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HomeMy WebLinkAboutXR2023-3559 - Permits�EWPoRr City of Newport Beach IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII II Community Development Department - Building Division X R 2 0 2 3 3 5 5 9 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 718-1888 �a+ newportbeachce.gov/civic °gc,coaN`P Combination Type - MFP Work Class - Alteration COMB Permit : XR2023�-3559° Plan Check No : PC2023-301 B Issued Date : 12120/2023 Final Date: Permit Status: Issued Inspection Area :4 . PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUAXNCE'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: 6112 RESIDENCIA Legal Desc : N TR 15584 BLK LOT 2 Description: MFR - R/R 5/8" TYPE X GYP BOARD IN WALLS. R-13 INSULATION AS NEEDED 80 SF Owner: NEWPORT BLUFFS LLC Contractor: NATIONAL RENOVATION INC Address: 6110 RESIDENCIA Address : PO BOX 78810 NEWPORT BEACH, CA 92658 CORONA, CA 92877 Phone Applicant: JAY TRUAX Address: 206.5 ABALONE AVE NEWPORT BEACH, CA 92662 Phone: (949)285-5594 Owner/Builder : Address : Phone 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 COMPANY OF THE WEST Policy No: WVE506190301 W. C. Expire : 9/1/2024 Architect: RANIERI RANDY Address: 5868 MESQUITE SPRINGS RD TWENTYNINE PALMS, CA 92277 Phone: (714)296-5502 State Lie Engineer Address Phone: Designer: Andress Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $2,700.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 57 Alteration sq. ft. Bldg : 80 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: IRWD OWNER BUILVER,CECI ARATION f ;Iare�), a"lima unr'.er penalty df perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed nexi to the applicable item(s) (Cectio❑ T31 5, 3U%jr Sit arrd Pro essions 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 s€gned siaten,cc; that ho 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 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 fore permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). J I, as owner of 'he property. or my employees with wages as their sole compensation, will do L,) all of or (_) portions of the work, and the structure Is not Intended or offered for sale (Section 7044, Susiners and Professions eooe. The Jontriclors' 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 inlprovpMents'afe not inended o, offe-ed for sale. If, however, the building or Improvement is sold within one year of completion, the Owner -Builder w(31 have the burden of proving that it was not built or improved for the purpose of sale). ❑ 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). D 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 forat least one year prior to completion of the improvements covered by this permit, I cannot legal, soil a structure that I 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 7044 of tho Business and Professions Code, is available upon request when this application is submitted orat the following Web site.http:f/www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized AgentDate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 i G 3 f the Business and Professi s ate. my license is in full force and effect. License Class License No Date Contractor Signature 1 •�j',r� WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UP TO ONE HUNOREO THOUSAND DOLLARS i5100,000)., IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOE, INTEREST, AND ATTORNEYS FEES. Ihereby affirm under penalty of perjury one of the following declarations: Ih u 1 have and will maintain a certificate of consentto self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th perfr5fim—bioce or the work for which this permit is issued. Policy No. av 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' eompensatioi msur co carrier and policy number are: Policy Number Date me of Agent Phone # I certify that, inthe 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 Calalifoornia, and agre 1, if I should become subjectE e e compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. L1.�-� / ,sty/I �q�rk �� nature of Applicant,,��,..��c/v.��� /"��" _ Date _ GtARATIGN REGARDING _NGING AGENCY areby 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). ideis 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 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 this city or county to enter a v entifled property, for Inspection purposes. ACTION I OATS BY ; DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ` t i REGULATIONS PART 6t OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMli G4NCELLEi? -- —_ASIGNATUR PER'mT k-'(TENDED CERTIFP OF 1 ,IDDFN',t`OUT10N _IOSNOTIFICAIWN15NOtAPPLICABLE TO { _ 1 ✓E ,j/(��j/OCCUPANCY155UED V� �/ //'/