HomeMy WebLinkAboutXR2024-6925 - Permits,:4EW711R, City of Newport Beach 11111111p111111111111111111p111pp01�IgI�III��11plilCOMB Permit : XR2024-6925
pF l :l p Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: XR2024-6925
u 2 Permit Counter Phone: (949) 718-1888 Issued Date : 11/21/2024
newportbeachca.gov/civic Final Date:
9Oro nv'. Combination Type - MFP Permit Status: Issued
Work Class - ADDITION/ALTERATION Inspection Area : 7
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: 2421 SAN JOAQUIN PLZ Legal Desc : P BK 389 PG 29 PAR 1 PM 389-29 FOR OF PAR 1
Description: MFR - WATER DAMAGE REPAIR R/R 5/8" TYPE X GYP BIRD ON WALLS 48 SF
Owner: VILLAS AT FASHION ISLAND LLC
Address: 1101 SAN JOAQUIN PLZ
NEWPORT BEACH, CA 92660
Phone:
(949) 636-1551
Applicant:
JAY TRUAX
Address :
206.5 ABALONE AVE
NEWPORT BEACH, CA 92662
Phone :
(949) 285-5594
Owner/Builder :
Address :
Phone:
Contractor: NATIONAL RENOVATION INC
Address : PO BOX 78810
CORONA, CA 92877
Phone: (951) 275-1710
Con State Lic :
956793
Lic Expire :
01/31/2025
Bus Lic:
BT30062023
Bus Lic Expire:
01/31/2025
Workers' Compensation Insurance
Carrier: INSURANCE COMPANY OF THE WEST
Policy No: WVE507962700
W. C. Expire : 9/1/2025
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 - North Newport Center
PROCESSED BY: V
SPECIAL CONDITIONS:
Arch itect:'�AVA{
T\AO f.X\
Address
Phone :
State Lic
Engineer:
Address
Phone :
Designer:
Address
Phone :
NO Construction Valuation :
NO Added/New/Ti sq. ft. Bldg
9 Alteration sq. ft. Bldg :
2 Add/New sq. ft. Garage:
TOTAL sq. ft. :
$3,000.00
0
48
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale 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 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 ficensure 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 (S500).
111. 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 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 properly, 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 built or
improved for the purpose of sale).
111, 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 or 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' Stale License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalh
sell a structure that 1 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:httpiltwww.leginfo.ca.govfcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 70, ) of ivisioIT 3 of the Business and ProfeSSi , an my is in full force
and effect. License Class License No Date. r ] / Contractor Signature��
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (f1100,0001. IN ADORN)N TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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
parformance of the work for which this permit is issued. Policy No.
yl 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' compensatiol
Is ance carder and policy number are:
:arner Policy Number Expiration Date
lame of Agent Phone A
]I certify that. in the performance of the work f eh tk s perm issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agre
tat, if I should become subject to the work ' comakien-prtwtS6ns Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lignature of Applicant _ Dale �u
IECLARATION REGARD G CONSTRUCTIOI ING AGENCY
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, Civi Code). `i a
enders Name Lenders Address
Iy riy signiWre below, I certify to each of the following:
1 am Ins propartp owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is Correct.
I agfee to comply with all applicable city and county ordinances and state laws relating to building Construction.
I authorize representaLves of this city or county to enter e-Identified prope for inspection purposes.
Imo/
'im ature o Property Jwnar or Authorized Agent Print Property Owner's or Authorized Agent's Namel'-rZ-Ll-� i '��- �' Date L`�
kc,10"I I DATE BY DECLARATION OF C PLIANCE W ITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMI RULE
PEHA4IT cq'IENDED
PERMIT FINAL
CERTIFIC4TE OF
OCCUPANCYISSUED