HomeMy WebLinkAboutXR2023-3386 - Permits'jF pIORr City of Newport Beach
(� Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
= Permit Counter Phone: (949) 718-1888
.N newportbeachca.gov/civic
C9��F0 RN�r Combination Type - MFP ELEC MECH PLUM
Work Class - Alteration
COMB Permit : XR2023-3386
Plan Check No : PC2023-2888
Issued Date : 11/29/2023
Final Date:
Permit Status: Issued
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, B1 Legal Desc : P BK 185 PG 9 PAR 1 PM. 185-09 PAR. 1 AND IRVINE S
Description: MFR REMODEL KITCHEN AND BATHROOMS 600 SF
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 9405
SHERMAN OAKS, CA 91403
Phone: (810)990-5977
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 Lic :
BT30081760
Bus Lie Expire : 06/30/2024
Workers' Compensation Insurance
Carrier: EXEMPT- NO EMPLOYEES
Policy No: EXEMPT
W. C. Expire:
SERVICES Architect:
Address
Phone:
State Lie
Engineer:
Address
Phone:
Designer: NICOLE HARMONSON
Address: 401 N Orange St117,117
Glendale, CA 91203
Phone: (213)534-7230
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
$48,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Tl sq. ft. Bldg :
0
Occupancy Groups :
U,R-2
No of Units :
4
Alteration sq. ft. Bldg :
600 ,
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:
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law Tar the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair anystmclure, prior to its issuance; also requires the applicant for
113e 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
Professions Code) or that he or she is exempt from ficensure 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),
111, as Owner of the properly, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not Intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' Stale 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
roved for the purpose of sale).
L] I, as ownerof 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
ra ly town 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)
L.A I am exempt from licensors under the Contractors' State License Law for the following reason .,. _,-_„--_____ _. .._..__._.,_ .... _..- . ._........ ... ......__-.-_-.
By my signature below I acknowledge that, exceptfor my personal residence in which I must have resided for at least one year prior to completion of the Improvements co red by this permit, I. cannot legally
sell a structure that I have built as an owner -builder if it has nor been constructed in its entirely by licensed contractors. l understand that a copy of the applicable law, S etio 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web Site;http:tlwww.leginfo.ca,govlcalaw.html,
Signature of Property Owner or Authorized Agent _ 4 Data
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 or Di 'sion 3 of the Business and Profess ns Co e, d my license is in full force
and effect. License Class. License No Date j "7/1 'L Contractor 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 THOUSAND DOLLARS ($100,000); IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the fallowing declarations:
111 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 On
a0crinnance of the work for which (his permit is Issued. Policy No,
iI 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
m ranee carrier and policy number are:
Number
ne of Agent
certify that, in the performance of the
, if I should become subject to the INC
of Applicant
Date
person in any manner so as 10 become subject to the workers' compensation laws of California., and Agra
r Code, I shall forthwith comply With those provisions.
Date._... I LS 2-3
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider s Name Lenders Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the properly ow er's behalf,
I have real ll du ilhPlication and the information 1 have p tl i co. ct.
I agree to comply with all applicable city and cou rain ces ands o aws reteiing fo canatrucgan. f� (,pµ L�-CfrvOry
I ..uthorizc -cp-es9nlatives of this city or county to enter a a a - le property for inspection purposes. 1"
uAturp of Pronarty Owner or Authorized Aaent Print Property Owner's or Authorized Agent's Name
ALI ION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
P' Pr0IT EXPIREJ ❑ I SUBMITTED ASRFSTOS NOTIFICATION TO
P'^h1l7 CANCELIEil EPA
F /71T EXTENObO f QMD
f
PPPEPo 1R RNA't A}ykDNpTFICATIONI N L
'�2yOLITIOCF4IFICATE Or POSED DEMON
IGMCilPANCY;SSUE7 NATURE:
Date
no