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Home My WebLink AboutXR2023-2463 - Permits�EwPoR� City of Newport Beach o� Community Development Department- Building Division COMB Permit : XR2O23-2463 X R 2 0 2 3 2 4 6 3 100 Civic Center Drive, Newport Beach, CA 92660 2023-2163 PC Plan Check No : y. Permit Counter Phone: (949) 718-1888 Issued Date : 09/O PC newportbeachca.gov/civic C9(/Fp0.N�P 023 Combination Type - MFP ELEC MECH PLUM Final Date: Permit Status: Issued Work Class -Alteration 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, J3 Legal Desc : P BK 185 PG 9 PAR 1 PM. 185-09 PAR. 1 AND IRVINE S Description : MFR KITCHEN AND BATHROOM REMODEL 380 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 #405 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 Lie : BT30081760 Bus Lie Expire : 06/30/2024 Workers' Compensation Insurance Carrier: EXEMPT- NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-2 No of Units : 1 Bldg Height : No of Stories : 2 Building Setbacks : Flood Zone : AE, 8 FT; X Use Zone : PC - Bayside Residential PROCESSED BY: SPECIAL CONDITIONS: SERVICES Architect : Address Phone: State Lie Engineer: Address Phone: Designer: NICOLE HAMOSA Address : 401 N ORANGE ST #117 GLENDALE, CA 91403 Phone : (310) 497-1074 Construction Valuation : $15,500.00 Added/New1TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 380 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 OWNER -BUILDER DECLARATION I hereby affirm under penally 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 item(s) Section 7031 A 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 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 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 Tot more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 reproved for the purpose of sale). D 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 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). ❑ 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 aI least one year prior to completion of the improvements covered by this permit I cannot legally soil a structure that I have builtas an owner-buildor if it has not been constructed in its antiroty by licensed contractors. I understand that a copy of the applicable law,,�aati n 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:hltp:liwww.legipfo.ca.gov/calaw.html, Signature of Property Owner or Authorized Agent __ -_ �__� Date enseis LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section f i I n of the Business andProfs cIts C , a y ll force and effect. License Class License No Date 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 NUND EO THOUSAND COLLARS (5100,000). 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 following declarations: 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. _ Ell 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' compensation insurance carrier and policy number are: Carrier / 1 Policy Number Expiration Dale ne of Agent """ - certify that, in the performance of the work fo hi- - this rmlt is sued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ^f I should become s ject to the workers Laps tons of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. nature of AV an! CLARATION REGA� CONSTRUCTI N LENDING AG CY areby affirm under p alty of perjury that there Is a construction lending agency for the performance of the work for Which this permit is issued (Section 3097, it Code). ,,,IdeFs Name Lenders Address ly my signature below, I certify to each of the followi . i am the property owner or authorized to act on the pro .arty owner' ehat . I have read this application and the information I have r Red is Direct I agree to comply with all applicable city and county or f c s 4 d SLID t laws relating to building construction. I authorize representaliv== of this citi cr coup v tokn 1 oniifie roperty for inspection purposes. - iionature of Property Owner or Authorizer' Agent Print Property Owner's or Authorized Ag ACTION GATE BY bECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I POR OFFICE USE ONLY GULATION5 PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I-J'Sit PM1 TED ASBESTOS NOT] FICATION TO PERMIT CANCELEEO-, LCft P€RMiT FXTENDED � ,.. D_ PERMIT FINAL ` ASB 10S NOI HCAI I T qVP ABLE 10 CERTIFICATE OF �A/�OLS �f�1" ROPOSF EM ITIO� OCCUPANCY ISSUED ® j SIGNATURE: NI?�