The URL can be used to link to this page

Home My WebLink AboutE2022-0618 - Permitswvo City of Newport Beach IIII I I II I II I II II II I II I E2022-�618 II Co muIn CeDeveDweet DepartmentBuildingDivision rmlt ort Beach Ad9ng6 _ Plan Check No °'"" Permit Counter Phone: (949) 644-3288 F " - ^' - ° Work Class : Other Inspection Requests Phone: (949) 644-3255 4+ n ' d 2 Issued Date : 09101312022 c"e,o RFr newportbeachca.gov/inspections 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 Legal Desc P BK 185 PG 9 PAR 1 PM IB5:09, PAR. 1 AND IRVINE SUB FOR. OF BLK. Description: MFR SUBPANEL REPLACEMENT (55) Owner : HPI 919 BAYSIDE PROJECT LLD Contractor MAXWELL HARRIS Address : 847 bayside dr#1 newport beach, CA 92650 Address 5B19 W OLYMPIC BLVD LOS ANGELES, CA 90036 Phone: Phone' (323)445-0219 ' Con'. State. Lic: 073064"- Applicant: MAXWELLHARRIS Lin Expire 01/31/2023 Address : 5819 W OLYMPIC BLVD LOS ANGELES CA 90036 Bus Lic : BT30079GB9 Phone : (323) 445-0219 Bus Lic Expire 09130/202,1 Workers' Compensation': Insurance Owner/Builder: Ca iner: STATE COMPENSATION INSURANCE FUND Address : Policy No : 0257702;.- Phone : W. C. Expire.: 7/20/2023 Code Edition : 2019 Fire Hazard Zone N Type of Construction : Occupancy Groups . R2 Building Setbacks: use. , a Flood Zone : AE, 8 FT; X _ .••• Use Zone : PC - Bayslde Residential, > ,+•_ r.'. PROCESSED BY: ,4 u • 1'• a. G_ OWNER -BUILDER DECLARATION - - I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable fterl (Section 7031.5, Business and Prolass9ons Code: Any city or county that requires a permit to construct, oiler, Improve, real 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 Professions Code) or that he or she is exempt from Ilcensure 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 hve hundred dollars ($500). ❑ I, as Owner Of the property, or my employees with wages as their sole compensation, will do L,) all of or L) podions of the work, and the structure Is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' Slake License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided thatlhe improvements are not intendedor offered for sate, If, however, the bullding or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built Or Im roved for the purpose or sate), t..,l L as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions. Code: The ContractorsState License Law does not apply to an owner of properly 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 licensers under the Contractors' Stale 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 priorlo completion of the improvements covered by this permit, I cannot legall, ssll a structure that I have built as an owner -builder if It has not been constructed in its enli'..rely by IlGensad contractors. I understand that a copy of theapplicable law, $action 7044 of the Business and Professions Code, Is Avallable upon request when this application Is submitted Or at the fallowing Web site:htip:liwww.leginfo.ca.govlcakaw.html. Signature of Property OAnaror Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby arnirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession$ Cgde, and my Ilcense roil force and effect License Class License No Dale CI 1I Contractor Signature K_ 144 o yr �_4/ E'� A,� WORKERS' COMPENSATION DECLARATION WARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP' TOE ONE HUNDRED THOUSAND DOLLARS (S1:e0,eee), IN AUCTION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 973e OF THE LAOOR CODE, INTEREST, AND ATTORNEYG FEES. I hereby affirm under penalty of perjuryone of the following declarations: 111 have and will maintain a cart ricate Of consent to self -Insure for workers' compensation, Issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for On performance of the work for which this permit Is Issued. Policy No.. L` 1 have and will maintain workers compensation insurance,as required by Section 3700 of the Labor Code, for the performance of the workfor whichthis permit is issued. My workers' compensatiei insurance carrier and policy number are: Carrier Policy Number _ Expiration Date Nams of Agent Phone if ❑I certify that, in the performance of the work for which this pen tit Is Issued, I. strait not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, If I should become subject jto the workers uolmrpla",aa ion provlslons of Section 3700 of the Labor Code. I shall forthwith comply with those provlslons. Signature ofApplicanl m�" t �r+/r ^+.., DECLARATION .REGARDING CONSTRUCTION LENDING AGE CY I hereby affirm under penalty of perjury that there Is a construction lending agency forthe performance of the work for which this permit is Issued (Section 3097, Civil Cede). Lender's Name Lender's Address By my signature below, I certify to each or the following: I am the p operly owner or authorized to act on the property owner's behalf. I Lave read this application and the Information I have provided is correct. I , gree to mmiiv vkth all applicabla city and county ordinances and slate laws relating to building consfiuclton. t authorize repiesentatives of this city or count. toe (r the above-ldee (fled properly for Inspection purposes. �,,,r� , I S i.,nature of Property Owner or Authorized Agent •9Cp/+�f� Print Pro ert Owner's cr AulhorizedA Agent's Name /Y"u^XWV D• rFa Y'�.S Date 9 ACF'CN DATE ey ! DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFOULATIONS PART 51 OF TITLF AO AND AOMD RULE _ 1403 PEAN f EXPiREL LJ I SURMITTED ASBESTOS NOTIFICATION TO PEAMIT CAA CELLO rT--CPA .'ERN lTFXTENUEO rr��ttLIAQA-0.D PFfi NLJ IT FWAt fI 'ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERT ICATE CF �I' pJ PROPOSED DEMOLITION CCCUPANCYIS595U (CFI /n71! SIGNATURE: