HomeMy WebLinkAboutXR2024-5232 - Permits�a� IPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XR2024-5232
0 d Community Development Department- Building Division X R 2 0 2 4 5 2 3 2
a. n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 718-1888 Issued Date : 05/17/2024
u S newportbeachca.gov/civic Final Date:
C9</FppN�P Combination Type - MFP Permit Status: Issued
Work Class - ADDITION/ALTERATION MAIN 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: 251 BAYWOOD DR Legal Desc : P BK 189 PG 6 PAR 1
Description: MFR REMOVE & REPLACE GYP BRD IN WALLS AND CEILINGS, INSULATION AS NEEDED 41 SF *WORK IN PROGRESS`
Owner: IRVINE COMPANY LLC
Address: 111 INNOVATION DR
IRVINE, CA 92617
Phone : (949) 720-3100
Applicant: JAY TRUAX
Address: 206.5 ABALONE AVE
NEWPORT BEACH, CA 92662
Phone: (949)285-5594
Owner/Builder :
Address :
Phone:
Contractor:
KC 2 GROUP
Address:
2383 FORDHAM DR
COSTA MESA, CA 92626
Phone:
(714)478-5104
Con State Lic
: 1082215
Lic Expire :
10/31/2025
Bus Lic:
BT30080216
Bus Lic Expire
: 12/31/2024
Workers' Compensation Insurance
Carrier: NO EMPLOYEES
Policy No: EXEMPT
W. C. Expire:
Code Edition :
2022
Fire Sprinklers :
Type of Construction :
V-B
Fire Hazard Zone
Occupancy Groups :
R-2
No of Units :
Bldg Height:
No of Stories
Building Setbacks
Flood Zone:
X
Use Zone:
PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS: 124-1558
Architect:
RANIERI RANDY
Address :
5868 MESQUITE SPRINGS RD
TWENTYNINE PALMS, CA 92277
Phone:
(714)296-5502
State Lic :
CO24225
Engineer:
Address
Phone:
Designer
Address
Phone:
NO Construction Valuation :
NO Added/New/Ti sq. ft. Bldg
3 Alteration sq. ft. Bldg :
2 Add/New sq. ft. Garage:
TOTAL sq. ft. :
r; s
ri�
C)
�MI
CJ
$800IJ
0
41
0
0
OWNER -BUILDER DECLARATION
t hereby affinn 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 item(s)
3eclion 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
to permit to file a signed statement that he or she is licensed pursuant to the provisions or the Contractors' State License Law (Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars (S500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovemems are not Intended or offered for sale. If, however, the building or lmprovement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or
nprvved 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
poly 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).
I I am exempt from ltcensure under the Contractors` State License Law for the following reason
ty my signature below I acknowledge that, except for my personal residence in which I must In eve resided for at least one year prior to GOmpletlon of the Improvements covered by this parm it, I cannot leg all)
all 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 of the Business and
'rofessions Code., is available upon request when this application is submitted or at the following Web site:htip:I(www.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 9 (commencing with Section 7090)1 1 " n 3 of the Business and Pr sip wsCod Icense is in full force
nd effect. License Class License. No Date Contractor Signatur
VORKERS' COMPENSATION DECLARATION
IARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE FUND ED THOUSAND DOLLARS (S100,000). IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370e OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEE$.
hereby affirm underperialty of perjuryone of the following declarations:
I have and will maintain a cerlifiCate 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
'ormance of the work for which this permit is issued. Policy No.
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 permit is issued. My workers` compensa
trance carrier and policy number are:
Policy Number
of Agent
Date
certify that. in the performance of the work for 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 agre
tsnou]d 6eccme ubject to the wor ompensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with !hose provisions.
nature of Applican�C�— Date
CLARATtON REG G OONSTRUC'1'l4N LENDING AGENCY
neby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade).
ider's Name Lenders Address ---
my signature below, 1 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 r at o building construction.
I authorize representatives of this city or cou�ty I/f,' enter the above-identfr p15 erty for inspection purposes. fp1 I '�J� III
nature of Propertv Owner or Authorized Agant l [ _._ ___. - Print Property Owner's or Authorized Agent's Name Li y" Qw�� Lr II ate /
PEEMIT
DATE I By j DEG=A DONSOF COPART MPLIANCE
4ITH CODE OF FEDERAL
D AQMD 0 E AL FOR OFFICE USE ONLY
ASBESTOS NOTIFICATION TO
P PLIIAKFINAL
Of �� � SI NATBRE; EMLI N ION IS NUT APPLI TO
C�h
"CUPAN,NISSULD III ! ��