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Home My WebLink AboutXR2023-3065 - Permits04-� City of Newport Beach 111IIIpIII1111111111111111111111111111111111111111111111 jj COMB Permit:XR2023-3065 Community Development Department- Building Division X R 2 0 2 3 3 0 6 5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1888 Issued Date : 1313012023 newportbeachca.gov/civic Final Date: CoCombination 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 - T/O WOOD SHINGLE, INSTL CAP SHEET UNDERLAYMENT, REPLACE ALL SHEATHING, INSTL 18 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 Lie : 1051230 State Lie Lie Expire : 03/31/2025 Applicant: MICHAEL CONSTANTINE Bus Lie: BT30066708 Engineer: Address : 45 VANTIS DR Bus Lie Expire : 04/30/2024 Address ALISO 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 : $18,000.00 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: 10, Front: 10, Side: 3, Side: 3 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: a ,s SPECIAL CONDITIONS: F 4s OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 lbat 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 licensure 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 Ryan five hundred dollars ($500). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 property who, through employees' or personal effort, builds or improves the property, 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 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' Stale 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), rl I am exempt from (censure 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 forat least one year prior to completion of the Improvements covered by this permit, 1 Cannot Iegalll sell a structure that I have built as an owner -builder if ithas 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 requestwhen this application is submitted or at the following Web site:httpalwww.leginfo.ca.govfcelaw.html. 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 7000) Div)'on 3of the Business and4�re es •i Inode, an my lie nee is In full force and effect. License Class License. No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STOOP THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a CertifPicate of consent to selfiinsure for workers' compensation. Issued by the DireClor of Industrial Relations as provided for by Section 3700 of the Labor Code, for th perjerff 4ence of the work for which this permit is issued. Policy No. /.n nave 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' compensatiol nsurance carrier and policy number are: farrier Policy Number Expiration Date dame of Agent Phone # :1I certify that. in the performance of the work for which this permit is issued'., I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agra hat, if I should come subject to the workers^comp�ensa�tlo{gprdvkslo/�%s of Seddon 3700 of the Labor Code, I shall forthwith comply with (hose provisions. ��. % Signature of Applicant �J� U�! Date r/P L-- )ECL_ARAT€ON REGA D G CON RU TION LENDING AGENCY hereby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). _endar's Name 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 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 Ito e t ve-id property for inspection purposes. Signature of Property Owner or Authorized A ant Print Pro erty Owner's or Authorized A ent's Name Date ACTION DATE. BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE 14V3 PERMIT EXPIk60 I SUBMITTED ASBESTOS NOTIFICATION TO EPA LTA-QMD— PERMIT'FINAL A IXAS$ESTOS NOT] FICAfION IS NOT APPLICABLE TO CEftTlFICATE Of / I %.� -P��- PP MOLIT OCCUPANCYISSGEJ _ _ SIGNATURE: