HomeMy WebLinkAboutXR2023-2574 - Permits�EWPORT City of Newport Beach II II II I IIIII II I IIIIIII IIII III II IIIIII II COMB Permit : XR2023-2574
O� Community Development Department- Building Division X R 2 0 2 3 2 5 7 4
q' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2241
" Permit Counter Phone: (949) 718-1888 Issued Date : 09/13/2023
newportbeachca.gov/civic Final Date:
°'4<,roaN�P Combination Type - MFP Permit Status: Issued
Work Class - Other 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: 7132 RESIDENCIA Legal Desc : N TR 15584 BLK LOT 8
Description : MFR REMOVE/REPLACE 5/B" TYPE X GYP BIRD IN CLOSET, INSULATION AS REQUIRED
Owner: NEWPORT BLUFFS LLC
Address : PO BOX 2450
NEWPORT BEACH, CA 92658
Phone:
Applicant: MARK FRANCIS
Address : 1461 DALY ST N
ANAHEIM, CA 92806
Phone: (951) 275-1710
Owner/Builder :
Address :
Phone
Contractor: NATIONAL RENOVATION INC
Address : PO BOX 78810
CORONA, CA 92877
Phone :
(951) 275-1710
Con State Lic
: 956793
Lic Expire :
01/31/2025
Bus Lic :
BT30062023
Bus Lic Expire : 01/31/2024
Workers' Compensation Insurance
Carrier: INSURANCE COMPANY OF THE WEST
Policy No : WVE506190301
W. C. Expire : 9/1/2024
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone
Designer: JAY TRUAX
Address: 206.5 ABALONE AVE
NEWPORT BEACH, CA 92662
Phone : (949) 285-5594
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
R-2
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 3
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks
Flood Zone :
X
Use Zone :
PC - Bonita
Canyon
PROCESSED BY:
SPECIAL CONDITIONS:
$1,600.00
0
0
0
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the mason(s) indicated below by the checkmard s) I have placed next to the applicable (feet
(Section 7031.5, 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
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 licensure and the basis for the alleged exemption. Any violation of Section 70 1,5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500),
0 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is notintended or offered for sale (Section 7044,
Business 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
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
,Improved for the purpose of sale). %. -
n I, as owner of the property, am exclusively contracting with licensed Contractors to Construct the project (Sectil 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
El I am exampf from licensure under the Contractors' State License Law for the follow?ng reason .___------
By my signature beiow I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law. Section 7044 oftho Business and '..
;Professions Code, Is available upon request when this application is submitted or At the following Web site:http:l www.loginfo.ca.gov/caiaw.html.
Signature of Property Owner or Authorized Agent Date _
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Division 3 of the Business and f rofessioras Cr se is in full force
'and effect. License Class License No Date !4 .7 7 Contractor Siang
WORKERS' COMPENSATION DECLARATION
!WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CPIIL FINES UP TO ONE HONORED THOUSAND DOLLARS F000,0001, IN ADDITION TO THE.
iCOST OF COMPENSATION, DAMAGES Ay PROVIDED FOR 1N SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following doclamUons:
(� I have and will maintain A certificate of consent to soh insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued. Policy No..
I 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 permitis issued. My workers' compensation
insurance carrier and policy number area•.
Carrier Policy Number Expiration Date
Name of Agent Rhone 4
❑I certify that, in the performance of the work for which thispermit is issued. I shall not: employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
that, if I should Deco ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q /v
Signature Date______
DECLARATION "GQIR G ION LENDING AGENCY
I hereby affirm under par tty of perjury that there is a construction tending agency for the performance of the work for which this permit is. issued (Section 3097, Civil Code).
Lender's Name Lenders Address
By my signature below, I certify to each of the following:
I am the property owner or Authorized to act on the property owner's behalf,
i have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or County to enter the a w -identified property for inspection purposes.
Si nature of Pr eR Owner or Authorized A Print Property Owner's or Authorized Agent's Name v � 4 s��'y Date
ACTION GATE BY COMPLIANCV WITH COOS OF FEDERAL FOR. OFFICE USE ONLY
j REGULATIONS PART Gl OF TITLE 40 AND AQMO RULE
PERMIT EXPfRED
Piiie T CANCEtLELr
PERmtiT EkTENDED
PERMIT CiNAt
CER11FICATE OF
OCCUPANCY ISSUED
PROPOSED
NOI nILA I ION IS NOT APPLICABLE TO