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HomeMy WebLinkAboutXR2022-2022 - PermitsCity of Newport Beach e��WPoR' Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 $ Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CqG/F00.N�P newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration COMB Permit : XR2O22-2022 Plan Check No: PC2022-1860 Issued Date : 07/28/2022 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: 5414 RESIDENCIA Legal Desc : N TR 15584'BLK LOT 7. Description: MFR REMOVE & REPLACE 5/8" GYP BIRD IN WALLS AND CEILING, INSULATION AS NEEDED`352 SF Owner: THE IRVINE COMPANY LLC Contractor': 'NATIONAL RENOVATION INC Architect Address : 550 NEWPORT CENTER DR NEWPORT Address : 15650 EL PRADO RD:ICHINO, CIA 91710 ,.. Address BEACH, CA 92660 Phone: Phone: ;(951)275-1710 : Phone: Con State Lie : 956793.. State Lie: Applicant: JAY TRUAX Lie Expire : 01/31/2023 Address : 206 ABALONE AVE NEWPORT BEACH, CA Bus Lie; BT30062023 Engineer: Phone: (949) 285-5594 Bus Lie Expire : 01/31/2023 -Address Workers' Compensation, Insurance - Phone: Owner/Builder : Carrier: INSURANCE COMPANY OF THE WEST Address : Policy No: WVE506190300 Designer: Phone: W. C. Expire: 9/1/2022 Address Phone: Code Edition : 2019 Fire Sprinklers : NO Type of Construction : "-- '----"' Occupancy Groups: R-2 Bldg Height: Building Setbacks : Flood Zone: X Use Zone: PC - Bonita Canyon PROCESSED SPECIAL CONDITIONS: RANIERI RANDY 5868 MESQUITE SPRINGS RD TWENTYNINE PALMS, CA 92277 (714)296-5502 on Valuation: $10,300.00 r✓ITI sq. ft. Bldg: 0 sq. ft. Bldg : 352 N sq. ft. Garage : 0 oo® ado 6 © a` '� a •� ism os do a o �, m 5 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that Iam 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) action 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 permit to tale a signed statement that he or she is licensed, pursuant: to the provisionsofthe Contractors` State: License Low (Chapter 9 (Commencing: with Section 7000) of Division 3 of the Business and ifessions Code) orthat he or she is exempt from licensure and the basis far the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant too civil penalty of more than five hundred dollars ($5001: I, as owner of the property, or employees with wages: as their sole compensation, will do (_.)all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ;inass and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees or personal effort,builds or improves the property, provided that the Irovements are not Intended or offered for sale. If, however, the building or improvement is: sold within one year of completion, the Owner-Buitder will have the burden of proving that it was not built. or (roved for the purpose of sale); 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and. Professions Code: The Contractors State License Law does not )ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from lcensure under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which I must have resided for atleast one: year prior to Completion of the improvements Covered by this permit, I.Cannot legal': a structure that I have built as an owner -builder if it has not: been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Date hereby cv a.undWll A P M r p € f P rj rry that I a e rvl. ( g 00) of Division 3 of the Business and: Pr s oa n�full force i hereo affirm under penalty of e'Lr that I am licensed under provisions of Chapter$ Gommencfn with Sectio and effect. License Class License No Dal % - Z 8 - Z Z Contractor Signatu WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS" COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT. AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS ($100,000), IN ADDMON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370eOF THE LABOR CODE, INTEREST, AND ATTOReIEY'S FEES. - I hereby affirm under penalty of perjury oneof the following declaraltans: ❑ 1 have -and will maintain a certificate of consent to self -insure for workers' compensation,, issued by the DirectorofIndustrial Relations as provided for by Section 3700 of the Labor Code, for to performance of the work for which this permit is issued. Policy No. hava and will maintain workers compensation insurance, as required by Section 3700 of the Labor Code; for the performance of the work for which this: permitis. issued. My workers' compensatiol mSUrRFCR carrier and policy number .are: .. Carder. Paticy Number Expiration Date Name ol'Agent Phone # ❑1 certify that. in the performance of the work for which this permit is issued, I shall not employ any person in any manner so asto become subject to the workers' compensation laws of California, and agre that. 3E l should become subject to the workers' Gom ansationprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. //�j^ Signature of Applicant Da �Z 0 —Z Z DECLARAT10N REG.:. I hereby affirm under malty of perjury thatthere is a construction lending agency for they performance of the work for which this. permit is. issued (Section 3097, CAI Code): Lender's Nama, Lendees'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 I have provided is correct. I.agree to comply with all applicable city and county ortlinances and state lawsrelatingto building construction, t authorize representatives of this city or cau 'far inspection purposes. Si nature of Pro art Owner or Authorized Age Print Property Owner's orALL horized Agent's. Nam fi46 K 00004G° Da, ACTION DATE BY TiON OF COMPLIANCE WIT:{ CODEOF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERA41T EXPIRED 1 SUBMITTED ASBESTOS N o 7jF4CATION TO PERA41T CANCELLED - FAA' • •, _ All required alarms, latches gates and fences which serve as part of a. pool/spa barrier; shall PERMIT EXTENDED •i , gliaD be in place prior to approval to fill poollspa &shall remain In place & be maintainedfor the PERMITF/NAt qq �•• BE OS QTIFICATIbN €S NOT APPUCABtE TO lifeofthepoot. CERTIFtCATEOF !/'� Z,Z { R SE D _ OCCUPANCYISSUEO , ( SIGNATUR . • • aew • c c�`o ° •w• •e