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HomeMy WebLinkAboutXR2022-3277 - Permits�Evuao� City of Newport Beach II III III IIIII �IIII I�IIIIII'lll 11 11 II Community Development Department- Building Division X R 2 0 2 2 3 2 7 7 > y 100 Civic Center Drive, Newport Beach, CA 92660 Y+a i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 �IFOAN newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration COMB Permit : XR2022-3277 Plan Check No: PC2022-3151 Issued Date : 1212012022 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 : 2124 LOGGIA Legal Desc : N TR 15584BLK LOT 5 .. Description: MFR - R/R 5/8" TYPE X GYP BOARD IN WALLS & BATH #2 & CEILING.'INSULATIONIAS REQ'D S Owner: NEWPORT BLUFFS LLC Contractor: BUILDING ENHANCEMENT NETWORK Architect: RANIERI RANDY INC Address : 6110 RESIDENCIA Address : 23220 DEL LAGO DR Address : 5868 MESQUITE SPRINGS RD NEWPORT BEACH, CA 92658 LAGUNA HILLS, CA 92653 TWENTYNINE PALMS, CA 92277 Phone : Phone : ,'(949) 337-5746 Phone : (714) 296-5502 Can State Lie :;. 857637': State Lie Lie Expire : 04/30/2023 Applicant: JAY TRUAX Bus Lie: BT30080248 Engineer: ORTIZ ROBERTO Address : 206.5 ABALONE AVE Bus: Lie Expire : 12/31/2023 Address : 1744 W KATELLA AVE NEWPORT BEACH, CA ORANGE, CA 92867 Phone: (949) 285-5594 ' ' Workers' Compensation Insurance's Phone: (714) 997-1145 Carrier: STATE+COMPENSATION+INSURANCE+FUN D Owner/Builder : Policy No: 9141154 Designer: Address : W. C. Expire:, '9/1/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers:: NO f Construction Valuation : $6,000.00 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 : 124 Bldg Height: No of Stories`: = 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks Flood Zone : X Ile Use Zone: PC - Bonita Canyon' PROCESSED BY: •ao� °° °.° .°. 5ya`aa ova SPECIAL CONDITIONS: ° . ° o °a )hereby affirm under penalty of penury that $ am exempt from (Section 7031Z, Business and Professions Code: Any city or cpu L I I, as owner of the property, or my employees with wages as-thE Business and Professions Code: The .Contraclors'State, License L; improvements are not intended or offered for sale. If,.hpwevar; the improved for the purpose of sale):. © 1, as owner of the property, am exclusively contracting with I cel a. pwn lyto an oer of properly who builds or hnproves thereon, and J am exempt from Iibensure under the Contractors' State Licern it is sold within one year of completion the Owner -Builder will have the burden of proving -that it was not built or struct the prgfecL(Section 7049, Business and Professions Code; The Contractors` StateLicense Law does not ojeots with a licensed Contractor pursuant to the Contractors`State License Law), . I hereby affirm under penalty of perjury that I am`dcensad under . provisions, of Chapter9.(commencing with Secti 7 00 of and etfecL License Class. License No Datev NORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL: SUBJECT AN EMPLOYER TO CROMMAL LTI COST OF COMRENSATION 13AR40ES AS PRONIOEO FOR IN SECTION 370E OF THE LABOR CODE, INTEREST. AND ATTORNEY'S FERS. I 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 rformance of the :work for WWI this permit is Policy No, have sand will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the per me re, a canter and po7iGy number are; _..... Carrier...... policy Number Name of Agent i certify that. in the nerfarmance ofAe work for wMch this Rarmit Is su I s 1 not employ any person in any manners that, if f should becomA ct eworhers'.:.mparts o gro ` ' ns d '.S GP' 700:of the Labor Coda, Is halfforthwith. Signature of Applican DECLARATION REGCO ON LE t GAG.E OYI hereby affirm underof p fury the are is a camstructio leading agency for the: performance of the work for which Lender's Name. Lenders:Address By my. signature below, fcertrf toeach of Nafoliawing:: I am the property owner or authorized to act on the property owners behalf. i have read this application and the information i have print etl is corredt. i agree to comply with all applicable city and``co�u ordi ces and sin e I w;Sd:tin o building construction, t authorize representatives of this: oily nr CDuI)F}y�nt iheaperveddd pfoge r inspection purposes,. • •'• • • ISUBMITTEDASBESTOSNOTIHCATION' e . . . . . •LIEFA._ • . D ®_.. QJA • • • WI-3 e' BE NUT3F# "IUN IS NOT APPC • • • • • • ROPOSE: EM Lt N • • • e • e • • • SIGNATU eee •s •a s • see ee / .01 Relations as provided for by Section 3700 of the Labor Code; of the work for which this permit is issued, My workers`-eompe _Expiration Date Dat ki (Section 3097, and