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HomeMy WebLinkAboutXR2023-1735 - PermitsEwPo?T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2O23-1 735 ,p� -e Community Development Department- Building Division F ri i 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1531 Permit Counter Phone: (949) 718-1888 Issued Date : 06/2712023 newportbeachca.gov/civic Inspection Area : 4 coa"`P 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: 9338 RESIDENCIA Legal Desc : N TR 15584 BILK LOT 9 Description: MFR R/R 5/8" TYPE X GYP BOARD @ THE MSTR BDRM CEILING, INSULATION AS NEEDED Owner: NEWPORT BLUFFS LLC Address : PO BOX 2450 NEWPORT BEACH, CA 92658 Phone: Applicant: JAY TRUAX Address: 206.5 ABALONE AVE NEWPORT BEACH, CA 92662 Phone : (949) 285-5594 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2022 V-A R-2 PC - Bonita Canyon SPECIAL CONDITIONS: Contractor : KC 2 GROUP Address : 2383 FORDHAM DR COSTA MESA, CA 92626 Phone: (714)478-5104 Con State Lic : 1082215 Lic Expire : 10/31/2023 Bus Lic : BT30080216 Bus Lic Expire : 12/31/2023 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect Address Phone: State Lic Engineer: RANIERI RANDY Address : 5868 MESQUITE SPRINGS RD TWENTYNINE PALMS, CA 92277 Phone: (714)296-5502 Designer: Address Phone: YES Construction Valuation : $1,200.00 NO Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 12 3 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 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 checkmard s) I have placed next to the applicable Item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, 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 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensureand the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicantto a civil penalty of not more than five hundred dollars ($500). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the 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 ConsWct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), rl I am exempt from licensure 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 improvements covered by this permit, I.Cannot legall, sell 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 the Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:/Avww.ieginfo.ca.gov/celaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm unCerr,runalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7pQDD) Io 3 of the Business and Pr aVions Code, and my license is in full force and effect. Licen^P rJsss License. No Date Contractor Signature // V ORKE-RS' COM ENSATION DECLARATION NARNING: FAILURE -O SrC'JRE WORKERS' COMPENSATION COVERAGE le UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO ORP,ONAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COCT OF AMPENSATION: OAMAOFS AS PROVIDED FOR IN SECTION 470E OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. terety affirm underpenalty of perjuryone of the following declarations: have and wtP malwain a certificate of consent to self- insure for workers' compensation, art, lance of the work for which this permit is Issued. Policy No. have sod 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' ranee carrier and policy number are: Policy Number Agent Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Date ^I c !-04 that. Irt the 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 California, and ogre On should becjm_ s bjeot to the workers' compensatio laions of Section HOD of the Labor Code, I shall forthwith comply with those provisions. Date rgnature of Applicant /y, -7 F �z EGLARA?tGN REGA tJING� CONSTRUCTKMI ENDING AGENCY- --hereby 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). enders Name Lenders Address y 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 st�� relating to building construction. I authorize representatives of this city or county tq enter the -ldtr entifted property for inspection purposes. '7 v/ Datdr 60 7 .1'h ianeture of Prooertv Owner or Authorzed Agent Print Praoerty Owner's or Authorized Aoent's Name / FCc�-r FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXTENDED I D PERMITFINAL 7/0 g3 S UrAsstims NOTIFICATION IS NOT APPLICABLE TO CERTIPICAT'E OF PROPOSEDLRION OCCUPANCYISSUED SIGNATURE: KJ�- �-