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HomeMy WebLinkAboutXR2022-2381 - Permits�EWP0 City of Newport Beach 0� a Community Development Department- Building Division ( _ 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cq[�cbpN�P newportbeachca.gov/inspections Combination Type - MFP Work Class - Other COMB Permit : XR2022-2381 Plan Check No: Issued Date : 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, B3 Description: MFR- DECK REPAIR (A4) Owner: HPI 919 BAYSIDE PROJECT LLC Address : 847 bayside or #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: Phone: Legal Case: P BK 185 PG 9 PAR 1 PM. 185-09 PAR. 1 AND IRVINE SUB POR. OF BLK Contractor: INTEGRITY BUILDERS GENERAL Architect : JONSSON JEFFREY Address : 898 WEST 18TH STREET NEWPORT Address : 946 CALLE AMANECER #C SAN BEACH, CA 92660 CLEMENTE, CA 92673 Phone: (714)783-5275 Phone: (949)412-3955 Con State Lic : 913752 State Lie Lic Expire : 03/31/2024 Bus Lic: BT30072962 Engineer: Bus Lic Expire : 09/30/2022 Address Workers' Compensation Insurance Phone: Carrier: DEPARTMENT OF INDUSTRIAL RELATIONS Policy No: 45030284 Designer: W. C. Expire: Address Phone: Code Edition : 2019 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height : No of Stories Building Setbacks : Flood Zone : AE, 8 FT; X Use Zone : PC - Bayside Residential PROCESSED BY: SPECIAL CONDITIONS: NO Construction Valuation : $7,000.00 No Added/New/TI sq. ft. Bldg : 0 4 Alteration sq. ft. Bldg : 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 reason(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, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for I :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 an, 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 not 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 improvements 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, 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 ap..ply 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' Slate License Law for (he 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 site:http:ltwww,feginfo.ca.gov/catew.htm[. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Div[ ion of the Business and Professions and my license is in full force and effect. License Class License No Date , - -z Contractor Signature WORKERS' COMPENSATION DECLARATION (-��t WARNING: PALURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P ALTIES AND CIVIL FINES UP TO ONE HUNDRED O ANO DOLLARS ($100,000i. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations: © I have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for In, pa)'roormanee of the work for which this permit is issued. Policy No. ive 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' compensatorIr ncs carrier and policy number are: er Policy Number Expiration Date ne of Agent Phone # certify that, in the perfor*ofork 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 California, and agreLif I should become subjers' compensation provisions of Section 3700 of the Labor Code, I shall fodhwitil comply with those provisions. nature of Applicant _ © �CLARATION RECINTION LENDING AGENCY )reby affirm under penalty there is a construction lending agency for the performance of the work for which this permit is issued (Section 30971vil Cade). Ider's Name Lender's Address my signature below, I cenifylito each of the followings, I am the property owner or authorized to acton 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 or I an s and state laws relating to building construction. I authorize representatives of this city or county t ent r 1 bove-identified property for Inspection purposes, nature of Property Owner or Authorized A earl Print Property Owner's or Authorized Agent's Nam, Ju 1 z-Dat , TION DATE BY V ; DE 7O F COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY E LATION5 PART 61 OF TITLE AO AND AgrnD RULE PERMIT EXPIRED I SUBMITTED TO PERMIT CANCELLED CIPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall F€ Ir EXTENDED _ OTQMD be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the PERPOIT FINAL. ,7 `,BESTOS NOTIFICATION 15 NOTAPPLICABLE TO lira of the pool, CERTIFICATE OF Xx OlIll PROPOSED DEMOLITION OCCUPANCYfS5UEO SIGNATURE: