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Home My WebLink AboutXR2023-2112 - Permits�EwaoRr City of Newport Beach @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 x Permit Counter Phone: (949) 718-1888 s C9<�FOP��P newportbeachca.gov/civic Combination Type - SFP Work Class - Repair X R 2 0 2 3 2 1 1 2II COMB Permit : XR2023-2112 Plan Check No: Issued Date : 07131/2023 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 : 4733 CORTLAND DR Legal Desc : N TR 3519 BILK LOT 6 TR 3519 LOT 6 ALL -EX SWLY 1 F Description : SFR RE -ROOF T/O 1 LAYER OF TILE, INSTL 1 LAYER OF UNDERLAYMENT, R/R SHEATHING AS NEEDED. INSTL 40 SF COMP. Owner: David Igata Contractor: CROWN RECONSTRUCTION SVCS Architect: Address : 4733 CORTLAND DR Address : 45 VANTIS DR Address NEWPORT BEACH, CA 92625 ALISO VIEJO, CA 92656 Phone : Phone : (949) 273-6782 Phone Con State Lie : 1051230 State Lie: Lie Expire : 03/31/2025 Applicant: Michael vincent Constantine Bus Lie: BT30066708 Engineer: Address : 45 Vantis Drive Bus Lie Expire : 04/30/2024 Address Aliso Viejo, CA 92656 Phone: (949) 273-6782 Workers' Compensation Insurance Phone: Carrier: STATE+COMPENSATION+INSURANCE+FUN D Owner/Builder : Policy No : 9224420 Designer Address : W. C. Expire: 8/11/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $23,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks: Front: 35, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: - SPECIAL CONDITIONS: CT OWNER -BUILDER I hereby affirm 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 applicable fam(s) ;Section 7031.5, Business and Professions Code: Any city or county that requires a pemtil to construct, alter, improve, demolish, or repair any structure,prior to its issuance, also requires the applicant for fhD 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 lieensure and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of tot more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure Is not Intended or offered for sale (Section 7044, 3aeir16S% and Professions Code: The ContractorsState 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 Vmprovement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not buill or Improved for the purpose 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 apply to an owner of properly who builds or Improves thereon; and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). L1 I am exempt from licensure 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 la completion of the improvements covered by this permit, I cannot legal] Sol] a structure that I have builtas an owner -builder if ithas not been constructad 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:Mtp1/wvnv.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent ry _ _�� Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business rof is Cade, nd license is In full force and effect. License Class License No Date Contractor Signatur NORKERS' COMPENSATION DECLARATION NARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THbUSANO DOLLARS ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES" PROVIDED FOR IN SECTION ]TOG OF THE LABOR CODE, INTEREST, AND ATTORN"s FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial_ Relations as provided for by Section 3700 of the Labor Code, for th perf ance of the work for which this permit is issued. Policy No. I nave and will maintain workers' compensation insurance, a$ required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior surance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑1 certify that In fha 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 agree That if I should beao t to the k r5 comp nsal n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2 q� Signature of ApplhLr:.i1..,..,. ., Date—:Z !I' hereby affirm under penalty of perjury that there is d,J onstruclion fending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ..enders Name 1Lender's Address 3y my signature below, I Certify to each ofFt he following: I am the property owner or authorized to act art 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 counly cfdinances ano state laws relating to building construction. 7- 3 j- �� I authorize representatives of this c' or county a above 'dentlf d property for inspection purposes. tl�,l G!{A�'L [1J r�$-(-)f}�j� 3i nature of Property Owner or Authorized Agen Print Pro ert Owner's or Authorized A ants Name Date _ ACTION DATE. BY �DEIARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE ULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED P€RMITCAACftlfO PERM7TEXRNDED I t,._i SUBMITTED ASBESTOS NOTIPICATON TO L- PERM77 FINAL CERTIFICATE OF OCCUPANCY ISSUED q I v I SBESTOS N011FICAFION IS NO1 APPLICABLE TO PROPOSED'DEMOLITIOLl _�! S,GNATURE: