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Home My WebLink AboutXR2023-1416 - Permits (3)�,EwroRT City of Newport Beach IIIIIIIIII IIIII IIII IIII IIIII III IIIIIIIIIIII II COMB Permit : XR2O23-1416 @ Community Development Department- Building Division X R 2 0 2 3 1 4 1 6 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1293 Permit Counter Phone: (949) 718-1888 Issued Date : 06102/2023 newportbeachca.gov/civic Inspection Area : 2 9<IF00.� Combination Type - MFP PLUM Work Class - Alteration 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, G4 Legal Desc : P BK 185 PG 9 PAR 1 PM. 185-09 PAR. 1 AND IRVINE SUB POR. OF BILK. Description: MFR - R/R PLUMBING FIXTURES AT KITCHEN AND BATHROOM (123-0992) Owner: HPI 919 BAYSIDE LLC Address: 4751 WILSHIRE BLVD,110 LOS ANGELES, CA 90010 Phone : (818) 990-5999 Applicant: LIGHTHOUSE PROPERTY SERVICES INC Address: 417 S ASSOCIATED RD, 105 BREA, CA 92821 Phone: (714)904-8327 Owner/Builder : Address : Phone Contractor: LIGHTHOUSE PROPERTY INC Address : 417 S ASSOCIATED RD, 105 BREA, CA 92821 Phone: (714)904-8327 Con State Lie : 844945 Lie Expire : 04/30/2025 Bus Lie: BT30081760 Bus Lie Expire : 06/30/2024 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire: SERVICES Architect : Address Phone : State Lie Engineer: Address Phone: Designer: Address Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $30,400.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg: 0 Occupancy Groups : R-2 No of Units : 4 Alteration sq. ft. Bldg : 380 Bldg Height: No of Stories: 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : AE, 8 FT; X Use Zone: PC - Bayside Residential PROCESSED BY: SPECIAL CONDITIONS: I hereby affinn under penalty of perjury that tam exempt from the Contractors' State. License Law for the reason(s)indicated below by the checkmark(s) I have placed next to the applicable item(s) cllon 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 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 fessions Code) or that he or she is exempt from lieensure and the basis for the alleged exemption. Any violation of Section 7D31.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500), 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, :iness 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 (bat the rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Ownar-Builder will have the burden of proving that It was not built or roved 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 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), L_{ 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 print 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 boon 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:/hvww.Wginfo.ce.govfcalow.html. 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 S (commencing with Section 7 0) of ' ion 3 of the Business and essir s Cr • nil R yyuB a -is In full force and effect. License Class License. No Dai ] ContraGtor Sign re WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37e8 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a Certificate Gf 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 the Derformance of the work for which this permit is issued. Policy No. :11 have 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 nsurance carder and policy number are: :artier Policy Numbs r Expiration Date ?,Certify Agent Phone III*rtlty that in the performance of the work f r is this permit i ad: I shall Rote Gy any person in any manner so as to become subject to the workers' compensalinn laws of California, and ogre '.Rat, if I should become subject to the workers mpe visions 0 of the Labor Code: [shall forthwith comply with those provisions. Signature of Applicant Date hereby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .enders Name Lender's Address .. 3y my signoblm below, I codify to each of the rcllowin I am the Emperty owner or authorized to act o e propert owner's behalf. I have toed this application and the fmonnat n Lhave provl 0 IT I agora to comply with all applicable city and County ordin -es d st a la ling to building construction. / ') I authorize representatives of this city or county to enter pta reparfyfor Inspection purposes. nag turn of Prooerty Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Data :1CTION DATE By ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51.OF TITLE 40 AND AQMD RULE ASBESTOS NOTIFICATION TO PEE'MIT EXI END QM ^ER NITFINAE / iD,�s 6- rL. _ ASBESTDSr IS NOT TVIFICATE OF t1 0 �T)T'ATION PROPOSEDDEM j(((l4�''I,pN OCCUPANCYISSUED 'C[ SIGNATURE: 1�_