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Home My WebLink AboutXR2024-0689 - Permits (3)WPoRr ->p > °. `y" V` SA City of Newport Beach Community Development Department -Building Ci:icion 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 ;111!ill.IIl1111h1111!11111111111111111111111111�11 r k 2[ 4 0 6 8 9 COMB Permit : XR2O24'Oss9 Plan Check No: PC2024-0560 Issued Date : 03/20/2024 ! e« newportbeachca.gov/civic Final Date: "<iFoaN�r. 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: 6215 RESIDENCIA Legal Desc : N TR 15584 BLK LOT 2 Description: MFR - R/R 5/8" TYPE X GYP BOARD IN WALLS AND CEILING. 189 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: NATIONAL RENOVATION INC Address : PO BOX 78810 CORONA, CA 92877 Phone: (951)275-1710 Con State Lic : 956793 Lic Expire : 01/31/2025 Bus Lic: BT30062023 Bus Lic Expire : 01/3112025 Workers' Compensation Insurance Carrier: NORTH POINTE INSURANCE COMPANY Policy No: OWC6000115 W. C. Expire : 9/1/2024 Code Edition: 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups: R-2 No of Units : 1 Bldg Height: No of Stories : 2 Building Setbacks : Flood Zone: X Use Zone: PC - Bonita Canyon PROCESSED BY: 67C SPECIAL CONDITIONS: Architect: Address : Phone: State Lic: Engineer: RANIERI RANDY Address: 5868 MESQUITE SPRINGS RD TWENTYNINE PALMS, CA 92277 Phone: (714)296-5502 Designer: Address : Phone: Construction Valuation : $4,800.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 thereby affirm under$eAaIfy of oe'rjury feat Vam exempt from the Contractors' State License Law fD%th: reasoms) rnd� ,atad be{aw by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5- Business and PrufessitgrtsaCoro: Any city or county that requires a permit to construct, aRPr,'-rrrove, demulish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a aig.iu(: sta[ament that he or••sho 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 ($500). ❑ I, as owner W the p�operW; or my employees wim.wages as their sole compensation, will do U all of a- U portion, of the'vork, a,ld the stricture is not intended or offered for sale (Section 7044, Business and. Professions Cqe h%Con4raclors' State License Law does not apply to an owner of prooer y whir, through employees' cr personal effort, builds or Improves the property, provided that the improvements are not intended or offered forsa`e. IfAowever, 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 safe). : ❑ 1, 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 ap ly 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). I am exempt from licensure 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 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 if it has not been constructed in its entirety by licensed contractors. l understand that a copy of the applicable law, Section 70" of the Business and Professions Code, is available upon request when this lication is submitted prat the following Web site:http:/Avww.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATIO I hereby affirm under penalty of perjury that I am Ii ensed under provisions of Chapter 9 (commencing with Section 70 0) Divis' n 3 f the Business and Profess s CAdR%}�d� ense,is In full force and effect. License Class License No Dat Contractor Signature G�iJ'y NORKERS' COMPENSATION DECLARATION YARNING: 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 (E100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ve 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 IN arm of the work for which this permit Is issued. Policy No. I nd 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' compensatior ns a carder and policy number are: Policy Number Expiration Date of Agent I 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 L if I should becom��st ■ ci ao/z �/wprrkers* compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. rd, / :nature of Applicant �/ 7 y 1'O % Date L� CLARATION REG4IN1NG LENDING AGENCY areby affirm underodhatyof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). tdei's 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 read this application and the Information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or coun ent�e�r/r a b e- enti�fied property for inspection purposes. �� j nature of Property Owner or Authorized Agent "/��/� _ Print Prooerty Owner's or Authorized ADent's Name �, / .v i n7 1'� - ACTION DATE BY - D£OL�RATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTI FICA-PON TO CERTIFICATE 3��I 1!/��\ clruAOnoDE L�/�S NOTIFICATION�OT APPLICABLE TO CERTIFICATE OF - 1f /1 OCCUPANCYISSUED