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XR2023-0773 - Permits (3)
City of Newport Beach D @ Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 ash Inspection Requests Phone: (949) 644-3255 cg4IFp0.N�P newportbeachca.gov/inspections Combination Type - PLUM Work Class - Other g 1: .P,, � '.'"" --k ,� r—) I s i .a a .a s A -..t COMB Permit : XR2023-0773 Plan Check No : PC2023-0658 Issued Date : 03/23/2023 Inspection Area : 4 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: 1935 PORT LOCKSLEIGH PL Legal Desc : N TR 7028 BLK LOT 77 Description: SFR (N) 19' LING X 30" TALL PLANTER WALL AT FRONT, GAS LINE STUB OUT FOR FUTURE USE, AND HARDSCAPE / DRAINAGE ATL PER CITY DETAIL. Owner: ZEV JUSTIN E TR ZEV LIVING TR Address : 1935 PORT LOCKSLEIGH PL NEWPORT BEACH, CA 92660 Phone : (310) 625-8549 Applicant: MICHAEL BOUAS Address : 26311 Vialara Mission Viejo, CA 92691 Phone : (949) 500-0781 Owner/Builder Address : Phone : Contractor: MICHAEL BOUAS Address : 26311 Vialara Mission Viejo, CA 92691 Phone: (949) 500-0781 Con State Lic : 1016012 Lic Expire : 07/31/2024 Bus Lic : BT30081021 Bus Lic Expire : 03/31/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 9311559 W. C. Expire : 1/18/2024 Architect Address Phone: State Lic: Engineer Address Phone Designer: MICHAEL BOLAS Address : 26311 Vialara Mission Viejo, CA 92691 Phone : (949) 500-0781 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,000.00 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: 21, Side: 5, Side: 5, Rear: 10 Flood Zone: X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) iection 7031.5. Business and Processions 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 le 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 Tofessions Code) or that he or she is exempt from licensure andthe 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 of more than five hundred dollars ($500). 3 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, usiness 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 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 the purpose of sale). 11, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not 9ply 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). — I am exempt from licensers, under the Contractors' Stale License Law for the following reason. ___,___,___ ly 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 Cov©red by this permit, I cannot legall; ell a structure that I have built as an owner-bullder if it has not been constructed in its enBrety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Business and -rofesslons Code, [savailable upon request when this application is submitted orat the following Web site:httpJ]"w.legfnfo.ca.govlcalaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION' hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f Divio of the Business and Profe Code, nd my license is in full force nd effect. License Class License No Date o 2 S Contractor. Signature PORKERS' COMPENSATION DECLARATION FARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TOONE HVND THOUSAND DOLLARS (steo,aol, IN ADDITION TO THE 'DST Of COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 erformance 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' compensatiol trance Carrier and policy number are: par Policy Number Expiration Date me of Agent I Phone 9 certify that, in the perfo mance 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 agre L if I should become su j € to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant _ Date ® _ CLARATION REGA IN CON ION LENDING AGENCY �reby affirm under p I' 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). riders Name Lencler's Address my signature below, certify to each of the following: - I am the property owner or authorized to act on the properly 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 count Ord i ances and slate laws relating to building construction. I aulhodze representatives of this city or county t me the abav = entified property for inspection purposes. mature of Property Owner or Authorized Anent Print Property Owner's or Authorized Agent's Name I� 1"� "' Data �� 3 TION DATE BY WCLARATICN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE AO AND AQMO RULE I. PERMIT CANCt1LED PERMIT EXTLNDFFJ PERMIT FINAL CERTIFICAI E OF J OCCUPANCY IsS7CD ISNOTAPPLICABLE TO