HomeMy WebLinkAboutXR2024-0364 - Permits�,WPoRT City of Newport Beach IIIIII IIIII II I I'III II IIIIIIIII II COMB Permit : XR2024-0364
D� Community Development Department - Building Division X R 2 0 2 4 0 3 6 4
�) b" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0304
D, y. i Permit Counter Phone: (949) 718-1888 _ Issued Date : 02/14/2024
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
Job Address: 4036 RIVOLI Legal Desc : N TR 15584 BLK LOT 6
Description: MFR R/R 5/8" GYP BOARD AND INSULATION AT LIVING ROOM 24 SF
Owner: NEWPORT BLUFFS LLC
Address : PO BOX 2450
NEWPORT BEACH, CA 92658
Phone : (714) 720-2521
Applicant: JAY TRUAX
Address : 206.5 ABALONE AVE
NEWPORT BEACH, CA 92662
Phone: (949) 285-5594
Owner/Builder
Address :
Contractor: NATIONAL CONSTRUCTION RENTALS Architect: RANIERI RANDY
INC
Address :
1550 E CHESNUT AVE
SANTA ANA, CA 92701
Phone :
(714) 285-0243
Con State Lie
: 687160
Lie Expire :
04/30/2024
Bus Lie:
BT30046855
Bus Lie Expire : 04/30/2024
Workers' Compensation Insurance
Carrier: ARCH INSURANCE COMPANY
Policy No : ZAWC19969002
W. C. Expire: 5/1/2024
Address: 5868 MESQUITE SPRINGS RD
TWENTYNINE PALMS, CA 92277
Phone : (714) 296-5502
State Lie : CO24225
Engineer
Address
Phone:
Designer
Address
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
$2,300.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups :
U,R-2
No of Units :
20
Alteration sq. ft. Bldg :
24
Bldg Height :
No of Stories :
2
Added/New sq. ft. Garage :
0
TOTAL sq. ft.
0
Building Setbacks
Flood Zone:
X
Use Zone :
PC - Bonita Canyon
PROCESSED BY:
SPECIAL CONDITIONS: IRWD
OWNER -BUILDER DECLARATION
I hereby afflnn under penaltyof perjury that II. am exemptfrom the Contractors' State License Law for the reason(s) indicated below by the oheckmerk(s) I have placed next to the applicable Rem(s)
iSacfion 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 signedstatement 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 licensure and the 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
not more than five hundred dollars (MO),
' 1 1, as owner of the property, or my employees withwages as their sole compensation, will do L) all of or U 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 properly, provided that the
improvements are not intended or offered for sale,. 11„ however, the building or Improvement is sold within oneyear or completion, the Owner -Builder will have the burden of proving that It wasnot built or
mf�roved for the purpose of sate).
„J i, as owner or the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds Or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law).
M I 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 or 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 entirely by licensed contraclors. I understand that a copyof the applicable law, Section 7044 of the Business and
Professions Code, is available upon requestwhen this application is submitted or at the following Web site pttp:/!' m.leginfo.ca.govlcalaw.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 Section 700 ) of Division 3 of the Business and Professio. ny,gd manse is in full force
and effect. License Class License No Data Contractor Signature
WORKERS' COMPEN.SATJON DECLARATION.
NARNIND: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNErs FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have: and will maintaina 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
'ormance of the work for which this permit is issued. Policy No.
and well maintain workers' compensation Insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit Is issued, My workers'
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 not employ any person in any manner so as to become subject to the workers' compensation laws of California., and agre
if I should become sub)ect Ip t worke s compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. n�r II pp p
Glare of Applicant_ry 4 .„r_ Date_�I
3may affirm under penalty of perjury that there is a construction lending agency fbrthe performance of the work for which this permit is issued (Section 3097, Civil Code).
iders 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 reed this. Ppplicatlon and the information I have provided is correct.
I agree to . umply withall applicable city and county ordinances and state laws relating to building construction.
I authoriza repra,.eniatives of this city or county tp enter the property for Inspection purposes. e ' rr1 A
or P, caerb. Owner or Authorized
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULF.
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