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Home My WebLink AboutXR2022-2379 - PermitsCity of Beach 0 ommunnityDev Development Department - Building Division II II I I I I I II I III III I II II COMB Permit : XR2U22-2379 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2232 3 t = Permit Counter Phone: (949) 644-3288 Issued Date : Inspection Requests Phone: (949) 644-3255 Inspection Area : 2 gciFonP` 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: 919 BAYSIDE DR, A4 Legal Desc : P BK 185;PG 9 PAR.1. PM. 185-09 PAR. 1 AND IRVINE SUB FOR. OF BILK. Description: MFR - DECK REPAIR (A4) - Owner: HPI 919 BAYSIDE PROJECT LLC Contractor; INTEGRITY BUILDERS GENERAL Architect : JONSSON JEFFREY Address : 847 bayside dr #1 newport beach, CA 92660 Address.: 898WEST 1.8TH STREET NEWPORT Address : 946 CALLE AMANECER #C SAN BEACH, CA•92660 CLEMENTE, CA 92673 Phone : Phone : (714) 783-5275 Phone : (949) 412-3955 Con State Lie : 913752 State Lie Applicant : JONSSON JEFFREY Lie Expire : 03/31/2024 Address : 946 CALLE AMANECER #C SAN CLEMENTE, Bus Lie: BT30072962 Engineer CA 92673 Phone : (949) 412-3955 Bus Lie Expire : 09/30/2022 Workers' Compensation Insurance Owner/Builder : Carrier: DEPARTMENT OF INDUSTRIAL RELATIONS Address : Policy No : 45030284 Phone: W. C. Expire: 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 Fire Sprinklers : NO Fire Hazard Zone s No No of Units : 4 No of Stories Address Phone: N I r-'t"`�`�5 Designer Address Phone: Construction Valuation : $7,000.00 Added/New/TI sq. ft. Bldg: 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 SPECIAL CONDITIONS: e I hereby affirm under penalty of perjury that P am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable itern(s) 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 to 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 'rotessions 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 of more than five hundred dollars ($500). 1 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, cusiness and, Professions CodeThe Contractors' State. License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided (hat 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 bullt or nprpved for the purpose of sale), Jy I, as owner of the property, am exclusively contracting with ilcensed Contractors to construct the project {Section 7044. Business and. Professions Code: The Contractors' State License Law does not ply 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 licensure under the Contractors' State License Law for the following reasorr 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 covered by this permit, I cannot legalh all 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 this applicable law. Section 7044 of the Business and 'rofesslons Code, is available upon request when this application is submitted or at the following Weil site:http:iiwww,leginfo.ca.gov/calaw.htmi. Iignalure of Property Owner or Authorized Agent _ D ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9. (commencing with Section 7000) ff DIvirioni of the Business and Professions end my license Is in full force no RKE License Class License No Diet Contractor Signature IfORKERS' COphPENSATfON DECLARATIOtd 'ARNING: FAILURE TO SECURE VIORNERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU8JECT AN EMPLOYER TO CRIMINAL P ALnES AND CIVIL FINES UP TO ONE HUNDRED T O AND DOLLARS (S100,000), IN ADDITION TO THE OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706_OF THE LABOR CODE, INTEREST, AND ATTORNET'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 Lobar Code, for th erormance or the work for which this permit Is issued. Policy No. 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 a issued. My workers' compensatio Sur oce carrier and policy number are: ter Policy Number Expiration Date Jame of Agent - Phone ff -1 certify that,. in the performane of 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 taws of California, and agre hat.. If I should become subject t th W rkers' compensation. provisions Of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. >Ignature of'. Applicant 0 �1 DECLARATION REG N SR11C710N LENDING AGENCY hereby affirm under penalty f that there Is a construction lending agency for the performance of the work. for which this permit is. issued. (Section 3097, vil Code). .enders Name . Lender's Address 3y troy signature below, I oedl toeacn of the -following: I am the pro..pedy, owner or authorized to acton the properly, owner's behalf. I have read thisapplication and the information I have provided incorrect. I agree tocomply with all applicable city and county or. t an s and slate taws -relating to building construction. I authorize representatives of this city or county t ant rt bove-identified property for Inspection purposes. ,I nature of Pro en Owner or Authorized Agent Print Pro er Owner's or Authorized Agent's NamelyJD 2 t'r <Date ACTION DATE BY , OE ION OF COMPLIANCE WITH CODEOF FEDERAL I FOR OFFICE USE ONLY E LATIONS PART 61 OF TITLE 40ANO AQMD RULE PERMIT CANCR IE0 P€RMf7 EXTFN'DED PERMIT FINAi crRnFIcATC or OCCUPANCY ISSUED Ii?_3 SUBMITTED A58ESTOS NOTI FICATON TO All rzquirl.d .1aims, latthes gate-, and fences which serve as part of a pool/spa barrier, shall to Li p:ac, fuioi to approve tc fill pool/spa & shall remain in place & be maintained forthe IS NOT APPLICABLE TO lift of the pool.