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Home My WebLink AboutXR2023-2021 - Permitso��EWPoRr City of Newport Beach @ Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 y. Permit Counter Phone: (949) 718-1888 eunewportbeachca.gov/civic c't�rvoaH�" Combination Type - SFP Work Class - Repair B a �' it , ...r j.,. FA COMB Permit : XR2023-2021 Plan Check No : Issued Date : 07/24/2D23 Final Date: Permit Status: Issued 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 : 2526 CRESTVIEW DR Legal Desc : N TR 1140 BLK LOT 43 Description: SFR T/O (E) TILE ROOFING AT FRONT. R/R SHEATHING AND RE -ROOF WITH LIGHTWEIGHT CONCRETE TILE (DURALIT SAXONY 600 (ER-412/ICCESR1647) 6 SQUARES Owner: SUSANJOHNSON Address : 2526 CRESTVIEW DR NEWPORT BEACH, CA 92663 Phone: (208)720-6096 Applicant: Miguel Alfaro Address : 5901 Clara street Bell Gardens, CA 90201 Phone: (562)923-8728 Owner/Builder : Address : Contractor: LANG ROOFING INC Address : 5901 CLARA ST BELL GARDENS, CA 90201 Phone: (562)923-8728 Con State Lie : 405427 Lie Expire: 06/30/2025 Bus Lie: BT30082200 Bus Lie Expire : 07/31/2024 Workers' Compensation Insurance Carrier: REDWOOD FIRE AND CASUALTY INSURANCE CO Policy No: LAWC422619 W. C. Expire : 3/31/2024 Architect Address Phone: State Lie Engineer Address Phone Designer: Address : Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $6,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : . Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 10 , Flood Zone : X; X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: S SPECIAL CONDITIONS: HIGH DENSITY & LIQUEFACTION ZONE NO CONSTRUCTION WORK OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reeson(s) indicated below by the checkmark(s) I have placed 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 licensors 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 properly who, through employees' or personal effort, builds or improves the pmperty, 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 13roved for the purpose of sale). I, as owner of the property, 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 properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors` Stale License Law for the fallowing 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 legalll self a structure that I have built as an owner -builder 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:http:/fwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of ivision 3 of the Business and ProfessCode, a my license is in full force and effect. License Class License No Date L Contractor Signature �- WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDREDTH SAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 711 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 lb performance of the work for which this permit is issued. Policy No. Khave 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' compensatior insurance carrier and policy number are: Carrier 44MwtXu0 F/2z- Policy Number 44WCVZO611 Expiration Date 3A1/0"04 of Agent certify the I, 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 . if I should become subject to the worker,;�,compensahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant Date hereby affirm under penalty of pew that there is a'construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address y my signature below, I certify to each of the Following: I am the property owner or authorized to acton the property owner's behalf. I have read this application and the information I have provided is correct, I agree to con iy with all applicable city and county ordinances and state laws relating to building construction. I eo horize, recresm,ldlives of this city or county to enter the alcove -identified property for inspection purposes. ionature of PmDe,ty Owner or Authorized Aaent I l— -. I,— --G. ii-- Print Property Owner's or Authorized Acent's Name `) 06Z 6TL,7,1 Date 7!zz dLe_3 ACTION DATE BY \DFJCLARATION OF COMPLPANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY AEG ULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMI f EXPIRED Ul SUBMITT'EDASSESTOS NOTIFICATION TO PFRJ`41T CANCELLED P'+'M1T EYTENDED _ —LIEPA 0AQMD P'RMIT F'NAL .ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CcanF1rAI TE OF PROPOSED DEMOLITION OCCIIPAhCYISSUFD i nn c SIGNATURE:: II A Ji_