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Home My WebLink AboutXR2023-1118 - PermitsCity of Newport Beach C��EWPO�T Community Development Department- Building Division r}- 100 Civic Center Drive, Newport Beach, CA 92660 6 S Permit Counter Phone: (949) 644-3288 > .�. Inspection Requests Phone: (949) 644-3255 c9C/FOpP�F newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration jjl111111111111111111111111111111111111111111111111111111jj COMB Permit: XR2023-1118 Plan Check No : P02023-0995 Issued Date : 0510112023 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 : 919 BAYSIDE DR, D4 Description : MFR DECK REPAIRS 122 SF Owner: HPI 919 BAYSIDE PROJECT LLC Address : 847 bayside dr #1 newport beach, CA 92660 Phone Applicant: JONSSON JEFFREY Address : 946 CALLE AMANECER #C SAN CLEMENTE, CA 92673 Phone: (949)412-3955 Owner/Builder Address : Legal Desc : P BK 185 PG 9 PAR 1. PM. 185-09 PAR. 1 AND IRVINE SUB FOR. OF BLK. Contractor: INTEGRITY BUILDERS GENERAL Address : 8966WEST 18TH STREET NEWPORT BEACH, CA 92660 Phone : (949) 386-1717 Con State Lie : 913752 Lie Expire: 03/31/2024 Bus Lie : BT30053621 Bus Lie Expire : 01/31/2024 Workers' Compensation Insurance Carrier: DEPARTMENT OF INDUSTRIAL RELATIONS Policy No : 45030284 W. C. Expire: Architect Address Phone : State Lie Engineer: Address Phone: Designer: Address JONSSONJEFFREY 946 CALLE AMANECER #C SAN CLEMENTE, CA 92673 (949)412-3955 Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $2,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 4 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : AE, 8 FT; X Use Zone : PC - Bayside Residential PROCESSED BY: , I—V V SPECIAL CONDITIONS: LIQUEFACTION o OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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, 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 'rofessions Code) or that he or she is exempt from licensors 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 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 (_) all of or U portions of the work; and the structure Is not intended or offered for sale (Section 7044, lusiness 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). 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 i 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 Iicensure under the Contractors' State License Law for the following reason: _ iy 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 entirely by licensed contractors. I understand that a copy of 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;http:liwww.leginfo.ca.govlcalaw.html lignature of Properly Owneror Authorized AgentDate ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of pedury that I am Fcensed under provisions of Chapter 9 (commencing with Section Cl .iv'sion 3 of the Business and Pro sloris Code, and m .,ligense is In (till for not effect. License Class License No Data Contractor Signatur r VORKERS' COMPENSATION DECLARATION IARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T uSAND DOLLARS t$100,000), IN ADDITION TO THE OST 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: 7 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, forth( er)brmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of the work for which thispermit is issued'.. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of Caiffom a, and agree I, if I should became s ject to the vrorkers' oqpensation provlsi, Fis of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. UU G [nature of Applicant I Date)L___ CLARATION RE: 00 TRU >_reby affirm under penalty of erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). (der 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 cou ty ordinances and state laws relating to building construction. I authorize representatives of this city or coup o-enier the a eTdentified prope for inspection purposes. I / C �� C�// nature of Property Owner or Authorized Agent 1i f r�f'nnl Property Owner's or Authorized Agent's Name V �G V\ \DtJC, �� YDate 'J/ llZ 171 ACTION PERMIT EXPIRED PERMIT EXTENDED PCRMfT FINAL CERTIFICATE OF aj,Qfi, Z-j OCCUPANCY ISSUED BY VDECLARA+M OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS. PART 61 OF TrrLE 40 AND AQMD RULE I SURM4TrD ASBESTOS No r" ICATION TO IS NOT APPLICABLE FOR OFFICE USE ONLY