HomeMy WebLinkAboutXR2023-1529 - Permits (3)�EWPO�T City of Newport Beach Illllllullllllllllllllllllulll�lllllllllllll�llllllllrylll COMB Permit XR2023-1529
D4 + Community Development Department- Building Division
cn 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1372
Permit Counter Phone: (949) 718-1888 Issued Date : 0610612023
a„ newponbeachca.gov/civic Inspection Area : 4
C9�IG00.N�P Combination Type - SFP
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: 2004 LOGGIA Legal Desc : N TR 15584 BLK LOT 5
Description: MFR R/R 5/8" TYPE X GYP BOARD IN MASTER BEDROOM/BATH; INSULATION AS REQ'D 96 SF
Owner: NEWPORT BLUFFS LLC
Address : 6110 RESIDENCIA
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
Architect
Address :
PO BOX 78810
Address
CORONA, CA 92877
Phone:
(951)275-1710
Phone:
Con State Lic
: 956793
State Lic
Lic Expire :
01/31/2025
Bus Lic:
BT30062023
Engineer:
Bus Lic Expire : 01/31/2024
Address
Workers' Compensation Insurance
Phone:
Carrier: INSURANCE
CO OF THE WEST
Policy No:
WVE506190300
Designer:
W. C. Expire :
9/1/2023
Address :
RANIERI RANDY
5868 MESQUITE SPRINGS RD
TWENTYNINE PALMS, CA 92277
(714)296-5502
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
YES
Construction Valuation :
$4,600.00
0
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg :
Alteration sq. ft. Bldg :
96
Occupancy Groups :
U,R-2
No of Units :
No of Stories :
30
3
Added/New sq. ft. Garage:
0
Bldg Height;
TOTAL sq. ft.:
0
Building Setbacks
Flood Zone:
X
Use Zone :
PC - Bonita Canyon
PROCESSED BY:
SPECIAL CONDITIONS: IRWD
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 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
he permit to rile a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Lew (Chapter 9 (commencing with Section 7000) of Division 3 Of the Business and
professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any. violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
lot more than Elva hundred dollars ($50%
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 or offered for sale (Section 7044,
3usiness 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
mprovemenls 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
In roved for thepurpose of sale).
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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensors under the Contractors' State License Law for the following reason:
3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior 19 completion of the improvements covered by this permit, I Cannot Iogail,
*It a structure that I have built as an owner -builder if R has not been constructed in its entirely by licensed contractors. I understand that a copy of the. applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:httpa/www.leginfo.ca,gov/calaw:html.
Signature of Property Owner or Authorized Agent Date
_ICENSEO CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Professions Code, and my license. is In full force
Ind effect. License Class License. No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
DARNING; 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 (510%0001, M ADDITION TO THE
;DST OF COMPENSATION, DAMAGES AS PROVIDED FOR V1 SECTION 3706 OF THE LABOR CODE; INTEREST, AND ATTORNEV'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I 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 thi
erformance of the work for which this permit Is issued. Policy No.
]I 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
isurance carrier and policy number are,
Policy Number
of Agent
ion Date
I certify that, In the performance of the work for which this permit is issued. I shall not employ any person in any manner sous to become subject to the workers' compensation laws of California, and
I, if I should become subject to the workers' compensation provisions or Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
mature of Applicant Data
OLARATION REEGAROING CONSTRUCTION LENDING AGENCY
areby affrm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section3097, Civil Code).
ider's Name Lender's Address
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 teed this application and the Information 1 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 county to enter the above4denOfied property for inspection purposes,
ACTION I DATE I 9T DECLARATION 01 I REGULATIONS PART Si OFANCE WITH CODE OF TIT E 40 AND AOMD RULE Al FOR OFFICE USE ONLY
PERMIT EXPIRED
PERMIT G4NCELLED
PERMITEXrENDED
TO
CERTUr ATE � � 6PR PROPOSED
NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OE .PROPOSED DEMOLITION
OCCUPANCYUSUED SIGNATURE: