HomeMy WebLinkAboutXR2022-2304 - PermitsrEWPOR> City of Newport Beach II III I I I II I II I III III II II II
p4 @ Community Development Department- Building Division COMB Permit : XR2022-2304
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2156
' 2 Permit Counter Phone: (949) 644-3288
>+� Issued Date
o� Inspection Requests Phone: (949) 644-3255
CqC/FOPN�p newportbeachca.gov/inspections Inspection Area : 4
Combination Type - MFP
Work Class - Alteration
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 : 1061 CAMPANILE
Legal Desc
: N TR 15584 BLK'LOT 5
Description:
MFR INTERIOR ALTERATION R/R 5/8" TYPE GYP BOARD
IN BATH &'LAUNDRY 96 sf. R-13 INSULATION AS REQ'D
Owner:
THE IRVINE COMPANY LLC
Contractor:
NATIONAL RENOVATION INC Architect:
RANIERI RANDY
Address:
550 NEWPORT CENTER DR NEWPORT
-- Address.:
1460 N Daly ST Anaheim, CA 92806 -.. Address:
5868 MESQUITE SPRINGS RD
BEACH, CA 92660
TWENTYNINE PALMS, CA 92277
Phone :
Phone: i
(951) 275-1710 Phone :
(714) 296-5502
Applicant:
JAY TRUAX
Address:
206 ABALONE AVE, .5 NEWPORT
Phone:
(949)285-5594
Owner/Builder
:
Address
Phone:
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
Con State Lic : 956793
State Lic
Lic Expire : 01/31/2023 -.
kCH,CA- Bus Lic; BT30062023 -
Engineer:
Bus Lic Expire : 01/31/2023
Address:
Workers' Compensation Insurance
Phone:
Carrier: INSURANCE COMPANY OF THE WEST
Policy No: WVE506190300
Designer:
W. C. Expire : 9/1/2022
Address
Phone:
.. Fire Sprinklers: I NO
.Construction Valuation : $3,000.00
Fire Hazard Zone : No Added/New/TI sq. ft. Bldg:
No of Units : 32 Alteration sq. ft. Bldg :
No of Stories: 3 Added/New sq. ft. Garage:
PROCESSED BY:5
2019
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PC - Bonita Canyon
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PECIAL CONDITIONS:
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I hereby affirm under penalty of perjury. that i am 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 file a signed statement that he or she is licensedpursuant to the: provisions of the Contractors` State License Law (Chapter 9 (commencing with Section 7000) of Division 3-Df the Business and
cessions Code) or that be 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
more than five hundred: dollars ($50%
I as owner of the property, at my employees with wages as their sale compensation, vAl do (_) all of or (, portions of -the -Work, and the structure is not intended or offered for sale (Section 7044,
Aness and Professions Code: The Contractors' StateLicenseLaw 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 -Builder will have the burden of proving that it was not builtor
vpved 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
Ay town owner of property who builds or improves fbareon, 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'-StateUcense Law for the following reason:.
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 legal]
a structure that I have, built as all owner -builder if it has nor been constructed in its entirety by licensed contractors. f understand that a copy of the applicable law, Section 70" of the Business and
ifessions Code, is available upon request when this application is submitted or at the following Web site:http:/Avww,leginfo.ca.govlcalaw.htmi.
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with -Secifo 7.010 lof DIVIeSion'3 of the Business and Pro ors £ode and my license is in full force
.nd effect. License Class License No Dat 2 Contractor Signatu� �—
VORICERS' COMPENSATtON DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND. SHALL SUBJECT. AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONEHUNDREDTHOUSAND DOLLARS (S100,000); IN ADOnION TO THE
GET OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEE&
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 Relations as provided for by Section 3700 of the Labor Code, for th
erforrnance of the work 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` compensatioi
rs nce carrier and policy number are:
:arrier. Policy Number Expiration Date
fame of Agent Phone #
31 certify that, in the poronri6nee of the Work for which this permit is issued; I shall not employ any person fn any manner so as to become subject to the workers' compensation laws of California, and agre
tat if I should become b' ct to the workers' compensation provisions of Section 3700 of the Labor Cade. I shall forthwith comply With those provisions.
Iignature of Applicant ) Dat o Z.s-e Z
)ECLARATION REG CTt DINGAGENCY
hereby affirm t4Agi aftyof perjury that ere is a Construction lending agency for the performance of the Work for which this permit: is issued (Section 3097,.Civi),Code)..
I am the property owner or authodzed to act.
.1 have read this application and the informati
i agree to colx7piyy+yth all applicable city and
.I st.4horize iapiid1leltatfves of this city or cou
. .. - j DATE I By
u.as
CERTIFICATE or
ner's behalf.
is correct.
and state lasesrelating to building construction,
fit
y/NNRk Frcrnc.S
FEDERAL i FOR OFFICE
OTIFICATION TO
All required alarms; latches gates and fences: which serve as part of a: pool/spa barrier,. shall
be in place priorto approval to fill pool/spa &:shall remain in place & be maintainedfor the
15 NOT APPLICABLE TO life of the pool.