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Home My WebLink AboutXR2023-1934 - Permits�EWPoR, City of Newport Beach 111IIIpIII1111111111111111111111111111111111111111111111 jj COMB Permit : XRZO23-1934 D� @ Community Development Department- Building Division X R 2 0 2 3 1 9 3 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2747 1 ? Permit Counter Phone: (949) 718-1888 Issued Date : 0712112023 ea newportbeachca.gov/civic Final Date: c9<iFoµN`"- Combination Type - Permit Status: Issued Work Class - Other Inspection Area : 6 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: 31 MONTECITO DR Legal Desc : N TR 7844 BLK LOT 70 Description: SFR RETAINING WALL 6' HIGH X 92 LF INSIDE P/L *MARKERS ON SITE* Owner; HENRY & GEORGEANN CAMISASCA Contractor: MODULE LANDSCAPE INC Architect : CHILDS CYNTHIA ARCHITECT Address : 31 MONTECITO DR Address : 14271 JEFFREY RD, UNIT 473 Address : 2732 E COAST HWY #B CORONA D CORONA DEL MAR, CA 92625 IRVINE, CA 92620 MAR, CA 92625 Phone: (949)542-0195 Phone: (949)892-7484 Phone: (949)718-3528 Con State Lie : 1065556 State Lie Lie Expire : 04/30/2024 Applicant: PAT AUSTIN Bus Lie: BT30072877 Engineer: ASKARIAN KYLE Address: 2732 E COAST HWY, Suite B Bus Lie Expire : 09/30/2023 Address : 17595 HARVARD AVE #C-734 CDM, CA 92625 IRVINE, CA 92614 Phone: (949) 718-3528 Workers' Compensation Insurance Phone: (310) 404-1834 Carrier: MARKEL Owner/Builder : Policy No: MWC0165103 Designer: Address : W. C. Expire : 2/28/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $32,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 6, Side: 5, Side: 5, Rear: 107-100 Flood Zone : X Use Zone: PC - Harbor View Hills PROCESSED BY: _�14 SPECIAL CONDITIONS: y ! EZ C T C OWNER -BUILDER 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 item(s) ;Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter. improve, demolish, at repair any structure, prior to Its issuance, also requires the applicant for :he 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 Tot more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 mprovements 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❑ I, 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 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' Stale License Law). E I am exempt from licensure under the Contractors' Stale License Law for the following 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 legally sell 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 sitethttpliwww.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent ____ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Sectiggnr7000) Divis' n 3 of the Suainess and Prof I t e is full force and effect. License Class License No DaaT Contractor Signatur WORKERS" COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS DOLLARS f1100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: FVhave 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 "mance of the work for which this permit is issued. Policy No. h ve 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 insurance carrier and policy number are: Policy Number Date me of Agent Pnone rr certify that, in the performance of the rk for whi rthis 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 L if I should beco a subject to are •a p tw n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican Date__ CLARATION RE CSC N R IS � G AGENCY areby 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). rder's Name ___ Lender's Address _ 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 ordinan s and to ws relating to building construction. I authorize representatives of this city or county to�et a o ied rty for Inspection purposes. i�1 (nature of Prooertv Owner or Authorized Aoen 5v.� Print Property Owner's or Authorized Agent's Name I LJ1 LQ /.C1��1 /nr� 1 Date ACTION I DA _ _—. PEFMIT CANCEGLF`) .... _ i _ .r. PERMITEXTENDED ERIL CERTIFICATE EATlFICATEFlCATE OF OCCUPANCY i55UE0 OCAOMPLiANCE WITH CODE OF FEDERAL I FOR OFFICE USE PART 61 OF TITLE 40 AND AOMD RULE SUBMITTED ❑ASBE5TO5 NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION