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Home My WebLink AboutXR2023-2135 - Permits,tiwPoRr City of Newport Beach 0 @ Community Development Department - Building Division ' .�. 100 Civic Center Drive, Newport Beach, CA 9266D Permit Counter Phone: (949) 718-1888 .s. newportbeachca.gov/civic C,�<I Fp0.N`r Combination Type - MFP Work Class - Alteration COMB Permit : XR2023-2135 Plan Check No : PC2023-1865 Issued Date : 08/03/2023 Final Date: Permit Status: Issued 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 : 9321 RESIDENCIA Legal Desc : N TR 15584 BLK LOT 9 Description: MFR - R/R 5/8" TYPE X GYP BOARD IN BEDROOM CEILING. INSULATION AS REQ'D 21 sf Owner: NEWPORT BLUFFS LLC Contractor: NATIONAL RENOVATION INC Architect : RANIERI RANDY Address : PO BOX 2450 Address : PO BOX 78810 Address : 5868 MESQUITE SPRINGS RD NEWPORT BEACH, CA 92658 CORONA, CA 92877 TWENTYNINE PALMS, CA 92277 Phone: Phone: (951)275-1710 Phone: (714)296-5502 Con State Lie : 956793 State Lie Lie Expire : 01/31/2025 Applicant : JAY TRUAX Bus Lie : BT30062023 Engineer Address : 206.5 ABALONE AVE Bus Lie Expire : 01/31/2024 Address: NEWPORT BEACH, CA 92662 Phone: (949) 285-5594 Workers' Compensation Insurance Phone: Carrier: INSURANCE CO OF THE WEST Owner/Builder : Policy No : WVE50619030D Designer Address : W. C. Expire : 9/1/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $1,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 1 Alteration sq. ft. Bldg : 21 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 ' BY: PROCESSED SPECIAL CONDITIONS: 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 itemts) (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 sheds 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 Iicensure and the basis for the alleged exemption. Any violation of Section 7031'..5 by any applicant for a permitsubjects the applicant to a civil penalty of not more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct (he project (Section 7044, Business and Professions Code: The Contractors' State License Law does not rapply 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), ( am exempt from licensure under the Contractors•' Stale 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 legally sell a structure that I have built as an owner -builder it It has not been constructed In its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 or the Business and Professions Code, Is available upon request when this application is submitted or at the following Web site:http:lfwww.leginic.ca:gov)calaw.fitmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm Under penalty, of perjury that I am licensed under provisions of Chapter 9' (commencing with Section 7000 of Division 3 of the Business and Professioense is in hull force and effect. License Class License No Data Contractor Signature f WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 151D0,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 industrial Relations asprovided for by Section 3700 of the Labor Code, for the performance 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' ranee carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit Is issued, I shall notemploy any person in any manner so as to become subject to the workers' Compensation laws Of California, and agree , it I should become sub jec to ,ey,Workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. G% inture of Applicant__,_,__ �- / „_^ - -.,_,W _ Date 6?>f ZQZ3 `I Ab ATiItAI OCCACIl1 AIC r`fTA1CTDllr`TIRIJ I CIJAIMG Ar6Mr`v 3reby 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). Iders Name _ Lender's Address my signature 6aiow. I certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf. I have read thisapplication and the information I have provided is correct, I agree to comply with all applicable city and county ordinances and state laws footing to building construction. I authuize remesenlatives of this city or county to enter the above-ident 1 /y��e inspection purposes. Mature of Prooerty Owner or Authorized Agent lliF.n IXI� V -`7. /' Yv. Print Properly Owner's or Authorized Aclent s Name -•� �!' O%�iG_ v--,,, AC'ION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART BI OF TITLf 40 AND AQMD RULE, 1403 PERMIT EXP'RED I ISURMITTED ASBESTOS NOTIFICATION TO , PERMIT CANCELLED f y�IEP�A _ li PERMIT EXTTN D //JJJ�/// t�rAUrylp PERMIT FfNAL �?/�'3 S 'ngyBE5TU5 NUTIFICATIU/N 15 NOT APPUCgat6 TO CERTIFICATE OF ((( I PROPOSED DEMO /, OCCJPANCYISSUP) SIGNATURE r