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Home My WebLink AboutXR2022-3231 - Permits�EWPORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2U22-3231 CF d Community Development Department- Building Division X R 2 0 2 2 3 2 3 1 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1798-2019 Permit Counter Phone: (949) 644-3288 Issued Date : u S Inspection Requests Phone: (949) 644-3255 Inspection Area : 3 cq(�copN�t newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 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 : 1022 WEST WIND WAY Legal Dose : N TR 4224 ELK LOT 184 Description: SFR BLOCK WALL- 6' X 30' INSIDE P/L (CITY STANDARD) Owner: RONNI LEVINSON Address : 1902 SUVA CIR COSTA MESA, CA 92626 Phone Applicant: RAY LEWIS Address : 1863 BAYPORT WY NEWPORT BEACH, CA 92660 Phone: (949)650-4949 Owner/Builder : Address : Phone Contractor: RAY LEWIS Address : 1863 BAYPORT WY NEWPORT BEACH, CA 92660 Phone: (949)650-4949 Con State Lie : 597309 Lie Expire : 06/30/2024 Bus Lie: BT00021581 Bus Lie Expire : 03/31/2023 Workers' Compensation Insurance Carrier: CALIFORNIA INS CO Policy No: 46864922 W. C. Expire : 12/11/2023 Architect Address Phone: State Lie Engineer: Address Phone: Designer: RAY LEWIS Address : 1863 BAYPORT WY NEWPORT BEACH, CA 92660 Phone : (949) 650-4949 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $4,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 10. Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) BY:� - PROCESSED SPECIAL CONDITIONS: DECLARATION I hereby affirm under penalty of perjury that I 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 itemis) Section 7031.5, Business end Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is 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 Irofessions 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 fora permit subjects the applicant to a civil penalty of of 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, xlsiness and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employeesor personal effort, builds or improves the property, provided that the nprovements 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 nproved for thepurpose of sale). 3 1, 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 poly to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 3 I am exempt from ricensure under the Contractors' State License Law for the following reason: ty 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 legally ell 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 copyof the applicable law, Section 7044 of the Business and 'rofessions Code., is available upon request when this application is submitted or at the following Web site:httpa/www,leginfo.ca.govlcalaw.btmi. signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 d Di felon 3 of the Business and Prof e ns d my license is in full force no effect. License Class License No Dat Contractor Signature JORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE HOUSAND DOLLARS (Si D0,00D), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: a I have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Indusirial Relations as provided for by Section 3700 of the Labor Code, for th morma'nce of the work for which this permit is issued. Policy No. have 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' compensatio. ranee carrier and policy number are: rler Policy Number Expiration Date ne of Agent Phone # certify that in t pedor R,nce o t irk for which this permit Is Issued, I shall not. employ any person in any manner so as to become subject to the workers' comnensat('on ws of California, and agre if I should becD subject to t e liters compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. lalure of Applics eta 2 I ! Z ..,.r. �� ,.,.,.. ., ,,, ,,.., ........... .. ........... —Tip —. 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). ender's Name Lender's Address h 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 or county to enter the above -Identified property for inspection purposes. iignature of Prooertv Owner or Authorized Aaenl'� Print Pronerty Owner's or Ainl,ornrsN Aopnt'c Namw Y DATE. BY(/ 1 DECLARATION OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY € REGULATIONS PART 51 OFTITLE 40 AND AQMD RULE 0 �3 —�j--r1�4._ f l l.-.11 SUB.AITTEDA5BEST05 NOTIFICATION TO PERMIT EXTENDED "AQMD _ PERLIFFCATE //" /f3 5 p` ASBES105 NOt IFICAlION 15 NOTAPPLICABLE TO CER7(FICA7E DF 1 'N t o009055U DEMOLITION OCCUPANCYISSUED ;[GNA. UkE: