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Home My WebLink AboutX2022-1000 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1000 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 0 0 04 Project No : 0923-2022 a v Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP Issued Date : 04/0712022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0410712025 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 2122 LOGGIA NB Description: MFR R/R 5/8" TYPE X GYP BOARD IN WALLS 8: CEILING. REPLACE R13 INSULATION. 150 SF Legal Desc.: Owner NEWPORT LUFFS LLC ContractAddressor: GREENFLAG COMPLIANCE RANDY N Address: PO BOX 2450 66 BEACON BAY Address: 88IERI MESQUITE SPRINGS RD � NEWPORT BEACH, CA 92658 NEWPORT BEACH CA 92660 TWENTY-NINE PALMS CA 92277 Phone: Phone: 714-478.5104 Phone: 714-296-5502 State Lic:CO24225 Applicant: TRUAX JAY A, Con State Lic: 1056563 Engineer: ^ ^ n Address: 206 1/2 ABALONE AVE Lic Expire: 0813112023 Address: • - BALBOA ISLAND, CA 92662 Bus Lic: BT30062139 - Phone: 949-285-5594 Lic Exp Date: 02/28/2022 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: JAY A TRUAX Type of Construction: V-B-SPR Carrier: EXEMPT Address: 206112 ABALONE AVE _ Occupancy Group: R2/U Policy No: NO EMPLOYEES BALBOA ISLAND, CA 92662 Added /New sq.ft. Bldg: 0 Expire: Phone: 949-285-5594 - Added /New sq. ft. Garage: 0 _ No of Stories: 3 Building Setbacks Rear: / Special Conditions: .. No of Units : 27 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Y Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $1,000.00 Building Permit Fee: $110.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $95.70 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $6.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $264.70 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $147.70 Fee Due at Permit Issuance : $117.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION 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 checkmark(s) I have placed next to the applicable items) 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 tab applicant for to 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 '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 ci"p penalty of of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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 nprovements 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 built or nproved for the purpose of sale). I, 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 pply 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 Law). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legall) ell 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 Cmoe, ,s available upon request when this application is submitted or at the following Web site:http://www. leginfo. ca.gov/calaw.htm 1. Iignature of PrcpJ. t} Owner or Authorized Agent Date .I ENSED CONTRACTOR'S DECLARATION hereby affirm and^r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section, 0 O) f i i ion 3 f the Business and Pr silo ode, pind m li n fu force nd erfect. License Class License No Dat( Contractor Signatur VORKERS' C^49PENSATION DECLARATION IARNINP: FAILURE TO S4CURE WORKERS' 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 'OS- CF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. S=re y affirm Jnder penalty of perjury one of the following declarations: I nave 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 d,fu,r.ance of the work forwhich this permit is issued. Policy No. /xhave and w!'.I mai^fain 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 isllii carrier and policy number are: Policy Number Date j certif 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 California, and agre ould become subject t he workers' o pens provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I� , ature of Applican Datev )ECLARATION REG ONSTRUCTION LENDING AGENCY _ \ hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). Ender's 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 and state laws relating to building construction. I authorize representatives of this city or countKtp enter Ve alpove"tiAd proogy for inspection purposes. of PrODertv Owner or Authorized ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED I DATE I Print Prooertv Owner's or DECIARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE 1403 EPA JM PRUPLI'v LU L SIGNATURE: ASBESTOS NOTIFICATION TO IS NOTAPPLILABSE TO J M y m 0 v 4w N.