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Home My WebLink AboutXR2023-1815 - Permitsle�PoRr City of Newport Beach II III IIIII IIII III IIIIIIIIIIIII IIII III II COMB Permit: XR202.3-1815 C� Community Development Department - Building Division X R 2 0 2 3 1 8 1 5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1603 Permit Counter Phone: (949) 718-1888 Issued Date : 07/03/2023 U \r newportbeachca.gov/civic Inspection Area : 4 c,��Fp0.N Combination Type - MFP Work Class - Alteration 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: 9214 RESIDENCIA Legal Desc : N TR 15584 BLK LOT 9 Description: MFR RJR 5/8" X GYP BOARD IN WALLS & CEILINGS, INSULATION AS NEEDED (208 SF) Owner: NEWPORT BLUFFS LLC Address : PO BOX 2450 NEWPORT BEACH, CA 92658 Phone: Applicant: JAY TRUAX Address: 206.5 ABALONE AVE NEWPORT BEACH, CA 92662 Phone: (949)285-5594 Owner/Builder : Address : Contractor: NATIONAL RENOVATION INC Address: PO BOX 78810 CORONA, CA 92877 Phone: (951)275-1710 Con State Lie : 956793 Lie Expire : 01/31/2025 Bus Lie: BT30062023 Bus Lie Expire : 01/31/2024 Workers' Compensation Insurance Carrier: INSURANCE CO OF THE WEST Policy No: WVE506190300 W. C. Expire : 9/1/2023 INS P` LE- CiTOR Architect Address Phone: State Lie: - Engineer : RANIERI RANDY Address : 5868 MESQUITE SPRINGS-RD TWENTYNINE PALMS, OA 92277 Phone: (714)296-5502 Designer: - Address : Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : Type of Construction : V-A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R-2 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: 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 a' $16,646.0v0. 0 0 0 I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(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 3rofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.E by any applicant fora permit subjects the applicant to a Civil penalty of ict more than five hundred dollars ($500). 1 I, 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 proffered 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 mprovements 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 bulit or reproved 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' Stale 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 Law). J I am exempt from bcensure 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 legaill sell a structure that I have builtas 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 hltp:liwww.leginfo.ca,gov/calaw.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 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the BuslnesR arlt'Professions Code, and my license is In full force and effect. License Class License No D4W �.. ContractorA/'iatur WORKERS' COMPENSATION DECLARATION ^^ ✓YARNING; FAILURE T6 _E_JRE WORKERS' COMPENSATION COVERAGE IS UNLAwFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (9100,000), IN ADDITION TO THE COST OF COMPENSATON PAMAOES AS PROVIDED FOR IN SECTION 31TS of THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following dec€arationsl EJ I have and iQ: 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, forth orris-marce of the work for which this permit is issued. Policy No. Weave and will Inan,oin 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' compensatioi In..ur.lnce carrier a.i : yolicy number are: Policy Number of ;,gent Dale cs-trry that, in the performance of the work for which thisoirmit is issued. I shall notemploy any person do any manner so as to become subject to the workers' compensation laws of California, antl ogre if I should become subject to the wnrke.ra a on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mkLil e of AVph sD.(_ 7 1 )reby afflr, Q er penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Ider's Name Lender's Address my signature below, I certify to each of tile 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 ciAy and county ordinances and state laws relating to building construction. I authorize representatives of this city or Nnty to enter the above -Identified -property for inspection purposes. nature of Property Owner or Authorized — Print Property Owner s or Authorized Agep s NamelYr/c' ACTION DATE BV DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 51 OF TiRf 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PASiim;CA710N ISM NOT APPLICABL{ t0 — f CEERIrFINALRTIEIC TEEOODED PROPOSQF00EN OCCUPANCY ISSUED SIGNATV Civil Code). it -3 Z?