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HomeMy WebLinkAboutXR2023-3573 - Permits�EWPO�T City of Newport Beach IIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2023-3573 CF �� Community Development Department- Building Division x R 2 0 2 3 3 5 7 3 y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-3028 n Permit Counter Phone: (949) 718-1888 Issued Date : 12/21/2023 .�". newportbeachca.gov/civic Final Date: Combination Type - MFP Permit Status: Issued Work Class - Alteration 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 : 631B RESIDENCIA Legal Desc : N TR 15584 BLK LOT 2 Description: MFR REMOVE AND REPLACE 5/8" DRYWALL TYPE X GYP BIRD AND REPLACE 5/8" TYPE X GYP BIRD PER PLAN, INSULATION AS REQ Owner: NEWPORT BLUFFS LLC Contractor: GN CONSTRUCTION SERVICE Architect : RANIERI RANDY Address : PO BOX 2450 Address: 14262 HEATHERFIELD DR Address : 5868 MESQUITE SPRINGS RD NEWPORT BEACH, CA 92658 TUSTIN, CA 92780 TWENTYNINE PALMS, C'P. 92277 Phone : (714) 720-2521 Phone : (714) 856-0167 Phone : (714) 296-5502 Con State Lie : 1067623 State Lie Lie Expire : 08/31/2024 • , Applicant: JAY TRUAX Bus Lie: BT300829347 Engineer Address: 206.5 ABALONE AVE Bus Lie Expire : 11/30/2024 Address NEWPORT BEACH, CA 92662 Phone: (949) 285-5594 Workers' Compensation Insurance Phone: Carrier : Owner/Builder : Policy No: EXEMPT Designer Address : W. C. Expire: Address Phone: Phone: •. Code Edition: 2022 Fire Sprinklers : YES Construction Valuation : $500.00 Type of Construction : V-A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-2 No of Units: 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 3 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - Bonita Canyon PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION t 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 items) (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' Stale License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code} or that he or she is exempt from licensure 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 not more than five hundred dollars ($500). 71 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, (Business and Professions Corte: The Contiecers' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the properly, 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 -Builder will have the burden of proving that it was not built or improved for the purpose of sale). © 1, as owner of the property, am exclusively contracting with licensed Contractors to constructthe 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), ❑ I am exempt from licensure 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 mast have resided for at least one year prior to completion of the improvements covered by this permit, I Carmel legal[) sell a structure that 1 have built 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 7044of the Business and Professions Code„ is available upon request when this application is submitted or at the following Web site:http:/Iwww.leginfo.Ga.gov/calaw.htmi. 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 7 O of Divisi a 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date _7 2 Contractor Signature /5yM d; & 6 WORKERS' COt,loc-NSATION DECLARATION t fARNING. 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 (St00,000), IN ADDITION TO THE uUS r Ce LOMPENSr,TION, LAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEYS FEES. -hTereby affirm uc,i_x penalty of perjury one of the following dectaratlons: .# I hive 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 IN Derformance of the war, for which this permit is issued. Policy No. t,F.ve 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' rnnce carrier and nnlicy number are: Policy Number Expiration Date Phone ft _ -cart f that, m the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Calffomia, and agre �I should become subject to the workers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, nature of CLARATION REGARDING CONSTRUCTION LENDING AGENCY I Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Idler's Name Lenders 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 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 tolating to building construction. I authorize representatives of this city or county to ^center the above -Identified property for inspection purposes. nature of Property Owner or Authorized Apart ( // —T . 4, ire 4 Print Property Owner's or Authorized Agent's Name Date CO1ZI2 r�z ACTION DATE BY I DECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCEtlfO EQ pA. PERMIT EXTENDED ........... ._. ..—_—.—.. ...—.—... ____...__.__—_—_. .._.._........ LiM D PCRMiT FINAL I ESTOS NOTIHCATION IS N01 APPLICABLE TO CERTIFICATE OF OCCUPANCYf55UED I P P05ED DEMOLITION SIGNATUREA, IT--/__.__....