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Home My WebLink AboutXR2022-2380 - Permits�EwPoRT City of Newport Beach II III I I I II I II III II I I II II 0� )' p CommumtyDevelopmentDepartment-BuildingDivision COMB Permit:XR2022-2380 r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 644-3288 Issued Date : U fie. `P Inspection Requests Phone: (949) 644-3255 Inspection Area : 2 CgC�cORH newportbeachca.gov/inspections Combination Type - MFP 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 Description Owner: Address Phone: Applicant Address : Phone : : 919 BAYSIDE DR, G3 Legal Desc : P BK 185 PG 9 PAR 1 PM. 185-09 PAR. 1 AND IRVINE SUB FOR. OF BILK. MFR - DECK REPAIR (A4) HPI 919 BAYSIDE PROJECT LLC Contractor: INTEGRITY BUILDERS GENERAL 847 bayside dr #1 newport beach, CA 92660 Address : 898 WEST 18TH STREET NEWPORT BEACH, CA 92660 Phone: (714)783-5275 Con State Lic : 913752 JONSSON JEFFREY Lic Expire : 03/31/2024 946 CALLE AMANECER #C SAN CLEMENTE, Bus Lic: BT30072962 CA 92673 (949) 412-3955 Bus Lic Expire : 09/30/2022 Owner/Builder Address Phone: Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U Bldg Height : Building Setbacks Flood Zone Use Zone: PROCESSED BY: AE, 8 FT; X PC - Bayside Residential SPECIAL CONDITIONS: Workers' Compensation Insurance Carrier: DEPARTMENT OF INDUSTRIAL RELATIONS Policy No : 45030284 W. C. Expire: Architect : JONSSON JEFFREY Address : 946 CALLE AMANECER #C SAN CLEMENTE, CA 92673 Phone: (949)412-3955 State Lic: Engineer: Address Phone: Designer Address Phone: Fire Sprinklers : NO Construction Valuation : $7,000.00 Fire Hazard Zone : No Added/New/TI sq. ft. Bldg : 0 No of Units : 4 Alteration sq. ft. Bldg : No of Stories : Added/New sq. ft. Garage : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) 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 is issuance, also requires the applicant for le permit to file a signed statement that he or she is ilconsed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Cade) 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 fore permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 1, 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, ,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 of ¢proved 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 pply to an owner of property who builds or Improves thereon, and wfio contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I I am exampt front licensure under the Contractors' Slate License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have roslded 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-buiider 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 'rofesslons Code, is available upon request when this application is submitted or at the following Web site: http: /w ,leginfo,ca.gov/calaw. html. iigneture 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)yyf fivlsjprh3 of the Business and Profe siO B, and my license Is in full force no effect. License Class License No Date,r/1' TD Contractor Slgnatu e 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 THV ARS (E100,001 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: I 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 gLformance of the work for which this permit is issued. Policy No. and will maintain workers' compensationinsurance, 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 certify that. in the performance of the k f hick 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 subject. to the we ke ' mpereation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant-_ Dale/� "1 `� _ -Z-'_ CLARATION REGARDINNSTR C O LENOIkG AGENCY rreby affirm under penalty of perjury t a re is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). )der's Name Leaders 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. 1 have read this application and the information i have provided is correct.. I agree to comply with at] applicable city and county Drell ¢ co d slate laws relating to building construction. authorize represenlalives of this city or county to Vert ve-identified property for Inspection purposes. 11 1, _ ,. _ Si nature of Property Owner or Authorized A ant Print Property Owner's or Authorized A ACT10N DATE BY I DEC VON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ( REG LA IONS PART ill OFTITLF40 AND AOMO RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTEA'DED PERMIT FINAL CERTIFICATE OF OCCUPANCYiSSUED I SUBMITTED ASBFSTO5 NOTIFICATION TO ❑ASBESTOSt.DTIPhATIONISNOTAPPLICABLE TO PROPOSED DEMDI.ITION Date All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.