty of perjury that therel lending agency for theperformance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Leader'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 county to enter e a e-iden Ifed erty for inspection purpose - Signature �� GC 7) Z of Property Owner or Authorized A ent Print Prue Owner'T or Acthcrizcd Agent's Name ! �r� pate) ACTION DATE BY V DECLA A NOF COMPL NCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE 1 1403 _ PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED 13EPA _ PERMITEXTENDED UACINIO PERMITFINAL t ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO3 (Lt — CERTIFICATE OF PROPOSED OEM R OCCUPANCY ISSUED I SIGNATUR .