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XR2022-2148 - Permits
aEWPO�,T City of Newport Beach II III I I I II I II I III II I III I II p4 A Community Development Department- Building Division COMB Permit:XR2U22-2148 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1990 2 Permit Counter Phone: (949) 644-3288 Issued Date : 08/10/2022 gym. Inspection Requests Phone: (949) 644-3255 C'q�/FORN`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: 9427 RESIDENCIA Legal. Desc : N TR 15584 BLK LOT 9 Description: MFR -INTERIOR ALTERATION 96 SF-R/R TYPE X GYP BOARD. R13 INSULATION AS NEEDED. 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 : (951)275-1710 Phone : (714) 296-5502 Con State Lic : 956793 State Lic Applicant : JAY TRUAX Lic Expire: 01131/2023 Address : 206 ABALONE AVE, .5 NEWPORT BEACH, CA':. Bus Lic BT30062023 Engineer: Phone: (949) 285-5594 Bus Lic Expire : 01/31/2023 Address Workers' Compensation Insurance Phone: Owner/Builder : Address : Carrier: INSURANCE COMPANY OF THE WEST S `iti Policy No: WVE506190300 , Designer: 8 Phone: `" W. C. Expire : -. 9/1/2022 Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation ; '$2,800.00 Type of Construction : V-B Fire Hazard Zone : No Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : R-2 No of Units : 1 39, Alteration sq. ft. Bldg: 96 Bldg Height : No of Stories : 3 Added/New sq. ft. Garage: 0 Building Setbacks Flood Zone: X Use Zone: PC - Bonita Canyon PROCESSED BY: - SPECIAL CONDITIONS: 0 0 0 0 0 0 oo eoo o a o 0 0 o co 0 0 00 000 o e o© o 0 ®• o 0 0 o • • oo m e• a• o 0 0 0 00 00 0 0 0 �o 0o auo I hereby affirm under penalty of perjury that I. am exempt from the Contractors' State License Law for the reason(s) indicate often 7031.5, Business and Professions Code: Any city or county that requires a permit: to construct, :alter, Improve, demoli permit to file a. signed statement that heor she is licensed pursuant to the.provisions of the Contractors'- State License Lev fesstons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any vi••otation or Section more than five hundred dollars ($500). I, as owner of the property, or my employees with swages as their sole compensation, will do L) all of or (_) portions of: the .mess and Professions Code: The Contractors' State License Law does net apply to anowner of property who, through am are not intended e purpose of Sal I am exempt from Iloensure Of f; however, the bu is sold and p of dad that the not built or racting with. licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors State License Law does not :s thereon, and who contracts for theprojects with a licensed Contractor pursuant to the Contractors' State. License taw), )rs State License Law for the following reason: `or my personal residence in which I must have residedfor at least one: year prior to completion of the improvements covered by this. permit, I.cannot leg [fit 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 am licensed under provisions of License No COMPENSATION DECLARATION I' 0 DNisi IT3:of the Business and Pr lions Code an fy license is in full force" i Contractor Signatu PENALTIES AND CIWL PINES: UP TO ONE NUNDREO THOUSAND DOLLARS (3100,000). IN ADDITION TO THE hereby affirm under penalty of perjury one of the following declaretions: I -have and will maintain a certificateof consent to self4risure for workers` compensation, issued by; the DirectorofIndustrial: R.elations.. AS provided for by Section. 3700 of the Labor Code. for e ormance 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' compensai nSU mer and policy number are: :arrEnr Pniiry Number Exoirat)on. Data Agent y that, In the performance if 1 hereby affirm L enders Name there is a cor my signaturebetow,. t cemty to aeon of me roum I am the property, owner or authorized to act on I have read this application and the information t agree to comply with all applicable city and cc I authorize representatives of this city or count Phone 9 'sissued, I shall not employ any person in any manner soas to become subject to the workers' compensation laws of California, and agre Ions of Section 3700 of the Labor Code, I. shall forthwith comply with those provisions. Date Y riding agency for the performance of the workfor which this permit is issued- (Section 3097,. Civ Code):. I —md AAA— Ter's behalf. is correct PERMITWIREC7 i •tJ15t18AMiTEB.A56E5'Y6SNaT#FN PERMITCANCELL€O • • • • E nronn,s rrrrnn¢n • • • • MMan• CERTIFICATE OF ,OCCUPANCYISS1 (2:ii 2EBERAL I FOR OFFICE USE ONLY RULE qTOAll required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool. •ss e• se e e eee es