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Home My WebLink AboutXR2023-1775 - PermitsCity of Newport Beach p R Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 .s. newportbeachca.gov/civic Cq</FOR��P Combination Type - SFP Work Class - Repair 11111111111111111111111111111111111111111111111111111111111COMB Permit : XR2023-1775 Plan Check No Issued Date : 0512812023 Final Date: Permit Status: Issued ` - 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 : 3207 OCEAN BLVD - Legal Desc : N TR;.1026 BLK LOT 12 TR 1026 LOT 12(AND NWLY11/2 LOT 13 Description: SFR REROOF, T/O COMPOSITION SLATE, INSTL 1 LYR 30# FELT, R/R SHEATHING AS NEEDED, INSTIL (8 PITCHED/12 FLAT SQS) OF ASPHALT SHINGLES. HOT MOP FLAT AREAS (<2:12) Owner: MCKINNON FAMILY TRUST Address : 3207 OCEAN BLVD CORONA DEL MAR, CA 92625 Phone: (949)697-6222 Applicant: MCKINNON FAMILY TRUST Address : 3207 OCEAN BLVD CORONA DEL MAR, CA 92625 Phone: (949)697-6222 Owner/Builder: MCKINNON FAMILY TRUST Address : 3207 OCEAN BLVD CORONA DEL MAR, CA 92625 Phone: (949)697-6222 Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height : Building Setbacks ; Front: 5, Front: 10, Side: 4, Side: 4 Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: O/B AUTH SCANNED Contractor Address Phone: Con State Lie Lie Expire Bus Lie: Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No: -- - W. C. Expire Fire Sprinklers : NO Fire Hazard Zone : NO No of Units :. 1 No of Stories`: 2 Architect Address Phone : State Lie Engineer Address Phone: Designer Address Phone: Construction Valuation : Added/New/Ti sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : Wivallie 016F $13,500.00 0 0 0 I hereby affirm under penalty of perjurythalt 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) cllon 7031:5, Business and Professions Code: Any city or countythat requires a. permit to construct, sitar, Improve, demolish, or repair any structure, prior to Its issuance, also requires the applicantfor permit to file a signed statement that he or she is licensed pursuantito the provisions of the Contractors` State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and FCode) or that he or she is exempt from licenstlre and the basis for the alleged exemption. Any violation of Section 7031,5-by any applicant for a permits subjects the applicant to a Civil penalty of n five hundred dollars ($500). 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, iiness and Professions Code: The. Contractors' State License Law does not apply to an owner of property who, through employees'' orpersonal effort; builds or improves theproperty, provided that the Movements are not Intended or offered for sale. If, .however, the building or Improvement is sold within one year of completion, the OWnenBUlldefwll have the burden of proving that it was not built. or .roved for the purpose of sale), I, as owner of the property, am exclusively.contfacting with licensed Contractors to construct the project (Section 7044, Busioass and :Professions Coder The Contractors' Stale License Law does not III 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 licensure Linder the -Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence In whlch I muse have resided for at least. one year prior 10 completion of the Improvements covered by this.permi4 [.cannot legal) a structure that I have built as an owner -builder if ithas not been constructed in its entirely by licensed contractor„ I understand thata copy of the applicable low, Section 7044 of the Business and. ffasslons Code, Is available Upon requestVbDri thla,p Ilogtiop is sujygftAoiyore;the following Web site,,htip.,Iiv w.leginfo.ca.gov/caiaw:htmL / n , r _ / m LICENSED CONTRACTOR'S DEGI..ARA"nON (%/ Jr hereby affirm under penalty of perjury that.) am licensed underprovisions of Chapter 9 (commencing with Section 7000) of Division '3-of the Business and Professions Code, and my license is in full force and effect. License Class License.No Date Contractor Signature iVORKERS' COMPENSATION DECLARATION NANNING: FAILURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND$HALL SUBJECT AN EMPLGYERTO CRIMINAL PENALTIES AND CIVIL PINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 'PST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION a70$.OF TNa LABOR sops, INTEREST. AND ATTORNEY'S FEES. hereby affirgfuiidecpenalty of perjury am of the following declarations: I have and will"malntain acertificate of consent to sell -insure for workers' compensation, Issued by. the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th )orfcrnance of the work for which this permit Is issued. Policy No. :1I have and�wiq 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` Compansi tior n'�graf ice, Garner and policy number are; -anlar - Policy Number Expiration Date i AgentPhone # I the); lrxth ps farmanaa of the work for which tt (s permit Is issued, shall not employany parson in any manner so as to become subject to the workers' compansatforrlaws of California, end agre hNr. I(.I shoyld g):ca�me subjer;(t the workers'�co/r/ppensatlon provisions Gf Seclfoit 3700 of 1ha Labor Coded I shall forthwith comply W th (hose provisions. r' Iyl;�aluro o 2 z JEGLARATIiiN R'liAEfDIN C T CTIfaN LENAINq Af3ENCY In ' b' affirm under p6galty oT perjury that there is a construction lending agency for the perfcrmenceof the work for which- this permitis; issued (Sectionr3097, Civil Code). _ender Name�..� o Lender's Address 3y my signature below, I certify to each of the following I am the property owner or authorized to act on the propenyowner's behalf. I have read thin application and the information I..have provided incorrect. I agree. to comply wnn all applicablecity and county ordinancesandstate laws relating to building Construction. I authc-lze rep-esehtdnves of this city or count enter a cve-ldentiflad-property for In,SpaCtlbh purposes. ��y / iLgil'%ife of Property Owner or Authorized tAge,Ot. Print Property Owners orAuthorizetl Agenk J q'e l`- —/L % �/VmDZJ AC,ION DATE Y DECLARATION OF COMPLIANCE WITH CODEOF FEDERAL FOR OFFICE.. USE: ONLY I REGULATIONSPART 61 OF TITLE 40 AND ACLMD RULE PCR o.7"Y7ENDED _1 RlRM1T FI IAL (_Z 1� I 1GA710N LICABLIF TO CCFMTT FV El7F `l pp /V(/rLO/�r/,/G pCrVP41ICYIS5UE0 SIGNAFU