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XR2023-1529 - Permits
aEwvoRr City of Newport Beach II�IIIII I�I IIIIIII IIIil�llllllllllllllllllll II COMB Permit : XR2023-1529 o� A Community Development Department -Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1372 Permit Counter Phone: (949) 718-1888 Issued Date : 06/0612023 U a newportbeachca.gov/civic. �' "�°"' ^!; Inspection Area : 4 C9C/FOPN�P Combination Type - SFP 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: 2004 LOGGIA Legal Desc : N TR 15684. BLK LOT 5 Description: MFR R/R 5/8" TYPE X GYP BOARD IN MASTER BEDROOM/BATH; INSULATION AS REQ'D 96 SF Owner: NEWPORT BLUFFS LLC Contractor: NATIONAL RENOVATION INC Architect : RANIERI RANDY Address : 6110 RESIDENCIA Address : PO BOX 78810 Address : 5868 MESQUITE SPRINGS RD NEWPORT BEACH, CA 92658 CORONA, CA 92877 TWENTYNINE PALMS, CA 92277 Phone: Phone : (951) 275-1710 Phone : (714) 296-5502 Con State Lie: 956793 State Lie Lie Expire: 01/31/2025 Applicant : JAY TRUAX Bus Lie: BT30062023 Engineer: Address : 206.5 ABALONE AVE Bus Lie Expire : 01/31/2024 Address NEWPORT BEACH, CA 92662 Phone: (949) 285-5594 Workers' Compensation Insurance Phone: Carrier: INSURANCE CO OF THE WEST Owner/Builder : Policy No: WVE506190300 Designer: Address : W. C. Expire: 9/1/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $4,600.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg: 0 Occupancy Groups : U,R-2 No of Units : 30 Alteration sq. ft. Bldg : 96 Bldg Height : No of Stories : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - Bonita Canyon Q PROCESSED BY: V� SPECIAL CONDITIONS: IRWD OWNER -BUILDER DECLARATION I hereby Storm under penalty of perjury that I am exempt from the Contractors' State License law for the reason(s)-indicated below by the checkmark(s) I have placed next to the applicable Rem(s) (Section 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, alter, improve, demolish, orrepair 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 Cconntractors' State License Law (Chapter 9 (commencing with Section 7000) of Division.3 of the Business and Professions Cade) or that he or she is exempt from 1100rsure and the basis for the alleged exemption. Any violation of Section 7031 b by any applicant for a permit subjects the applicant to a Civil penalty of not more than five hundred dollars (S500), © 1, as owner of the property, or my employees with wages as their sole compensation, will do (, all of or L) 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 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 builtor ffI roved for the purpose of sale). L! 1, as owner of the property, Am exclusively Contracting with ficansed Contractors to construct the project (Section 7@44, Business and Professions Codes The Contractors' State License Law does not Ta y to an owner of property who builds or improves tharson, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the Following reason: By my signature below t acknowledge that, except for my personal residence in which I must have resided for at feast Ono year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have builtas an owner -builder if it has not been constructod in its entirety by licensed contractors. I understand that a copy of the: applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the foltowing Web site:httpJlwww.Mginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divelon 3 Of the Business and Profes e,-aad4%I' iy�nse is In lull force and effect. License Class License No Date Contractor Signat�� AORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE fg UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIRES UP TOONE HUNDRED THOUSAND DOLLARS isiss sssl, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: LJ, 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 3700 of the Labor Code, for th performance 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 perforwonce of the work for which this permit it issue& My workers' carrier and policy number are; Policy Number Date is of Agent Phone # certify that, in the performance of the work 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 Califomis, , If I should become subject to dt ©ffSectlaf i 3700 of the Labor Code, i shall forthwith comply with those provisions. Of Date_ _4-_o� —G T Z hereby affirm und&piilff&�peljury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,. Civil Code), ender's Name Lender's Address. H my signature below, I car* to each of the following: I am the property owner or authorized to act on the property owner's behalf: I have read Edo aunhcation and the information f have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize reprtsentatives of this city or county to enter theabove-idemi for Inspection purposes. , ACTION I DATE I — By`-- RATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART GI OF TITLE 40 AND AQMD RULE 1403 Fj,JJ,Tc4TENDE1D I IJAQMD F<AlviT bNAL —i_ 3 SINESTO5 NOTIFICATION 15 NOT APPLICABLE TO C il(1Fi re OF (/ PROPOSER OEf+701iTI0N fX UIXNCYI&iUCD /' 5t4NATURE: