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HomeMy WebLinkAboutXR2024-0491 - PermitsaEwPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XR2U24-0491 O� + Community Development Department -Building Division X R 2 0 2 4 0 4 9 1 F n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0406 G s Permit Counter Phone: (949) 718-1888 Issued Date : 02/2912024 a.newportbeachca.gov/civic Final Date: cg4conN`P Combination Type - MFP Permit Status: Issued Work Class - Alteration Inspection Area : C! 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: 1095 CAMPANILE Legal Desc : N TR 15584 BLK LOT 5 Description: MFR R/R 5/8" GYP BOARD AND INSULATION AT WALLS 120 SF Owner: NEWPORT BLUFFS LLC Address : PO BOX 2450 NEWPORT BEACH, CA 92658 Phone: (714)720-2521 Applicant : JAY TRUAX Address : 206.5 ABALONE AVE NEWPORT BEACH, CA 92662 Phone: (949)285-5594 Owner/Builder Address : Contractor: KC 2 GROUP Address : 2383 FORDHAM DR COSTA MESA, CA 92626 Phone: (714)478-5104 Con State Lie : 1082215 Lie Expire : 10/31/2025 Bus Lie: BT30080216 Bus Lie Expire : 12/31/2024 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Architect: RANIERI RANDY Address: 5868 MESQUITE SPRINGS RD TWENTYNINE PALMS, CA 92277 Phone: (714)296-5502 State Lie : CO24225 Engineer: Address : Phone: Designer: Address : Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $1,265.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 27 Alteration sq. ft. Bldg : 120 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: �•� r-„ oa o00 OWNER -BUILDER DECLARATION 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 rem(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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 70GO) 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 703t 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees withwages as their sole compensation, will do (_) all of or (_) portionsofthe work, and the structure is not intended or offered for sale (Section 7044, Business 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 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)_ © I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Codes 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).. t-.I I am exempt from ticensure 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 for at least one year prior to completion of the sell a structure that I have built as an owner -builder if it has not Open constructed in its entirety by licensed contractors. I understand that a copy of the at Professions Code, is available upon request when this application is submitted or at the following Web site:httpr(iwww.leginfo.ca,gov)calow:htmL Signature of Property Owner or Authorized Agent ._._..--- ______._______ _ LICENSED CONTRACTOR'S DECLARATION e Covered by this permit, I Cannot Section 7044 of the Business and I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 f 'vision 3 of the Business and -Professions Catle cerise is in full force and effect. License Class License No Date Lbntractor Signature WORKERS' COMPENSATION DECLARATION A'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLABTIA., AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVN FINES UP TO ONE HUNDRED THOUSAND DOLLARS tS100, IN ADDFTION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ]T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES, hereby affirm under penalty of perjury one Of the following declarations: F1 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 perforpance of the work for which this permit is issued. Policy No. 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' componsatioi Trance cancer and policy number are: - ,ier Policy Number Expiration Date ;9,4Agomt Phone Certify that, in the performance of the work If hicin this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensatio laws of California, and Agra , if I should become subject to thj w omoensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply vAlh those provisions. nature of Applicant,,,,,w, I hoieby affirm under penafy of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). Landers Name Lenders Address By Iny signature below, I eerlify to Deal) of Cite following: I am the property owner or authorized to act on the property Owner's behalf. I have read Ibis application and the information I have provided is correct.,..-� l agree to comply with all applicable city and county ordinances and atf 10r-f6fating to building construction. Si mature of Property representatives of this city or county to altker thB role- eked property for Inspection purposes. Pro pertOwner or Authorized Agent Mint Property Owner's or Authorized A ent's Name Date 'J ACTION OATF. nY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL MR OFFICE USE ONLY t i RrGDIATIONS PART 51 OF TTTLF, 40 AND AQMD R(AE 1403 PERMIT LXPiRED _. ::. ISI HMITTFD ASBESTOS NOTIFICATION TO PERMIT CANCECL£i}FA PER,Y91TfX'TE ...IMQMD PCRMfT F1NA� �ASEE5T05 NOTIFICAT- ION 15 TO CERCfFlCAfE OF I. i'ftOPQ�Ei10£M64J+TI4 ©CCUPANCr ISSUE SkaliATllREr