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Home My WebLink AboutXR2023-0087 - Permits�EWP0,4T City of Newport Beach II II II IIIII� IIII UII IIIIII�I IIIII III III II o� @ Community Development Department- Building Division X R 2 0 2 3 0 0 8 7 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 ,�/FORS newportbeachca.gov/inspections Combination Type - MFP Work Class - Re -roof COMB Permit : XR2023-UU87 Plan Check No: Issued Date : 01/13/2023 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 : 709 ACACIA AVE Legal Desc : N TR 682 BLK LOT 78 Description: MFR - T/O COMP SHINGLE. USE (E) SHEATHING. INSTALL 2 LAYERS 15# FELT, 9 SQ COMP SHINGLE ,q NOISE w �,-TJO /� Owner: DANIEL LAYNE Contractor: KENNETH DEAN ALCANTRA ,.Archite 4.NS�l�l.) Address : 709 ACACIA AVE Address : 10 ARADA ST Address NEWPORT BEACH, CA 92625 Phone : RANCHO MISSION VIEJO, CA 92694 Phone: (949) 246-8784 Phone : r Con State Lic : 544282 State Lic- - f �� V V G Lic Expire : 10/31/2024 Applicant: KENNETH DEAN ALCANTRA Bus Lic : BT30080448 Engineer: Address : 10 ARADA ST Bus Lic Expire : 01/31/2024 Address RANCHO MISSION VIEJO, CA 92694 Phone: (949) 246-8784 Workers' Compensation Insurance Phone: Carrier: CLEAR SPRING PROPERTY & CASUALTY CO Owner/Builder : Policy No: CWC00589600 Designer: Address : W. C. Expire : 3/23/2023 Address Phone: Phone: - Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $5,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 15, Side: 3, Side::,, Rear: 5 Flood Zone: X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm underpenalty 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 Item(s) 3ec11on 7031.5, Business and Professions Code: Arrycity or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior tolls issuance, also requires the applicant for Ie 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 rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any. violation of Section 7031;6 by any applicant for a permit subjects the applicant to a civil penally of of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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. It, however, the building or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that R was not built or nproved for thepurpose of sale). I, 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 pPly 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 I am exempt from licensure-under the Contractors' State License Law for the following reason: y my signature below f 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 legalh all a structure that I have built as an owner-buiidar if It has not been constructed in its entirety by licensed contractors. l understand that a copy of theapplicable law, Section 7044 of the Business and Tofessions Code, is available upon request when this application is submitted or at the foltowing Web site:http9/www.teginfo.ca.gov/cataw.html. signature of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirm tinder penalty of pe' at I am licensed under provisions of Chapter9 (commencing with 5iddion 70 pt Divisio. 3 of the eus[ness and P�to a lice s In Iuii force nd effect. License Class rm License No �L/�� Da Contractor Si nafu?� It VORKERS' COMPENSATION DECLARATION 7 LN 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (11100,000), IN ADDITION TO THE DST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ] 1 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 W,ormance of the work for which this permiII IAstad. Policy No. 4l ve 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' compensatioi Is ante carder and policy number are: /� :arrier Policy Number c- rN L/ 6 b'u Expiration Date lameo gent Phone 3 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 ogre rat, If 1 should becombject to the workers' compensation provisions of Section 3700 of the Latter Code, I shall forthwith comply With those provisions. ignature of Applicantes IECLARATION REG O O U ON D GENCYIC hereby affirm under penalty of perptry that there is a c nstruction lending agency for the performance of the work for which this permit Is issued (Section 3097, Ivil Code). Ide a Name Lender's Address 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-eittg; tj;e AID Ve-1 ntl roperty for Inspection purposes. `:'-'TG j J= a .m...v>o,i Arvanr �YI�Lf" /A Prim Prnnerty nwner's or Authnri>e9 An�nt's N-rme X Date DATE EXPIRED REGULATIONS PART 61.OF TITLE 40 AND AQMD RUIE PERmirFINAL OCCUPANCYIS3UE0 I(—ZL-ZJ R� SiGNATUREU `IRYZNiv//lf t-- FOR OFFICE USE ONLY