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HomeMy WebLinkAboutXR2024-6891 - Permits4 QP,34T City of Newport Beach �IIIIDIII�IIIOIII�III�III0111018�IIIIIIIIIIIIII COMB Permit : xR2o24-ss91 o @ Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: XR2024-6891 Permit Counter Phone: (949) 718-1888 Issued Date: 11/1812024 2 newpodbeachca.gov/civic Final Date: 4FORN�P Combination°Type-MFP Permit Status: Issued Work Class - ADDITION/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 : 417 PROMONTORY DR W Legal Desc : P BK 49 PG 15 PAR 1 PARCEL MAP 49-15 PAR 1 POR OF Description: MFR - R/R 5/8" TYPE GYP BOARD ON WALLS & CEILINGS. INSULATION AS REQ'D 140 SF Owner: PROMONTORY POINT APARTMENTS LLC Address: P.O. Box 2450 NEWPORT BEACH, CA 92658 Phone: (949) 675-8000 Appiicantt JAYTRUAX 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 Lie Expire: 01/31/2025 Bus Lie: BT30062023 Bus Lie Expire: 01131/2025 Workers' Compensation Insurance Carrier: INSURANCE CO OF THE WEST Policy No: WVE507962700 " W. C. Expire : 9/1/2025 Architect: RANDY ALLEN RANIER] 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 : $4,000.00 Type of Construction : V-B Fire Hazard Zone : NO _ Added/NewITI sq. ft. Bldg: 0 Occupancy Groups: R-2 No of Units: 82 Alteration sq. ft. Bldg: 140 Bldg Height: No of Stories: 6 Add/New sq. ft. Garage: 0 TOTAL sq. ft : 0 Building Setbacks : s Flood Zone: X: X Use Zone: PC - Promontory Point - UP 1494 PROCESSED BY: „ SPECIAL CONDITIONS: ° U , OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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, 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 licensors 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 (S500). ❑ 1, 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' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the prQ' rf ' rovided 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 oIf proving i 1f as 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 7044, Business and Professions Code: The Contractors' State id n e 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). ❑ 1 am exempt from licansure under the Contractors' Stale License Law for the following reason: j 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 II- rmit, I cannot legall, sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a Copy of the applicable law, Section 704ff ifl, Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.govlcalaw.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 70 0) f DiVision 3 of the Business and Profession o , aril i se is in full force and effect. License Class License No Data Contractor Signature WORKERS' COMPENSATION DECLARATION pU WARNING: 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 ($100.000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEWS FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 Section 3700 of the: Labor Code, for lh ormance of the work for which this permit is issued. Policy No. i 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. tyty y+drkers' compensatiol irance carrier and policy number are: �. rier Policy Number Expiration Date ne of Agent Phone a 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 subject to It a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��7T nature of Applicant'// I hereby affirm under penaltyof perjury that there is a construction lending agency for the performance of the Work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lenders Address By 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 1 have provided is correct. I agree to comply Willi all applicable city and county ordinances and slate laws relating to building construction. �1 I authorize representatives of this city or county to enter th-identi ' property for inspection purposes.I If Signature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's Name NU �^r2 Date ACTION DATE By MGeRATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY . REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1409 ai PERMIT £XP(RED PERMIT CANCELLED PERMITEXTENOEC PERMIT FINAL CERTIFICATEOF OCCUPANCVISSUED I SUBMITTED ASBESTOS 'KASBESTOS NOTIFICATION 15 NOT APPUCABLE TO PROPOSED DEMOLITION SIGNATURE: