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Home My WebLink AboutXR2024-0620 - Permits�aEWPo?T City of Newport Beach 111111p1111111111111111111111111111111111111111111111111JillCOMB Permit: XR2024-0620 e Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0502 N" S Permit Counter Phone: (949) 718-1888 Issued Date : 03/13/2024 .�. newportbeachca.gov/civic Final Date: ogciFoa" `P 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 : 4005 RIVOLI Legal Desc : N TR 15584 BLK LOT 6 Description: MFR- WATER DAMAGE REPAIR. R/R 5/8" TYPE X GYP BOARD IN WALLS & CEILING. 40 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 : Phone: Contractor : KC 2 GROUP Address : 2383 FORDHAM DR COSTA MESA, CA 92626 Phone: (714)478-5104 Con State Lie : 1082215 Lie Expire : 10/31/2025 Bus Lie: BT30080216 Bus Lie Expire : 12/31/2024 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No : EXEMPT W. C. Expire: Architect : RANIERI RANDY Address : 5868 MESQUITE SPRINGS RD TWENTYNINE PALMS, CA 92277 Phone: (714)296-5502 State Lie : CO24225 Engineer Address Phone Designer: JAY TRUAX Address: 206.5 ABALONE AVE , NEWPORT BEACH, CA 92662 Phone: (949)285-5594 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R-2 No of Units : 1 Alteration sq. ft. Bldg : Added/New sq. ft. Garage Bldg Height : No of Stories : 2 TOTAL sq. ft. : Building Setbacks Flood Zone : X Use Zone : PC - Bonita Canyon PROCESSED BY: SPECIAL CONDITIONS: $1,000.00 0 0 " 0 OWNER -BUILDER DECLARATION € 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 retitle the applicable iten i (Section 7031-5, Business and Professions Code: Any city or county that requires a permit to consVuot, alter, improve, dernotish, or repair any structure, prior to its Issuance, also requires the applicant for the permit to file a signed statement 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 Iicensure and the basis. for the alleged exemption. Any violation of Section 703t5 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 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 employeoS or personal effort, builds or improves the property, provided that the Improvements are not Intended or offered for sale. If, however, the building orimprovement 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). ❑ I, as owner of 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' State License Law), J I am exempt from lieensure under tare Contractors' State License Law for the following reason.. ty my signature below I acknowledge that, except for my personal residence in which I must have resided for of least one year prior to completion of the improvements covered by this permit, I cannot legally ell a structure that I have builtas an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable low, Section 7044 of lho Business and rofessions Code., is available upon request when this application is submitted or at the following Web site: http:li"w.leginfo.ca.gov/ce lavchtrtll. Iignature 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 9 (commencing with Sect' 70. f i ia)) 3fof the B islnes an professions Cod y Ilcense is In full (once no effect. License Class license NoContractor Sig l� VORKERS' COMPENSATION DECLARATION _ EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUMORED THOUSAND DOLLARS [$100,000j, IN ACDmON TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 of THE LABOR CODE, INTEREST, AND ATTORNEV'S FEE& hereby affirm under penalty of perjury one of the following declarations: I I 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 Seaton 3700 of the Labor Code, for the orformance of the wor4, 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' rance carrier and policy number are: Policy Number D'Agent Date oertrfy that, in lie pal iormance 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' com nsati laws of California. and 4[ should become subject to the workers-' com r*sa/tlolrgravisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. /p/p---/7TT�� ialurE of AbclfL an'. r 1,.i V r u iemoy 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). inder's game Lender's Address n,} , Israte re betaw, I cagify to Bach df the following: : Ni.i 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 to laws relating to building. construction. I authorize representatives of this city or county to enter ab -Edenlifled property for inspection purposes, gnature of Property Owner or Authorzed AgEnl/r Print Property Owner's or Authorized Anant's,NaTroe IU' t tz- PERM)T EXPIRED PERMIT EXTENDED PERMT wmi CERTIFICATE Of OCCUPANCY ISSUED DATE i `BY�� DECLARATION. OF COMPLIANCE WITH CODE OF FFDEI REGULATIONS PART 61 OF TITLE 4C AND AQMD RULE NOTIFICATION TO NOT 'IFICA I ON-J.5- 0TAPPLICABLE '10 FOR OFFICE USE ONLY