HomeMy WebLinkAboutXR2023-0154 - Permits�cvEVVaoRT
City of Newport Beach
Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.govfnspections
Combination Type - MFP
Work Class - Alteration
X R 2 0 2 3 0 1 5 4COMB Permit : XR2023-0154
Plan Check No : PC2023-0157
Issued Date : 0112512023
Inspection Area : 4
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 : 8124 RESIDENCIA
Description: MFR REMOVE AND REPLACE 5/8" TYPE X
Owner:
NEWPORT BLUFFS LLC
Address:
6110 RESIDENCIA
NEWPORT BEACH, CA 92658
Phone:
Applicant :
JAY TRUAX
Address :
206.5 ABALONE AVE
NEWPORT BEACH, CA
Phone :
(949) 285-5594
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
2022
V-B
R-2
X
PC - Bonita Canyon
SPECIAL CONDITIONS:
Bus Lic Expire: 01/3
Workers' Compensat
Carrier: INSURANC
;= Policy No: WVEE
W. C. Expire : 9/1/21]
Fire Sprinklers.:
Fire Hazard Zone i
No of Units
92806"
ALLS''AND CEILINGS, INSULATION AS NEEDED 320 SF
Architect: RANIERI RANDY
Address: 5868 MESQUITE SPRINGS RD
TWENTYNINE PALMS, CA 92277
Phone: (714)296-5502
NO
21
State Lic
Engineer:
Address:
Valuation :
sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage:
TOTAL sq. ft. :
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$6,000.00
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rovements-are not intended oroffered for sale. if, however, the building: or Improve
roved for the purpose of sale).
1, as owner of the property;am exclusively contractingwith licensed Contractors to
ly to an owner of property v0io builds or Improves thereon, and who contracts forth
I am exempt from licensors under the Contractors' State License Law for the follm,
:License. Class:
"CQMPENSATI#JN DECLARATION
reason:
one year
MR, PINES UP TOONE H
✓es the, property, provided that the
c of proving that it was not built or
,tors' State License Lawdoes not
hereby affirm under penally of perjury am of the following declarefions:
I have and will maintain a cerllf€cafe 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
Ie imanceof the work for which this permit is issued, Policy No,
ave 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' compensa'.
Vtencecarder :and policy number arei --
r: Policy Number.. Expiration Date
tame of Agent, Phoneff
It certify that. in -me performance of the work for which this permit isissuad. I shah not employ any person in any manner so as to become subject to the workers` compensation laws of California, and ac
iat, if I should became subject to the Lrera rovlslons of Section 3700 of the Labor Code, I shalt forthwith comply Wth those provisions.
@ignature of Applicant _ ^ ..__......__.^.. .^ __^..^. — Date Z. 3
my sigr
lama
(have
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CE91IFIC01TE or
OCCUPANCY ISSUED
DATE
behalf.
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