HomeMy WebLinkAboutXR2022-1862 - Permits��E I�RT City of Newport Beach
Oe • d Community Development Department- Building Division
F = `�' 100 Civic Center Drive, Newport Beach, CA 92660
'' y. Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
c ""..'i' newponbeachca.gov/inspections
II III I I I II I II I III II I II I I II COMB Permit : XR2022-1 862
Plan Check No : PC2022-1718
I—C� 7, Combination Type
i l Work Class : Alteration
Issued Date:
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
: 5227 RESIDENCIA
Legal Desc: N TR.15584 BLK LOT 7.
Description:
MFR R/R GYP BOARD IN BATHROOM WALLS AND CEILINGS
Owner:
NEWPORT BLUFFS LLC
Contractor: NATIONAL RENOVATION INC -
Architect
Address :
NEWPORT BEACH, CA 92658
Address :. PO BOX 78810 CORONA, CA`92877
Address
Phone :
Phone.: (909) 606-0370
Phone:
Con State Cie : 956793 -
State Lie
Applicant: JAYTRUAX
Address :
Phone: (949)285-5594
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
Processed By:
Zoning Approval:
Grading Approval:
SPECIAL CONDITIONS:
2019
V-B
R-2
X
PC - Bonita Canyon
5 CCU
Lie Expire : 01/31/2023
Bus Lie: BT30OB2023
Bus Lie Expire : 01/31/2023
Workers' Compensation Insurance
Carrier: INSURANCE COMPANY OF THE WEST
Policy No: WVE506190300
W. C. Expire: 9/1/2022
Fire Sprinklers: NO
Fire Hazard Zone`. -Y
No of Units: 1
No of Stories
Public Works Approval:
Plan Check By:
Approval To Issue:
Engineer:
-. Address:
Phone:
Designer:
:..Address
Phone:
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RANIERI RANDY >G > o
5868 MESQUITE SPRINGS RD `
TWENTYNINE PALMS, C4Qa? 7
(714)296-5502
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mCG•r@a 404
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Construction Valuation
Added/New sq. ft. Bldg :
Added/New sq. ft. Garage
D75[<
$16,200.00
OWNER -BUILDER DECLARATION
I herebyal i under penalty of perjury that I am exempt from the Contractors 'Skate License Law forthe reason(s) Indicaked below by the checkmark(s) I have planed next to the applicable items)
ction 7031.5, Business and Professions Code' Any City or county that requires a permitto construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for
permit to file ar signed statement that he or she is licensed pursuant to the provisions of the ClontrscIQW State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
-fessions Code) or that he or she is exemptfrom licensure and the basis for the alleged exemption. Anyvlolation of Section 7034.5.by any applicant for a permitsubjects the applicant to a civil penalty of
more than five hundred dollars ($500).-
I,.as owner of the property,or my employees with wages as their sole compensation, will do (_) all of or fU portions of the work, and the structure IS not intended or offered for sale (Section 7044,
wiess 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
Movements arenot intended or offered' forsale. 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 built. or
Moved for the purpose of sale). - -'
I, as owner of the property, am exclusively contracting' with licensed Contractors to construct (lie project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
fly toanowner of property who builds or improves thereon, and who Contracts for theprojocts with a licensed Contractor pursuant to tha Contractors'State, License Law),
I am exempt from licensure under the Contractors' -State License Law for the following reasom
my signature. below I acknowledge that,'ezceptfor my personal residence in. which I must have resided fora[ least 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 theta copy of the applicable law, Section 7044 of The Businessand
)fessions Code, Is available upon request when this applications submitted or at the following Web sits:httpJlw%w.leginfo.ca.gov/caliiw.btrnl.
nature of PrOoa'rt'v`hiwnrr or Authorized -Anent Date
In 06V "malty of perjury that am licensed under provisions of Chapter 9 (commencing with Section 7000).o, Dfvisicn'3 of the Business
License Class License No Date 'Z � Contractor S
I'COMPENSATION DECLARATION
NING: FAILURE TO SELYIRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND. SHALL SUadECT AN EMPLOYER TO CRIMINAL. PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS FtIM00M, IN ADDITION TO THE
T Ok FOMPENL'M004kMAGES AS PROVIDEb FOR IN SECTION 3706 DF THC LA13OR CODE, INTEREST, AND ATTORNEYS FEES.
re;ty, affirm urider penalty or perjury one of the following, declarations:
I have and Vll. maintain a certificate of consent toself-insure for workers' compensation, issued by the Director of Indusirfal-Relations as provided for by Section 3700 of the labor Code, for th
Dance of the,work for which this permit Is issued. Policy No.
and will' ingihjain 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' compensa#for
Tanoe carrier eAd policy number are:
•..
ner. • • • Policy Number Expiration Date
ie'of Agent. •• • Phone
certify that, in the performance of the work for which ed; I shall not employ any person in any -manner so asto become subject to the workers' compensation laws of California, and agre
If I should become subject to the wo - ;fG on 700 of the Labor Cade; I shall forthwith comply with those provisions.
T �� /
tature of Applicant y` t _ _ � Date
I hereby affirm under pelf al4.ojury thatthers is a construction lending agency for the performance of the work for which this permit Is, issued (Section 3097, Civil Code)
Lenders Name Lenders Address.
By my signature below, 1 certify to each of the following:
I am the property owner or authorized to act on the: property owners behalf.
I have read thisapplication and the information I have; provided is correct
I agree to comply with all applicable City and county ordinances and stale laws: relating to building construction,
I authorize representatives of this city or county to enter th - otion purposes.
Signature of Property owner or Authorized A - Print Property 1e✓Ac Date
Owner's or Authorized Agent's Name k
ACTION DATE Y DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40ANO AONTb. RULE
1403
PERMIT EXPIRED 0 t SUBMITTED ASBESTOS NOTI FICATTON TO
PERMITCAA'CELLEO MEPA All required a,la rms, latches gates and fence5l . which serve as part'of a pool/spa barrier, Shall
PERMIT EXTENDED Qmo be In plebe priorto approval to flli poollspa &'shall remain in place & be maintained for the
PERMIT FINAL 7 ( 2rg, BEST'O5 NOTIFICATION 15-NOT APPUCAIRLE TO life of the pool..
CERTIFICATE OF MIGNATURE:
ftOPOSEDEM UTO -
OCCUPANCY
ISSUED 'i--