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Home My WebLink AboutXR2024-0503 - Permits��EWPORT City of Newport Beach @ Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U ,= Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic C91-IFORH�P Combination Type - MFP Work Class - Alteration COMB Permit : XR2024-0503 Plan Check No : PC2024-0414 Issued Date: 03/01/2024 Final Date: Permit Status: Issued Inspection Area : 6 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 : 276 AMBROISE Legal Desc : N TR 15968 BLK LOT 5 Description : MFR R/R INSULATION AND DRYWALL 79 SF Owner: NEWPORT BORDEAUX APARTMENTS LLC Address : 550 Newport Center Dr NEWPORT BEACH, CA 92660 Phone : (844) 610-9003 Applicant : VIVIANA PEREZ Address : 1550 E. Chestnut Ave. Santa Ana, CA 92701 Phone : (714) 285-0243 Owner/Builder Address : Contractor: NATIONAL RENOVATION INC Address : PO BOX 78810 CORONA, CA 92877 Phone: (951) 275-1710 Con State Lic : 956793 Lic Expire : 01131/2025 Bus Lic : ST30062023 Bus Lic Expire : 01/31/2025 Workers' Compensation Insurance Carrier: NORTH POINTE INSURANCE COMPANY Policy No : QWC6000115 W. C. Expire : 9/1/2024 BLS Architect: RANIERI RANDY Address: 5868 MESQUITE SPRINGS RD TWENTYNINE PALMS, CA 92277 Phone : (714) 296-5502 State Lic: CO24225 Engineer: Address : Phone: Designer Address Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $2,900.00 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 : 74 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft.: 0 .... Building Setbacks : ;--•-- Flood Zone : X Use Zone : PC - Newport Ridge PROCESSED BY: SPECIAL CONDITIONS: 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 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, alsorequires the applicant for the permit to file a. signed statement that he or she Is licensed pursuantto the provisions of the Contractors' Slate 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 then five hundred dollars ($500). ❑ f 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, 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 the project (Section 7044, Business and Professions Cade: The Contractors' State License Law does not ra.�ply 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), L� I am exempt from licensors 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 leas( one year poor 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 constnlciad in its entirety by licensed contractors. 1 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:tiw .leginfo.ca.gov/calaw.html. Signature of Properly 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 Professiog�dey ,nt, license is in full force and effect. License Class License No DateContractor Signature GG11�CC1lff L`'� T WORKERS' COMPENSATION DECLARATION `--cam WARNING: FAfLURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUDJECT AN EMPLOYER To CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 13 1 have 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 th performance of the workfor 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' Dance carrier and policy number are: Policy Number Date ne of Agent Hnone h 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' t 0 workers' Compensation provisions of Section 3700 of the Labor Code, I shall rodhwith comply with those provisions. /' j nature of Applicant. �:... ,..,...,....,....,...... . .........„.,.,.. Date,_._., 61 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) under's Name Lender's Address ly 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 thl application and the information I have provided is correct. I agree to enmmy with all applicable city and county ordinances and state laws relating to building construction. authorize representatives of this city or county 10,eeyWAeOov,? i entified property for inspection purposes. Si nature of?ru any Owner or Authorized Apart �' `-L�� Print Pro e Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40AND AQMD RULE 1403 PFDA41T EXPMF0 15IJBIWIFTED ASBESTOS NOTIFICATION TO P IWITCANCE t J EPA o M!T EMENDfp � QMD FO MITFINAt __ _ NOTIFICATION 15 NOT APPLICABLE TO ��yy//// // EMOt_1jl�fy� /%�� OCCSfpANCYr55UFD %'Z��f �� 51 NATURE