HomeMy WebLinkAboutXR2023-1573 - PermitsaE R> City of Newport Beach II IIIII IIIIII IIIIIIIIIIIIIIIII IIIIIIIIIIIII11 jj COMB Permit: XR2023-1573
O
Community Development Department - Building Division X R 2 0 2 3 1 5 7 3
Fi Y t �i 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1412
a n Permit Counter Phone: (949) 718-1888 Issued Date : 0611212023
t0 newportbeachca.gov/civic Inspection Area : 4
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: 2015 LOGGIA Legal Desc : N TR 15584 BILK LOT 5
Description: MFR - R/R 5/8" TYPE GYP -BOARD IN BATH & BEDROOM WALLS. INSULATION AS REQ'D 176 SF
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
Contractor:
NATIONAL RENOVATION INC
Architect
Address :
PO BOX 78810
Address
CORONA, CA 92877
Phone:
(951)275-1710
Phone:
Con State Lic
: 956793
State Lic
Lic Expire:
01/31/2025
Bus Lic:
BT30062023
Engineer:
Bus Lic Expire : 01/31/2024
Address
Workers' Compensation
Insurance
Phone:
Carrier: INSURANCE
CO OF THE WEST
Policy No:
WVE506190300
Designer
W. C. Expire :
9/1/2023
Address
Phone:
Code Edition : 2022
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 CONDITIONS:
RANIERI RANDY
5868 MESQUITE SPRINGS RD
TWENTYNINE PALMS, CA C2277
(714)296-5502
NO Construction Valuation :
$6,000.00
NO Added/New/Ti sq. ft. Bldg :
0
27 Alteration sq. ft. Bldg :
176
3 Added/New sq. ft. Garage:
0
TOTAL sq. ft. :
0
I er.-0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(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, alter, improve, demolish, 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 R (commencing with Section 7000) of Division 3 of the Business and
)rofesslons bode) or that he or she is exempt from licensum and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
mot more than five hundred dollars ($509).
1, as ovmer 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 70",
3usiness and Professions Cade: The Contractors' Stale 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 builtor
roved for the purpose of sale).
..:7 I, as owner of the property, am exclusively contracting With licensed Gontractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
m ly to an owner of prop" who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I Am exempt from licensure under the Contractors' Stale License Law for the following reason:
ly 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 legally
All a structure that I have built as an owner -builder if R. 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
'rofassions Code, is available upon request when this application is submitted or at the following Web site:NttplhvwwAeginfo.ca:govlcaiaw.html.
signature of Property Owner or Authorized Agent Date _
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 0 (commencing with Section ) ofiCaivision 3 bf the Business and Pr esrs Nig Code_ isnri my license in full force
and effect. License Class License No Data Contractor Signal —��
VORKERS' COMPE413ATION DECLARATION
YARNING: FAILURE TO Sc.:LRE WORKERS' COMPENSATION COVERAGE la UNLAWFUL, AND. SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (Si0g00n. Nl ADDITION TO THE
:OBT OP rAµPENSATInN, 94MAGEe AS PROVIDED FOR IN SECTION 3706 OF THE LAaeR COBB, INTEREST, AND ATTORNE a FEE&
hereby affirm untier penalty of perjury one of the following declarations:
�1ave 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 the
�erfourance of the work fir which this permit Is issued. Policy No,
..nd 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'
carder at,J pc:k,,y number are:
Policy Number Expirstion Date
of Agent
certifythat, in the farfhrmanos of the work for which this permit is issued. I shall not employ any person in anymanner so as to become subject to the workers' compensation laws of California, and agre
1, If I should become subject to the workers' compensation proVisions at Sedlon 3100 of the Labor Code, I shall forthwith comply with those provisions.
.nata: L of Appal an: - Date �:�
CLARATION REGAR N TR ION LENDING AGENCY
areby 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 Lenders Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners 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 state laws relating to building construction. %G14r/4 )C/kRCAf
I authorize representatives of this ay or couny�o enter the above- -inspection purposes.Z
nature of Prooeriv Owner or Authorized Agent Print Pronertv Ownar`s or Aulhnri>ad Anants ' Nam 9� nc1 - 2
ACTION DATF BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61. OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED Ell SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED PA
renmlrrvnr<L CERTIFICAFE OF 6 ley/'f/a31W(/S SE5TOIFICATION 15 NOT APPLICABLE TO
'"ROPOSED LITION
OCCUPANCY ISSUED I SIGNATI i