HomeMy WebLinkAboutXR2023-2345 - Permits�gWPo,T City of Newport Beach COMB Permit: XR2023-2345
C4 !' d Community Development Department- Building Division X R 2 0 2 3 2 3 4 5
{ j 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2051
Permit Counter Phone: 71 B-1888 I Issued Date : 08/24/2023
� newportbeachca.gov/civic Final Date:
Combination Type - MFP Permit Status: Issued
Work Class - Alteration 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
TRA
Job Address : 5311 RESIDENCIA Legal Desc : N TR 15584 BILK LOT 7
Description: MFR REMOVE AND REPLACE 5/8" TYPE X GYP BIRD IN LAUNDRY RM & MSTR BDRM, 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 :
Contractor: KC 2 GROUP
Architect :
RANIERI RANDY
Address : 2383 FORDHAM DR
Address :
5868 MESQUITE SPRINGS RD
COSTA MESA, CA 92626
TWENTYNINE PALMS, CA 92277
Phone : (714) 478-5104
Phone :
(714) 296-5502
Con State Lic : 1082215
State Lic
Lic Expire : 10/31/2023
Bus Lic : BT30080216
Engineer
Bus Lic Expire : 12/31/2023
Address
Workers' Compensation Insurance
Phone:
Carrier: NO EMPLOYEES
,
Policy No: EXEMPT
Designer
W. C. Expire:
Address
Code Edition : 2022
Fire Sprinklers ;
YES
Type of Construction : V-A
Fire Hazard Zone :
NO
Occupancy Groups : U,R-2
No of Units :
1
Bldg Height:
No of Stories :
3
Building Setbacks
Flood Zone : X
Use Zone : PC - Bonita Canyon
PROCESSED BY:
SPECIAL CONDITIONS:
Phone: '
Construction Valuation,:' °-$1,929.00,
Added/New/TI sq. ft. Bldg_, 0
Alteration sq. ft. Bldg :
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' Slate 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: Arty 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 tin or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Soction 7000} of Division 3 of the Business and
professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
BLIBiness and Professions Corp.: The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the properly, 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
Improvod for the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of properly who builds or improvesthereon, and Who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
El i am exempt from licensure under the Contractors' State License Caw 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,
soil a structure that I have built as an owner -builder if it has not been constructed in its entiroty 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:flwww.leginfo.ca.gov/caiaw.html.
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 Sectio 000) of Division 3 of the Business nd Professlons Coda, a ' - nse is In full force
and effect. License Class License No D e - Contractor .nature
WORKERS' COMPENSATION DECLARATION -�
RARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 13 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUNDRED THOUSAND DOLLARS 15100,000j, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of pery try one of the following declarations:
I have and wilt maintain a corWicate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
ormance of the work for which this permit is issued. Policy No.
have and will mFu,tain whrkarr' 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' compensa
Trance carrier ant policy number are:
Policy Number
Date
er of Agent Phone #
eenlf that, in. the performance nhne work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the work 5' compensation laws of California, and agre
if I should become bl' SON e woor I� L pereati Ap ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. '
t^ J
nature of Ap a d �- _ D to —
CLARATI RI!:C R[�N� CY
3reby affirm under panulty'bf ferIry-'pat-fharals a construction lending agency for the performance of the work for which this permit Is issued (Section 30 , Civil Code).
Tder'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 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 an- vs relating to building construction.
I authorize representatives of this city oorr rOunly to enter the, w,e identified property for inspection purposes. �.
mature of Prooertv Owner or Author.Q6,dent _ Print Property Owner's or Authorized Aaent' Name Da
ACTION DATE BY - DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE
PERMIT EXPIRED
6 LJ I SUBMITTED ASBESTOS NOTIFICATION TO
FFAiWTCANCELLED
L�EPA
PERT TIT EXTENDED
'._ tJpCMp
I OT APPLICABLE t0
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ASBSER
CERTIFICATE OF
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DEMOLITION
OCCUPANCY
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