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HomeMy WebLinkAboutXR2024-5001 - Permits�EWPpQT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XR2024-5001 0� Community Development Department - Building Division X R 2 0 2 4 5 0 0 1 n100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 05106t2024 newportbeachca.gov/civic Final Date: 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: 713B RESIDENCIA Legal Desc : N TR 15584 BLK LOT 8 Description: MFR -REMOVE AND REPLACE 5/8" TYPE X GYP BOARD @ WALLS AND CEILINGS, INSUL AS REQ Owner: NEWPORT BLUFFS LLC Contractor: KC 2 GROUP Architect Address : PO BOX 2450 Address : 2383 FORDHAM DR Address NEWPORT BEACH, CA 92658 COSTA MESA, CA 92626 Phone: (714)720-2521 Phone: (714)478-5104 Phone: Con State Lic : 1082215 State Lie Lie Expire : 10/31/2025 Applicant: JAY TRUAX Bus Lie: BT30080216 Engineer Address : 206.5 ABALONE AVE Bus Lie Expire : 12/31/2024 Address NEWPORT BEACH, CA 92662 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 : 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,U No of Units : 63 Alteration sq. ft. Bldg: Bldg Height: 0.00 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:,j $1,600.00 0 118 0 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checWnark(s) I have placed next to the applicable item(s) (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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (3500). ❑ 1, as owner of the property, or my employees With wages as their sole compensation, will do L) all of or U 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 buitt or improved for the purpose of sale). 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 apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License taw). El i am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legal], 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 of the Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:llwww.teginfo.ca,govicalaw.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 previsions of Chapter 9 (commencing with Section 7000) i isi 3 of the Business and Professions Code cerise is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: F VLURE TO SECURE WORXFRS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION sh S OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and Will maintain a certificate 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 th perfprmance of the work for which this permit is issued. Policy No. lave 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' compensatiol area Carrier and policy number are: er Policy Number Expiration Date a of Agent Phone ## ertify that. in the performance of the work for whipID40ils permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation I s of California, and agre it I should become subject to the work a pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. G aiure of Applicant.__„__, .Date 2' _. hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address ly 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 at relating to building construction. A /� I authorize representatives of this city or county to enter t entitled property for inspection purposes. 3ionature of P(ODertv Owner or Authorized Agent. / Print Property Owner's or Authorized Agent's Name ACTIONDATE s¢� DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED (� 1Sl'13MITTFD ASRFSTOS NOTI FICATION TO PERMIT CANCELLED ' i — PA PERMIT EXTENDED .. PrtM+TF+NAt �y�2� ASRESIOSNOTIFICAHONi5 (CABLE 10 CERTIFICATE OF PROPOSED DEMOLITI OCCUPANCYISSUED �_ _._ _ I S'GN4TURE: