HomeMy WebLinkAboutXR2022-3266 - Permits��EWaoRr City of Newport Beach II IIII I IIIIIIIIIII III IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2O22-3266
�@ Community Development Department- Building Division X R 2 0 2 2 3 2 6 6
y - 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3136
! ? Permit Counter Phone: (949) 644-3288 Issued Date : 12116/2022
m.. Inspection Requests Phone: (949) 644-3255 Inspection Area : 4
Cq�"op��P newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Alteration
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: 2171 LOGGIA Legal Desc : N TR 15584 BLK LOT 5
Description: MFR - R/R 5/8" TYPE GYP BOARD IN LAUNDRY ROOM 21 sf. R-13 INSULATION AS NEEDED
Owner: NEWPORT BLUFFS LLC
Address : 6110 RESIDENCIA
NEWPORT BEACH, CA 92658
Phone
Applicant: JAY TRUAX
Address: 206.5 ABALONE AVE
NEWPORT BEACH, CA
Phone : (949) 285-5594
Owner/Builder :
Address :
Phone
Contractor: NATIONAL RENOVATION INC
Address : 1460 N Daly ST
Anaheim, CA 92806
Phone: (951)275-1710
Con State Lic : 956793
Lic Expire : 01/31/2023
Bus Lic: BT30062023
Bus Lic Expire : 01/31/2023
Workers' Compensation Insurance
Carrier: INSURANCE CO OF THE WEST
Policy No: WVE506190300
W. C. Expire : 9/1/2023
Code Edition :
2019
Fire Sprinklers :
Type of Construction :
V-B
Fire Hazard Zone
Occupancy Groups:
R-2
No of Units :
Bldg Height :
No of Stories
Building Setbacks
Flood Zone :
X
Use Zone:
PC - Bonita Canyon
PROCESSED BY:
SPECIAL CONCIT:ONS: '
Architect:
RANIERI RANDY
Address :
5868 MESQUITE SPRINGS RD
TWENTYNINE PALMS, CA 92277
Phone:
(714)296-5502
State Lic
Engineer:
Address :
Phone:
Designer : w�-- �^ �"- �. �` j
Address
Phone:
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg:
10 Alteration sq. ft. Bldg :
3 Added/New sq. ft. Garage:
TOTAL sq. ft. :
$2,000.00
21
0
21
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempL from the Contractors' State License Law for the reason(s) 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, dernohiuh, or repair any structure, prior to its issuance, also requires the applicant for
he 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 7000) of Division 3 of the Business and
3rofessions Code) or that he or she is exempt from licensorsandthe 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
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portionsofthe work, and the structure Is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
mpreved for the purpose of sale)-
1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
Ipp€y 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),
1 am exempt from licensure under the Contractors' State License Law for the following reason:
3y 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 legall,
;all a structure that I have builtas an owner-buildor if it has not been constructed in !is entirety by licensed contractors. I understand that 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:llwww,leginfo.ca.goWcalaw.html.
3gnature 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 7000) of Division 3 of the Business and Profes - m_y license is In full force
end effect. License Class License. No Date 17 Contractor Signature
NORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINA[ PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1V1 00,000), IN AODLTION TO THE
:DST OF COMPENSATION, OAMAOES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES,
hereby affirm under penalty of perjury one of the following declarations:
I 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
krformance 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 which this permit is issued. My workers'
carrier and policy number are:
Policy Number Expiration Date
of Agent
certify that, in the performance of the work for which this permit is issued. I shall riot employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
, if i should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
where of APPI'' Da� I
narby 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.
I have read this application and the information I.have provided Is correct.
I agree to comply with all applicablecity and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above-ideniffie Omperty for inspection purposes.
nature of Property Owner or Authorized Agegir Print Procenv Owner's or Authorized Acent's Name *,PtX?e wJ
ACTION I DATE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY15SUED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE
ASBESTOS NOT FICATION TO
ISNOTAPPUCABLE To
FOR OFFICE USE ONLY
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