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Home My WebLink AboutXR2023-1119 - Permits:o4�EwaoRT City of Newport Beach @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 �a. S Permit Counter Phone: (949) 644-3288 cgG�pepN�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration ��11111111111111111111111111111111111111111111111COMB Permit : XR2O23-1119 Plan Check No : PC2023-0995 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, 06 Description : MFR DECK REPAIRS 123 SF 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 : Legal Desc : P BK 185 PG 9 PAR 1 PM. 185-09 PAR. 1 AND IRVINE SUB FOR, OF BILK. Contractor: INTEGRITY BUILDERS GENERAL Address : 8966WEST 18TH STREET NEWPORT BEACH, CA 92660 Phone : (949) 386-1717 Con State Lic : 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: JONSSONJEFFREY Address : 946 CALLE AMANECER #C SAN CLEMENTE, CA 92673 Phone: (949)412-3955 State Lie Engineer: Address : Phone: Designer: Address Phone: Phone: Code Edition : 2023 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R-2 No of Units : 4 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks Flood Zone : AE, 8 FT; X Use Zone : PC - Bayside Residential PROCESSED BY: 11-�l SPECIAL CONDITIONS: LIQUEFACTION $2,000.00 0 0 0 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 lteri ;Section 7031.6. Business end 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 the 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 not more than five hundred dollars ($500). 71 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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). ID 1, 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 apply to an owner of property who builds or improvesthereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law). 0 1 am exempt from licensure under the Contractors' Stale License Law for the following reason: By my signature bedew I acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the improvements covered by this permit, I cannot logall,, 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 or 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:hltp:lt M .leginfo.ca.govlcalaw,b niI Signature of Property Owner or Authorized Agent �w Date _ LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) e ivid 3 of the Business and essions Co�rfB. 2�n my license is In fu ice and effect. License Class License No Data 7_2 Contractor Signet __ WORKERS' COMPENSATION DECLARATION NARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRE"HOUSANO DOLLARS ($100,000), IN AODRION TO THE COST 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"�1. 1 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 performance of the work for which this permit is issued. Policy No. eve 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' compensatiol urance carrier and policy number are: Tier Policy Number Expiration Date me of Agent Phone t{ certify that, in the performance of the work for which this parm" Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and afire t, if I should become act to t e work s compensation p lions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / nature of Applicant Cat CLARATION REGA IN(i O CTION LENDIN� GENCY =.reby affirm underpa .ally of perjury that there is a ce struction lending agency for the performance of the work for Which this permit Is issued (Section 3097,'Cfvfl Code). rider s Name Lender's Address my signature below, I certify to each of the following: I am the property owner orauthorized to act on the property owner's behalf. I have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and count ordinances and slate laws relating to building. construction. I authorize representatives of this city or count entert abbe `a -identified erty for inspection purposes. C, nature of Property Owner or Authorized Anent Print Property Owner's or Authorized Ae—{'ent's Name ,� �.)" o, S 4P r4y4 1U ate FOR OFFICE USE ONLY REGULATION5 PART 61 DF TITLE 40 AND AQNID RULE 1403 \SRFST% NOT'FICATION TO PERMIT EXTENDED PERWITFINAL aE570S T1pIC ION IS N01' APPUCAa CERTIFICATE Of b•0 23 �jJ/J PROPOSED 041Tf0 tom' OCCUPANCY ISSUED �/ SIGNATURE]/)(may