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HomeMy WebLinkAboutXR2023-1733 - Permits2EwPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-1733 4 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1529 Permit Counter Phone: (949) 718-1888 Issued Date : 06/27/2023 newportbeachca.gov/civic Inspection Area : 4 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: 8234 RESIDENCIA Legal Desc : N TR 15584 BLK LOT 1 Description: MFR R/R 5/8 "TYPE X GYP BOARD @ THE LIVING ROOM CEILING, INSULATION AS NEEDED 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 : Phone: Contractor: KC 2 GROUP Address : 2383 FORDHAM DR COSTA MESA, CA 92626 Phone: (714)478-5104 Con State Lic : 1082215 Lic Expire : 10/31/2023 Bus Lic: BT30080216 Bus Lic Expire : 12/31/2023 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Code Edition : 2022 Fire Sprinklers : Type of Construction : V-A Fire Hazard Zone Occupancy Groups : R-2 No of Units : Bldg Height: No of Stories Building Setbacks Flood Zone : X Use Zone : PC - Bonita Canyon PROCESSED BY: SPECIAL CONDITIONS: Architect : RANIERI RANDY Address : 5868 MESQUITE SPRINGS RD TWENTYNINE PALMS, CA 92277 Phone: (714)296-5502 State Lic Engineer Address Phone : Designer: JAY TRUAX Address: 206.5 ABALONE AVE NEWPORT BEACH, CA 92662 Phone: (949)285-5594 YES Construction Valuation : $5,680,00 NO Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 71 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 r g OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State. 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 tha€ 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 lioensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicantio a civil penalty of not more than five hundred dollars ($500), © I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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, Ilia 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). 0 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 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). © I am exempt from Rcensure 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 legally sell a structure that I have built as an owner -builder if It has not. been constructed in its antiraty by licensed contractors. l 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 siteihttp:ltwww.leginfo.ca.govlcalaw,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 f 'vision 3 of the Business and Professions Code, ad ay-BI:P.nSp'Isir ell force and effect, License Class License No Dat Jn Contractor Signature NORKERS' COMPENSATION DECLARATION NARNINGI FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS Is Y`00), IN ADDITION TO THE COST OF COMPENSATION< DAMAGES AS PROVIDED FOR IN SECTION 3109 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: -11 have and will mPintaina certificate of consent to self4risure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN )wformance of tie work for which this permit Is issued. Policy No. :1 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` compensatior nsura.t-e carrier and policy number are: - Policy Number Agent Date that, in tee performance of the work for which this permit is issued. I Shell not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agm ould become subject to the workers' compensation ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I, at.Appll�ant \ii Z� �/✓/1 ,TION RL6ARUIN�A C$N&7R[F-CTION%ENDING AGENCY / hereby affirm under peoaity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section3097, Civil Code). em;er a Name Lenders Address y 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 rel building construction. I authorize representatives of this city or county to enter the above-Ide roperty for inspection purposes. j(/ signature of Property Owner or Authorized ADariU AP_- Print Probertv Owner's or Authorized Anent's NAno �P � CA rn i;. -7 ACTION DATE BY DECLARATION O E WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED PERMiTEXTENDED PERMIT ANAL CEAPFICATEOE OCCUPANCYISSUED i Gi €IdriF_f Yf�jJpL[svj�p� j]�C✓SIi�Yi7