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Home My WebLink AboutXR2023-0773 - Permits,aE o City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2O23-0%%3 - @ Community Development Department - Building Division X R 2 0 2 3 0 7 7 3 n100 Croic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0658 Permit Counter Phone: (949) 644-3288 Issued Date : 03/23/2023 " S Inspection Requests Phone. (949) 644-3255 Inspection Area : 4 newportbeachca.gov/inspections Combination Type - PLUM 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 : 1935 PORT LOCKSLEIGH PL Legal Desc : N TR 702B BLK LOT 77 Description : SFR (N) 19' LF X 30" TALL PLANTER WALL AT FRONT ON P/L (AGREEMENT ATTACHED), GAS LINE STUB OUT FOR FUTURE USE, ANO, HARDSCA E / DRAINAGE ATL PER CITY STANDARD DETAIL. Owner: ZEV JUSTIN E TR ZEV LIVING TR Address : 1935 PORT LOCKSLEIGH PL NEWPORT BEACH, CA 92660 Phone: (310)625-8549 Applicant: MICHAEL BOLAS Address : 26311 Vialara Mission Viejo, CA 92691 Phone: (949)500-0781 Owner/Builder : Address : Phone Contractor: MICHAELBOUAS 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: MICHAELBOUAS 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: e� .f1A.J`� SPECIAL CONDITIONS: 4/13/23 REVISED TO SHOW WALL ON P/L WITH AGREEMENT OWNER -BUILDER DECLARATION I 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 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 lie or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business -and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031 Z by any applicant for a 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 i_,) 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 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 bulit 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' State License Law does not O0Iy 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), 1 am exempt from licensure under the Contractors' State License Law for the following reason. -y 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 legal all a structure that I have built as an owner -builder if It has not been constructed in its entiroty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is,evailable upon request when this application is submitted orat the following Web site:hUpa/www.leginfo.ca.gov/calaw.html. .ignatura of Prii,eny Owner or Authorized Agent __ Date .ICF.NSED-:;NTRACTOR'S DECLARATION hereby affirm ue.ds penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section �r000 of Or ietigry3 of the Business and Pr fess on�Cpde. and my license is In full force Ind uffect. License Class License No Date SPJ�/ Or let Contractor Sianatu // �711 PGF,KERS' COMP; NSATION DECLARATION ' I I ARNidG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE DST OF COMPENSATION', DAMAGES AS PROYIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEPs FEES. firl affirm .Inner oenalty of perjury one of the following dec€arations: .11 I,ave and will maintain a eertifleate 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, Prfc^nonce of the work for which this permit is issued. Policy No. 11 have and wil' mairl 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 u^L-LJ.ca carrier and rolicy number are: sruLr Policy Number Expiration Date '.awe of Agent Phone 71 certify that. in the performs ne 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 Calf cril and agre, tat, if I should become subje to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, ignalure of Applicant Date ECLARATION REG Oil 'no LENDING AGENCY �� hereby affirm under pena o perjury that there is a construction lending agency for the performance of the work for Which this permit Is issued (Section3097, Civil Code). ondei s Name Lenders Address y my signature below. I certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf. 1 have read this application and the information I havtrinarces vidis correct. I agree to comply with all applicable city and county and state taws relating to building construction. 1 authorize representatives of this city or county to enaabove-identified property for inspection purposes. p nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam ibk'le J Dat C L' ICTION ( DATE. BY ARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND, RUIE PERMIT EXPIRED LI I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCEILED i PERV77 E7c7 ENDE6 —i rnOryAp PERMIT FINAL //jj //////�� 17 ASBESTOS NOTIFICATION I'5 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: W z_ o 4 c0� n W o— C 1 1 LO a O 3 a c N QM M 0 D 4 W� IT) U) to 0U ON, F 3 o c QN N H ¢ Uo W oa c Ec X W Qi cc c m li M C? NM O O. 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