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HomeMy WebLinkAboutXR2023-0154 - Permits�cvEVVaoRT City of Newport Beach Community Development Department- Building Division i y 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 C'9G/pVµN�P 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. : °°a °°o •rs ° ° a °• ° ®a• mm ao• ym °p ma• ° mop O V VJ V Jp V 3p Vp O Om ° J m $6,000.00 0 0 0 i heret 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 mum CE91IFIC01TE or OCCUPANCY ISSUED DATE behalf. —z5,'