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HomeMy WebLinkAboutXR2023-0405 - PermitsCity of Newport Beach ��EWPpQT p Community Development Department- Building Division.. > 100 Civic Center Drive, Newport Beach, CA 92660 u ? > Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq��FO0.N�� newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration COMB Permit : XR2023-0405 Plan Check No: PC2023-0321 Issued Date : 03/03/2023 Inspection Area : 2 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 : 515 PROMONTORY DR W Legal Desc : P BK 491PG 15 PAR 1,P Description: MFR REMOVE AND REPLACE 5/8"TYPE GYP BRD IN WALLS IN LOFT, INSULATIO Owner: IRVINE CO '..Contractor : ATI RESTORATION LL Address : 111 INNOVATION ' Address :. 3360 EAST LA PALMA IRVINE, CA 92618 ANAHEIM, CA 92806 Phone: (949)720-3100 Phone:. (714)283-9990 Con State Lic 1075543 .Lic Expire': 05/31/2023 Applicant: JAY TRUAX Bus Lic: '- BT3003010 Address : 206.5 ABALONE AVE Bus Lic Expire : 03/31/2023 NEWPORT BEACH, CA Phone: (949) 285-5594 Workers' Compensation Insurance. Carrier: ZURICH Owner/Builder : Policy No WC444664104 Address W. C. Expire': '811/2023 Phone MAP 49-15 PAR 1 FOR OF PAR EQ 200 SF _. .. Architect: RANIERI RANDY ri.Address : 5868 MESQUITE SPRINGS RD TWENTYNINE PALMS, CA 92277 Phone: (714)296-5502 State Lic Code Edition : 2022 Fire Sprinklers : ,:'NO ' Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-2 No of U -nits : _72 Bldg Height: No of Stories : 6 Building Setbacks Flood Zone: X; X Use Zone: PC - Promontory Point - UP 1494 PROCESSED 7S BY: f52 SPECIAL CONDITIONS: Construction Valuation : $4,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 200 .... ...... Added/New sq. ft. Garage: 0 ooa, o TOTAL sq. ft. : 0 , •••ae • coca •: as a• a 3• • ao O a4��ia • J�09 Ov oaaaa aOJO¢O a0 O 6 J • a O i O O _ as + ace•aa • o � aa��o a caa• OWNER -BUILDER DECLARATION I. hereby affirm underpenaity of perjury that t am exemptirom the Contractors: S 1-1cense.1.aw forthereason(s) indicated below bythe checkmark(s) I have placed nextto the,applicable, €temitsj (Section 7031.5, Business and Professions: Code: Any city or county #hat requires, a permit to construct. alter, improve; demolish, or: repair any structure, prior to-: its issuance, also requires the applicant for the permit to file a signed statement that he or she is licenBad pursuant to the provisions of the .Contractors' State License: Law (Chapter 9 (commencing with Section 7000) of. Division 3 of the Business and Professions Code) or that he or sh isex exempt from Iicensure and tha. basis for the alleged exemption. Any "violation of Section 703i.5by any applica for a perstit Subjects,the applicant to i a civil penalty of not more than five hundred dollars 4 0 I, as owner of the property, or my employees with wages as their: sale compensation, will do j_) all of or (_) portions of the work, and the structure is not intended proffered for sale ($action 7044, Business and. Professions Code: The Contt:aetors' StateLicense Law does not apply to an owner of property who, throughlemployses':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 -Sunder will have the burden of proving that 4 was not builtor Improved for the purpose of sale):.. ... _. . 0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the protect (Section 704, Business and Professions Code: The: Contractors' State License: Law does not apply to an owner property who builds or iniproves thereon, and who contracts for the projects with a licensed Contrack r pursuant to the Contractors' State License Law)... © 1 am exempt from licensure under the -Contractors' State License Low for the following reason; By my signature. below I acknowledge that, except for my personal residence In which I must nave resided for at least one. year prior to completion of the improvements covered by this:permft, I cannot fogai. sell a structure that I have built as an owner -builder if it has not been Constructed in its entirety by licensed contractors. I a derstand that a copy of the applicable: law, Section 7044 of the Business and Professions Code, is available upon request when this application is; submitted prat the following Web si1e;bHp1iwww.legi -fo.ca.govlcaiaw.btml.: Signature of Property Owner or Authorized: Agent: Date,: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penafty of periurythat-1 am licensed under provisions of Chapter 9 (commencing with Section 700 ion 3 of the Susittess"and Professions C e, and my lice : a is In full force: and effect. License Class License No Data ContractorSignatore: WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIV14 FINES UP .aNE Nt7HDREDTHOUSAND DOLLARS tIrIOSO of iN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED. FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I heraby affirm under penahy'of perjury one of the fallowing declarations:. 111 have and will maintain a certificate of consent to:.self insure for workers` compensation;. Issued by the Director i Pf 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, have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the f edormance of the work: for which this permit is issued, My workers' compensatio Insurance Carrier and policy number are:. Carrier policy Number. Expiration Date Name of Agent. Phone#' i so as to become subject to the workers' compensation laws of. California,. and -agro r certify that, In performance of the work for which this permit is Issued. I shell not employ any person in any manner hot, If I shouldsubjectcompensation p of Beetwit 3700,of the Labor Code'ishalf forthwith comply with [nose provisions. pp SignatureFO Itc#axnrtteD€N Date®,�3/Z 3 4`DNSTR Cers BNDING AGENGYns I hereby affirm under penalty of perjury thlff there is a Construction leading agency: for the performance of the: work for whit _.. .. h this permit is issued (Section 3097,:Civil Cade).. Lender's Name,.. Lenders. Address,. ,. By my signaturs low, ftedify to each oftbe foliawntg:: • I am the property crner or authorized to act on the property owner's behalf. .. ... read ation and the Information provided Ito la aigve3 :.Iof this Chy or Countyenter! the, Prate �rosen� ty ove-kentified propertytfor inspectionso /• 3 a of (zed Si Prd eu Owner's ar A uthotized8-an#'shame.... 'L'K f(''Lrb -Date AO[TfOk- DATE DECLAR rf OFCOMPLiANCE WITH CODE'OF FEDERAL . FOR 01110E U-1E ONLY e e e • • • • REGULATIONS PART 61 OFTITLE40 AND AQMD RULE • • • . • ..... 1403 Pg'W1.T YPfRE0 I Utsu§mlTnDASBE§TOSNO'rlFltATIONTO E3EFA- JRLQMD BESTOS NOTINCATION 15 NOT APPLICABLE TO P fir ITCZNCEEl&P • P9r14 rfXTFJvOEO PEIffINAL • • • • CFRTIF"troF qq �J SED DtYv70tlT{ON OCCUPANCY ISSUED - L /'G SIGNATURE: _J