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Home My WebLink AboutXR2023-2574 - Permits (3)�EWPo?T City of Newport Beach COMB Permit : XR2023-2574 Community Development Department- Building Division X R 2 e 2 3 2 5 7 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2241 Permit Counter Phone: (949) 718-1888 Issued Date : 09/13/2023 �.. newportbeachca.gov/civic Final Date: Cq�lre P��P Combination Type - MFP Permit Status: Issued Work Class - Other Inspection Area : 4 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 : I I37-RESIDENCIA Description: MFR - WATER DAMAGE REPAIR Owner: NEWPORT BLUFFS LLC Address : PO BOX 2450 NEWPORT BEACH, CA 92658 Phone: Applicant: MARK FRANCIS Address : 1461 DALY ST N ANAHEIM, CA 92806 Phone : (951) 275-1710 Owner/Builder Address: Phone Legal Desc : N TR 15584 BLK LOT 8 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 : 01/31/2024 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No : WVE506190301 W. C. Expire: 9/1/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-2 No of Units : 1 Bldg Height: No of Stories : 3 Building Setbacks : Flood Zone : X Use Zone : PC - Bonita Canyon PROCESSED BY: 0 SPECIAL CONDITIONS: Architect Address Phone: State Lic: Engineer Address Phone Designer: JAY TRUAX Address: 206.5 ABALONE AVE NEWPORT BEACH, CA 92662 Phone : (949) 285-5594 Construction Valuation : $1,600.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby afffrm under penally 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 Items) 3eclion 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 is permit to fife a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensers 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 of more than five hundred dollars ($500). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do L_) all Of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' Slate License Law does not apply In an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements 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 bui€t or reproved for the purpose of sale)_ 4 3 I, as owner of the property, are exclusively contracting with licensed Contractors t0 construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not poly 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 I Am exempt from licensure under the Contractors' Stale License Law for the following reason: ly my signature below I acknowledge that. except for my personal residence in which I must have resided forat least one year prior 10 completion of the improvements covered by this permit, I cannot legally all a structure [hat I have bulli 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 'rofessions Code, is available upon request when this application is submitted or at the following Web sitethttp:l/www.teginfo.ca.gov/calaw.html, signature of Property Owner or Authorized Agent _ Date ACENS£D CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force no effect. License Class License No Date I _ 9 7 Contractor Signature VORKERS' COMPENSATION DECLARATION �7 ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGES UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GML FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LASOR CODE, INTEREST, AND ATTORNEY'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 th, erformance of the work for which this permit is issued. Policy No. 7ve 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' compen. rance carver and policy number are: ter Policy Number Expiration Date to of Agent Phone 7 certify that, in the performance of the work for which thispermit is issued, I shall notemploy any person in any manner so as t0 become subject to The workers' compensation laws of California, and if I should become subject ` r Section 3700 or the Labor Code, I shall forthwith comply with those provisions. Ialure of Applican — Data - hereby affir red perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 ender's 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 relating to building construction. I authorize representatives of ibis city or property for inspection purposes. 0%Cc /<.onC/> ACTION DATE f BY DECLARATION OF COMPLIANCE WITH CODE OP FEDERAL RFG LNAtION5 PART 5VOF TITLE 40 AND AQMD RULE PERM;,- EXf PED LI I SUBMITTFD ASSFSTOS NOTIFICATION TO .... - .... ....... ...._ ... .. PFRR.iT ANCF. LED I �—IEPA PE2b1T Xi nVJED / I LIAQMD PCFNfIT FIhlAC 14 S n?f BES rU5 NU11NCAl1UN 15 NOT APPLICABLE IU CERTlFfCATE OF ( /++ W , ED D OI ITION OCCUPAN_ "SSUED _ 1 _ _ _ _ SIGNATURE: f�—�— FOR OFFICE USE ONLY s Name Civil Code). Date I "<f C7