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Home My WebLink AboutXR2023-3161 - Permits�eWPoRr City of Newport Beach III III III I IIII IIIIIIIIII IIIIIIII I II COMB Permit : XR2023-3161 04 @ Community Development Department- Building Division X R 2 0 2 3 3 1 6 1 Fy 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2714 i Permit Counter Phone: (949) 718-1888 Issued Date newponbeachca.gov/civic Final Date: C'�r�FUR��P Combination Type - MFP ELEC PLUM Permit Status: is ve—.1 Work Class - Alteration Inspection Area :y 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, F3 Legal Desc : P BK 185 PG 9 PAR 1 PM. 185-09 PAR. 1 AND IRVINE S Description: MFR KITCHEN AND BATHROOM UPGRADES (380 SF) r: r ^ Owner: HPI 919 BAYSIDE LLC Contractor: LIGHTHOUSE PROPERTY SERVICES Architect: 1 g � 0 f Lu , ir-1- Address: 4751 WILSHIRE BLVD, 110 LOS ANGELES, CA 90010 Phone: (818)990-5999 Applicant: NICOLEHARMONSON Address : 401 N Orange St 117, 117 Glendale, CA 91203 Phone: (213) 534-7230 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : 2022 V-B U,R-2 AE, 8 FT; X PC - Bayside Residential PROCESSED BY: SPECIAL CONDITIONS: INC Address : 417 S ASSOCIATED RD, 105 BREA, CA 92821 Phone: (714)904-8327 Con State Lic : 844945 Lic Expire : 04/30/2025 Bus Lic: BT30081760 Bus Lic Expire : 06/30/2024 Workers' Compensation Insurance Carrier: EXEMPT -NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 1 No of Stories : 2 Address : Phone: State Lic Engineer: Address : Phone : Designer: NICOLE HARMONSON Address : 401 N Orange St 117, 11' Glendale, CA 91203 Phone: (213)534-7230 Construction Valuation : $15,OCC.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 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 ftem(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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Liconse Law (Chapter 9 (commencing with Section 7000) of Division 3 Griffis Business and Professions Code) or that he or she is exempt from ficensure end 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). El I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 properly, 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). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of properly who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), ❑ I am exempt from Bcensure 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 permitI 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:hltp:l/w v.leginfo.ca.govtcalaw.html. Signature of Property Owner or Authorized Agent D" t - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of C �ptryr 9 comfnending with 5 lion OO gf i I 3 of the Bu i ss and Professions o , anil m s='t t,:rce and effect License Class License No —4 L( L� ) a l ^ Cantr for Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANO DOLLARS (6100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following dectarations: -� 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 Labor Code, for th, me of the Asork far which this parmil is issued. Policy No. hav „nd 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' compensatior i �ce carrier and poli.:y number area Policy Number Date is d Agent rnone 8 :, rTfv that, in the oat ormance of the work for which this permit is issued. I snail not employ any person in any manner so as t0 become subject to the workers' ompensalion laws of California, and ifm I should logcoe su 6/w�orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Aoo'nl �/ hereby affirrma Ar penalty of du ffhat there is a cbwstutetiofi lending agency for the performance of the work for which this permit is issued (Section 3097 Ivil Code). endprs Name / Lenders Address y c i signature below. I certif o each of the following: —�— era the properly Owner or authorized to act on the pro _rly er's behalf. I have read this application and the inforrnalf I hat provided car ct. I agree to comply with all applicable eh al countyordinanc a d t taws relating [o building construction. I authorize representatives of this city or unty io enter the bo a-i entitle Poperty for action purposes. signature of Property Owner or Authorized con Print Property Owner's or Authorized AoGjlit, s \CTION DATE RV i DrCLARArrON OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY RFGULATIONS PART61 of TITLE 40 AND ACMD RULE P€RMfTCANCELLED _..._.._..._._.__......___ PERMIT fXTEND€D PERMIT FINAL -- CERTIFICATE OF OCCOPANCYISSUED SUBMITTED ASBESTOS NOTIFICATION TO APPLICABLE