HomeMy WebLinkAboutXR2022-3158 - Permits�AE�'Pokr City of Newport Beach
O 6@ Community Development Department- Building Division
> 100 Civic Center Drive, Newport Beach, CA 92660
F Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
Cq</pppN�P newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Alteration
III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2O22-3158IIIIIIIIII
Plan Check No : PC2022-3018
Issued Date :
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: 9119 RESIDENCIA Legal
Description: MFR - R/R 27 SF OF 5/8"TYPE X GYP BOARD
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 :
2019
V-B
R-2
X
PC - Bonita Canyon
PROCESSED BY: 477)
SPECIAL CONDITIONS:
71
Architect
Phone:
State Lie
Engineer:'
RANIERI RANDY
5868 MESQUITE SPRINGS RD
TWENTYNINE PALMS, CA 92277
(714)296-5502
Bus Lie Expire : 02/28/2023
Address
Workers' Compensation Insurance -
Phone
Carrier: CLEAR SPRING PROPERTY AND CASUALTY
CO
Policy No: CSWC00223802
Designer:
W. C. Expire: 4/1/2023
Address
Phone:
Fire Sprinklers : NO
Construction Valuation :
$952.00
Fire Hazard Zone :, NO
Added/New/TI sq. ft. Bldg:
0
No of Units : 57
Alteration sq. ft. Bldg :
27
No of Stories.: 3
Added/New sq. ft. Garage :
0
TOTAL sq. ft.:
0
a, •o x -
� a a e o
e • o 00
e' •a e�. o 0 0
ao a®o
u a a »
o a x
thereby affirm under penalty of perjury that am exempt from the Contractors' State License Lawfor the reasons) indicated below by the checkmark(s) I have placed next to the applicableitem(s)
aclion 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. applicamfor I
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
)fessiohs Code) or that he or she is exempt from licensors and fhe basis for the -alleged exemption. Any violation of Section 7031.5 by: any applidankfora permitsubjects the applicamto a,civil penalty of:
more than five hundred dollar's ($500),
t,..as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 70",.
siness and Professions Code: The Commotore 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
novements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner-Builderwill he" the burden of proving that it was not built or
)roved for the purpose of sale).
1, as owner of the property, am exclusively: contracting: with ticansed Contractors to construct the project,(Section 7044, Business and: Professions Code: The Contractors' State License Law does not
>ly to an owner of property who builds or irr proves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' state License Law),
I am exempt from licensure u nder the Contractors' State license Law for the following reason:
my signature Wow 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
Property Owner- or Authorized Agent' - Date:
CONTRACTOR'S DECLARATION
in under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prt�fessf Code, antl my Ilcense:is In full force:
License Class License No Date / Z 7 - 6-7 � Contractor Signaiy(a .
;'COMPENSATION DECLARATION
XRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN. EMPLOYER TO CRrMINAL PENALTIES AND CIVIL PINES: UP TO ONE HUNDRED THOUSAND DOLLARS M00,0001: IN ADDRION. To THE
hereby affirm under penalty of perjury one of the following declarations:
I have and will malnmr, a certificate of consent to self -insure for workers'. compensation, Issued by: the Director of Industrial Relations as provided for tiySeCtion 3700 of the, Labor Code, :for thil
5rmanceof the work for which this permit is issued. Polley No_
j 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' compensation
Is ance carder and policy number are'
ier. Policy Number Expiration Date
lame ofAgent .. Phone #
It certify that, in the perfo manCe of the rk`for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrei
Tat, jf 1 should became subject to the kers'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply withd-those provisions.
lignatureOfApplirant — V Date
icrf ADATInu OGr-A nu TDIir rim I Guntur- anFury
eby affirm under penalty of perjury that there Is a construction lending agency for: the performance of the work for which this permit is: issued (Seciion 3097:�Cjvjl Code).
fer's Name: Lender's'Addreas
ny.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 f7-��.:i
I agree to comply with all applicable city and county ordinances and state lawn relating to building construction,
PERMIFEXTENDED
'(Z•�,f�' J UASBEST05 NOTIFICATIONf5 NOT APPLICAMt TO
• • • a PRQW.SED DEMOLITION
/2-G—Z
an• ••• •• • w tee ••