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HomeMy WebLinkAboutXR2022-2472 - Permits�EWPoRT City of Newport Beach II III I I I II I II (III I II III I II COMB Permit:XR2U22-2472 A n o� e Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2319 i Permit Counter Phone: (949) 644-3288 } Issued Date : /2022 Inspection Requests Phone: (949) 644-3255 Inspection Area ea : 44 ciccaN newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration 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 : 7110 RESIDENCIA LegalDesc : N TR 15584 BLK`LOT 8 Description: MFR - R/R 5/8" TYPE GYP BOARD IN WALLS & CEILINGS. 50 sf. 'R 13 INSULATION AS.:REQ-D Owner: THE IRVINE COMPANY LLC :-.. Contractor : Green Flag Architect : RANIERI RANDY Address : 550 NEWPORT CENTER DR Address `. 1635 MONROVIA Address : 5868 MESQUITE SPRINGS RD NEWPORT BEACH, CA 92660 COSTA MESA, CA 92627 TWENTYNINE PALMS, CA 92277 Phone: - Phone: (714) 4785104 Phone: (714)296-5502 Con State Lic : 1056563 State Lic Lic Expire : 08131/2023 Applicant : JAY TRUAX Bus Lic : BT30062139 Engineer: Address : 206.5 ABALONE AVE Bus Lic Expire : 02128/2023 Address NEWPORT BEACH, CA Phone: (949) 285-5594 Workers' Compensation Insurance Phone: Carrier: NO EMPLOYEES�-- Owner/Builder : Policy No; EXEMPT Designer Address : W.:C. Expire: -Address Phone: Phone: Code Edition : Fire Sprinklers : NO Construction Valuation : $1,000.00 Type of Construction : V-B Fire Hazard Zone NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 '. No of Units : 57 : Alteration sq. ft. Bldg : 50 Bldg Height: No of Stories: Added/New sq. ft. Garage: 0 Building Setbacks Flood Zone : X Use Zone : PC - Bonita Canyon PROCESSED BY: SPECIAL CONDITIONS: . . ° ° I hereby affirm under penalty of pe€jury thatt am exempt from the Contractors' SS'tate. License Law for the reasons)indicated below by the checkmark(s) I have placed next to the. applicableitem(s) Section 7031.5, Business and Professions Code: Any city 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 signedstatement 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 Irofessions Code) or that he or she is exemptfrom licensure and the basis forthe alleged exemption Any violation of Section 7031.5 by applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation will do (_) all of ar (_) portions of the work, and the structure is not Intended 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 mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the bunjen of proving. that it was not built or Tlproved for the purpose of sale). 1 1, 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 1pply to an owner of property who builds or improvesthereon, and who contracts fortheprojects with a licensed Contractor pursuant to the Contractors' State License Law). I I am exempt from Ilcensure under the Contractors' State License Law for the following reason. 3y my signature below 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 .all a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed Contractors. I understand that copy of the: applicable. law, Section. 7044 of the Business and 'rofessmns:Code, is available upon request when this application is submitted or at the following Web site:http:ihwww.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent. _ Date.. _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 3 (commencing with"Secti 7 00 f "'y.Cn n ion3of the Business P sionsGels in full force Ind effect. License Class License No Da ( Contractor Signature NORICERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL,. AND: SHALL. SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS J$100,0 0I; IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION AIRS OF THE LABOR CO INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjuryoneof the following declarations: I have and will maintain a Certificate of consent to sell -insure for workers'. compensation, Issued. by the Director of Industrial Relations as provided for by Section 37130 of the Labor Code, for th emrmaance of the work for which this permit: is issued. Policy No. 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' eompensatior tsu Carrier and polity number arw ;artier Policy Number Expiation Date Jame of Agent Phone ti 31certify that, in the performance of the work for which this I shall not: employ any person in any manner so. as to become subject to the ework rs' Compens'" laws of'Cal California, and agre hat, if I should becorn bject to the workers' comp visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Dat es MCLARATION RE G G _ hereby affirm under p .natty' ` ry thatthere is a construction lending agency for the performance of the. work forwhich this permit is; issued (Section 309 , Ci ii Code). .eml Name Lender's Address. 3y my. signature tialow, I certify to each of the. following:: I am the property owner or authorizedto act on the property owner's. behalf. I have read. this applicationand the information I have provided is correct, I agree to comply with all applicable cty an County ortlinanees and slat o g to building construction. I authorize representatives of this oily or cou t to enter th e tiff party for inspection purposes. g Signature Of Property Owner or Authorized Agent Print Property Owners or Authorized Agent a Name F tv' r ate y/ ACTION BATE BY 0f0 NOF C0f,4PLiANCE WITH £DOE OF FEDEJ3AL FOR OFFICE USE ONLY 6ULATIONS PART 51 of TITLE 40 AND AQMD RULE EXPIRED • • LJ I9URfAITTlDA CANCELLED _ _ _ _ • EPA• CERTIFICATE OF fj(i} • • • OCCUPANCYISSUED s se • e.- s s s eem ee ee eee ee