HomeMy WebLinkAboutXR2024-0366 - Permits�EWP�RT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2024-0366
p`r p Community Development Department - Building Division X R 2 0 2 4 0 3 6 6
r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0306
Permit Counter Phone: (949) 718-1888 Issued Date : 02/14/2024
.a. newportbeachca.gov/civic Final Date:
°9cianna�r• Combination Type- MFP .._.. _.,_ „ _,- Permit Status: Issued
Work Class - Alteration - Inspection Area : 6
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 : 246 AMBROISE Legal Desc : N TR 15968 BLK LOT 5
Description: MFR R/R 5/8" GYP BOARD AND INSULATION 104 SF
Owner: NEWPORT BORDEAUX APARTMENTS LLC Contractor: NATIONAL CONSTRUCTION RENTALS Architect: RANIERI RANDY
INC
Address : Address : 1550 E CHESNUT AVE Address : 5868 MESQUITE SPRINGS RD
NEWPORT BEACH, CA 92658 SANTA ANA, CA 92701 TWENTYNINE PALMS, CA 92277
Phone: (844)610-9003 Phone: (714)285-0243 Phone: (714)296-5502
Con State Lie : 687160 State Lie
Lie Expire : 04/30/2024
Applicant : JAY TRUAX Bus Lie : BT30046855 Engineer
Address : 206.5 ABALONE AVE Bus Lie Expire : 04/30/2024 Address
NEWPORT BEACH, CA 92662
Phone: (949) 285-5594 Workers' Compensation Insurance Phone:
Carrier: ARCH INSURANCE COMPANY
Owner/Builder : Policy No : ZAWC19969002 Designer
Address : W. C. Expire : 5/1/2024 Address:
Phone: Phone:
Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $3,000.00
Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0
Occupancy Groups :. U,R-2 No of Units : 15 Alteration sq. ft. Bldg : 104
Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 ,
TOTAL sq. ft. 0
Building Setbacks
Flood Zone : X ,
Use Zone : PC - Newport Ridge
PROCESSED BY:
SPECIAL CONDITIONS: IRWD, LANDSLIDE & LIQUEFACTION
OWNER -BUILDER DECLARATION
[ hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placednext to the applicable Lamle)
iectdon 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
to permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Cartel 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
of more than five hundred dollars ($500).
7 1, 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,
Iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeas' 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 built or
nproved for the purpose of sale).
J 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
pipiy 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).
J I am exempt from licensure under the Contractors' Stale License law for the following reason _ _ _ _ _ _ _ _ _
iy 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 legalll
all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understandthat 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:http:li ^ ,leginfo.ca,gov/calaw.html.
signature of Property Owner or Authorized Agent _ _ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of penury that I am licensed Under provisions of Chapter 9 (commencing with. Section 70 0 of Div' 'on 3 of the Business and Professiong,Qyyi arid. my lioense is in full force
nd effect. License Class License No Date Contractor Signature L ,
PORKERS' COMPENSATION'. DECLARATION.
'ARNING: 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 (5100,0001, IN AUDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE„ INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whichthis permit is Issued. My workers'
carrier and policy number are:
Policy Number
FIR of Agent
certify ti in the performance of the work for which this permit is
, if I should become alibieV?r'd to the workers compensation provisio
pplicant V nature of AbM . l fi O'in I ) 0,
Date
I shall not employ any person in any manner so as to becomesubject to the workers' Compensetion laws of California, and agre
clion 3700 of the Labor Code, I shall forthwith comply with those provisions. 17�
ram` Date
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),.
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.
1 have read this Ppplication and the Information I have provided is correct.
I agree to , urnply with all applicable city and county ordinances and state lawsrelating to building construction.
I authorize repla.,enlatives of this city or county ,t toenter
ciJY� enter the above -identified property [or inspection purposes. (p
nature of P. cPerb, Owner or Authorized Anent � V ; ,/ , _ / nn Cho I Print Property Owner's or Authorized Anent's Name _ `1 'i. j cro 1
Date
ACTION
DATE
BY S DECLARATION OF COMPLIANCE WITH CODE OF pEOCRAL
I REG WATIONS PART 61 OF TITLE40AND AQMD RULE
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FOR OFFICE USE ONLY
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