HomeMy WebLinkAboutXR2024-1037 - Permits�EWPoRr City of Newport Beach 111IIIIIIIIIII 11ill1111111111111111111111111111p111111p 11COMB Permit: XR2024-1037
pg + d Community Development Department- Building Division x R 2 0 2 4 1 0 3 7
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0781
u - = Permit Counter Phone: (949) 718-1888 Issued Date : 04/18/2024
ea newportbeachca.gov/civic Final Date:
CgCIFORN�P Combination Type - MFP Permit Status: Issued
Work Class - Alteration Inspection Area : 2
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 : 131 PROMONTORY DR W Legal Desc : P BK 49 PG 15 PAR 1 PARCEL MAP 49-15 PAR 1 FOR OF
Description: MFR R/R GYP BOARD AND INSULATION 265 SF
Owner: PROMONTORY POINT APARTMENTS LLC
Address : P.O. Box 2450
NEWPORT BEACH, CA 92658
Phone: (949)675-8000
Applicant: JAY TRUAX
Address : 206.5 ABALONE AVE
NEWPORT BEACH, CA 92662
Phone: (949)285-5594
Owner/Builder :
Address :
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 : 01/31/2025
Workers' Compensation Insurance
Carrier: NORTH POINTE INSURANCE COMPANY
Policy No: QWC6000115
W. C. Expire : 9/1/2024
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 :
$11,700.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups :
R-2
No of Units :
4
Alteration sq. ft. Bldg :
265
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage:
0
TOTAL sq. ft. :
0
Building Setbacks
Flood Zone :
X; X
Use Zone:
PC - Promontory Point - UP 1494
,
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 reasons) indicated below by the checkrnark(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, 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not morethan five hundred dollars (1500).
❑ I, as owner of the property, or my employees with wages as their sale 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. 11. 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).
Ell, 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 property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from ucensure 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 iegall,
sell a structure that I have built as an owner-buildar if it has not been constructed in its entirety 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:/IW. .leginto.ca.govfcalaw.html.
Signature of Property Owner or Authorized Agent Data _
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty Of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) of Division &of the Business and P ksi 's kn fUlf force
and effect. License Class License No Date Contractor Signer
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5704 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations!
1 have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relationsas provided for by Section 370D of the Labor Code, for th
performance of the work for which this permit is issued. Policy No.
A�� 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` compensatioi
msuTaace carrier and policy number are:
Policy Number
Date
area of Agent Phone #
It 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
tat, if I should bec a subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
ignalure of Applican - - - Datee
'ECt.ARATION RE G VSTRUCTIGN LE G AGENCY
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).
enders Name Lender's Address
y 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 IN6 application and the information 1 have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
i aJ.horize ; ep Esentatives of this city or co y to enter the above -identified property for inspection purposes.
ionature of PrODeAi Cwner or Authorized A Print Property Owner's or Authorized Aqent's Name 1f X/1:?17U5 ate
PERMIT EXPIRED
PERM17 CANCELIrro�
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
NOTIFICATION TO
PERMITEXTENDED ! LJAQMD _
PER,bfR FINAL ASBESY!)SOTIFICA'rION IS NOI' APPLICABLE '10
EERTiFiCATE Of .s i/Zy 1��"t� p o?OSEftwoLITION
OCCUPANCY ISC6'EJ 1 SIGNATUR V