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HomeMy WebLinkAboutXR2023-3234 - Permits�EWPORT City of Newport Beach 4 D m @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 9266D Permit Counter Phone: (949) 71B-1B88 newportbeachca.gov/civic Combination Type - Work Class - Other Ill 111111111111111111111111111n111111111111111111111lll JillCOMB Permit : XR2023-3234 Plan Check No Issued Date : 11/14/2023 Final Date: Permit Status: Issued Inspection Area :'z,- 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 Legal Desc : P BK 185 PG 9 PAR 1 PM. 185-09 PAR. 1 AND IRVINE S Description: MFR REPAIR PERIMETER CMU WALL 5'H X 21 LF, IWCI%=,F-rj4E P(L... Owner: HPI 919 BAYSIDE LLC Address : 4751 WILSHIRE BLVD, 110 LOS ANGELES, CA 90010 Phone: (818) 990-5999 Applicant: MOSS & COMPANY Address: 15300 VENTURA BLVD #405 SHERMAN OAKS, CA 91403 Phone: (810)990-5977 Owner/Builder : Address : Phone Contractor: STARKS CONSTRUCTION LLC Address : 4067 HARDWICK ST #230 LAKEWOOD, CA 90712 Phone: (562)761-5985 Con State Lic : 952200 Lic Expire: 09/30/2025 Bus Lic : BT30083016 Bus Lic Expire : 11130/2024 Workers' Compensation Insurance Carrier: NATIONAL LIABILITY AND FIRE INSURANCE COMPANY Policy No: N9WC870763 W. C. Expire : 2/1/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U No of Units : 0 Bldg Height : No of Stories: 0 Building Setbacks Flood Zone Use Zone: AE, B FT; X PC - Bayside Residential PROCESSED BY SPECIAL CONDITIONS: Architect Address Phone: State Lic: Engineer: Address Phone Designer Address Phone: Construction Valuation : Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg: Added/New sq, ft. Garage TOTAL sq. ft. : $13,800.00 0 0 0 VY9r�1LIS.^ov, L,+crt v�awrr,.r��.. v.� 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 applicableftem(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 .he permit to fila 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 of the Business and n ofossiuns 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). D I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 properly, provided that the mprovements are not Intended or offered for safe. 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 mproved for the purpose of sale)- © I, as owner of the property, ant exclusively contracting with licensed Contractors to constructthe 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' State License Law). El I am exempt from licensure under the Contractors' State 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 lagallj sell a structure that I have built as an owner -builder if ithas not boon constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, ction 7044 of the Business and Professions Code, is available upon request when this application is submitted orat the following Web site:http:liwww.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent. Ca LICENSED CONTRACTOR'S DECLARATION I hereby affirm under neoally of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ion 7 ' 0 rsn 3 S the Bun s nd Professions d and my Ic Be Is IT force and effect. License Clacs License No D t Contracto ignatura WORKERS' CO-OPENSATION DECLARATION WAnNINP: FAILURE TO SECUEE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CIU MINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000). IN ADDITION TO THE CJS', OF C OMPENSATIn N, PAMAGES AS PROVIDED FOR IN SECTION 3TOS OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. II hereby affirm urvIer penalty of perjury one of the following declarations: l .t 1 rwve and will mai.if nn 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 r6irmance of :h, a'ark for which this permit is issued. Policy No, a�a and will iaaio,ain 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' compensatioi trance carrier add policy number are: r:arrier Policy Number Expiration Date ,)'Agent _ Le.tify that. in 'he p9rformance o a war for which this if I shoukrVecome suble,044 the workers' cymnensatio :ued, I shell not employ any person in any manner so as to become subject to the of Section 3700 of the Labor Code, I shali forthwith comply with those provisions. ignalure of App `can �.J--_ .. ._..._._ - ECLARATI ARDING CONSTRUCTION LENDING AGENCY hereby affirm un or penalty of perjury that there is a construction lending agency for the performance of the work for which this pennif Is Issued (SactioIT ender's Name ___ Lender's Address y my signature below, I certify to each of the followity I am the property owner or authorized to act -6 1 have read this application and the info coo on I h I agree to comply with all applicable city and c un I authorize representatives y( this city or my to ner's behalf, is correct. and state elating "uiiding construction. led pro for inspection purposes. ACTION DA E BY ✓ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ( REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMn- EXPIRED L..1 I SUBMITT€D ASBESTOS NOTIFICATION TO __ - CIJPA_ PEFMIFCANCELlEP PERMJT _ PERMIFPINAL 't"~ I�AS13ESTOSNOTI€!CATION IS NOT APPLICABLE TO CERTIFICATE OF /�/�`�� Iqs PROPOSED DEMOLITION OCCUPANCYISSUED ( SIGNATURE: FOR OFFICE USE ONLY compensation laws of Cafifomla, and Code). �