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HomeMy WebLinkAboutXR2023-3066 - Permits�EWPOR� City of Newport Beach II II IIIIIIII IIIIIII IIII IIIIII II IIIIIII II COMB Permit : XR2023-3066 D� @ Community Development Department -Building Division X R 2 0 2 3 3 0 6 6 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1888 Issued Date : 1013012023 newportbeachca.gov/civic Final Date: C9C/Fe0.N�P Combination Type - SFP Permit Status: Issued Work Class - Alteration Inspection Area : 2 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: 2581 CRESTVIEW DR Legal Desc : N TR 1140 BLK LOT 54 Description: SFR REROOF (GARAGE ONLY) - T/O WOOD SHINGLE, INSTL CAP SHEET UNDERLAYMENT, REPLACE ALL SHEATHING, INSTL 7 SQ'S WOOD SHINGLE ESR-2867 Owner: CALVIN STEINKE Contractor: CROWN RECONSTRUCTION SVCS Architect Address : 2581 CRESTVIEW DR Address : 45 VANTIS DR Address NEWPORT BEACH, CA 92663 ALISO VIEJO, CA 92656 Phone : Phone : (949) 273-6782 Phone Con State Lic : 1051230 State Lic Lic Expire : 03/31/2025 Applicant: MICHAEL CONSTANTINE Bus Lic : BT30066708 Engineer Address : 45 VANTIS DR Bus Lic Expire : 04/30/2024 Address ALSO VIEJO, CA 92656 Phone: (194) 935-7627 x4 Workers' Compensation Insurance Phone: Carrier: STATE FUND Owner/Builder : Policy No : 9224420 Designer Address : W. C. Expire : 1/17/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $7,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : D Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Front: 10, Side: 3, Side: 3 Flood Zone : X Use Zone : R-1 - Single -Unit Residential /'� PROCESSED BY: ` SPECIAL CONDITIONS: "' OWNER -BUILDER DECLARATION I hereby slim) under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicableitem(s) ;Section 7031.5. Business end 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 .he 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 Drofessions Code) or that he or she is exempt from liconsure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars pi500). 1 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, 3usiness 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 mprovements 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 inproved for the purpose of sale). ❑ I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not apply 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). B m signature below I acknowledge that, except form personal residence in which I must have resided for at least one year prior to completion 11 1 am exempt from licensure under the Contractors' State License Law for the following reason: _ y y g g p y P of the improvements covered by this permit, I cannot lagalit gall a structure that I have built as an owner-buildor'if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:hlip:liwww.leginfo.ca.govfcalaw.tltml. Signature of Property Owner or Authorized Agent __—� _ _,_ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0). f Di 'sion 3 of the Business an Fes 'o de, and tic se-1s In full force and effect. License Class License No Dale .b Contrador Signature WORKERS COM'.PENSATION DECLARATION WARNING: FAILURE TO SECURE WORN ERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000P IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE.INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the fallowing declarations: ❑ 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 in IiWkrmance of the work for which this permit is issued. Policy No. 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` carrier and policy number are: Policy Number Date lame of Agent I[ Iv, le 1r 11 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 laves Of Califomia., and agre iat, if I should In ome�r subject to the workers•' mpen often provisions of Section 3700 of the Labor Code; I shall forthwith damply with those provisions. ,ignalure of Applicant RDI- Date?�r^ iECLARATION REGANG CONS7RUC ON LENDING AGENCY hereby affirm under penalty of perjury that Thera Is a construction lending agency for the performance of the work for which this permit is issued'. (Section 3097, Civil Co a). .ender's Name Lender's Address _ ly 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 slate laws relating to building construction. I authorize representatives of this city octp.LFly to r the abo -iden led property for inspection purposes. At ( ��L ez- Jc, r4 r j7)%gd 1, iionature of PfoDertv Owner or Aulhonza I Accent i ✓ Print Property Owner's or Authorized Agent's llama Date / ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE flFFEDERAL '.. FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AONID RULE 167 PEWMT EXTENDED L_L GQMD PERMIT FINAL /@�+, l ,t �ASBE5T05 N0T7FtlCAT'tUN I'S NOT APPLICABLE 70 CERTIFICATE OF 7(-I /24 /_�-'QAQGUSI,DD O N OCCUPANCYISSUEO j _ _ _ 51CN