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Home My WebLink AboutXR2023-2136 - PermitsCity of Newport Beach ��EWPORT @ Community Development Department- Building Division , 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic C9<I FOR��P Combination Type - MFP Work Class - Alteration 11111111111111111111111111111�uIll111111111111111111 jj COMB Permit : XR2O23-2136 Plan Check No : PC2023-1866 Issued Date : 08/03/2023 Final Date: Permit Status: Issued 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 : 100 VILAGGIO, CLUBHOUSE Legal Desc : N TR 15584 BLK LOT 4 Description: MFR- R/R 5/8" TYPE X GYP BOARD IN BEDROOM CEILING. INSULATION AS REQ'D 48 sf Owner: NEWPORT BLUFFS LLC Contractor: NATIONAL RENOVATION INC Architect : RANIERI RANDY Address : PO BOX 2450 Address : PO BOX 78810 Address : 5868 MESQUITE SPRINGS RD NEWPORT BEACH, CA 92658 CORONA, CA 92877 TWENTYNINE PALMS, CA 92277 Phone : Phone : (951) 275-1710 Phone: (714) 296-5502 Con State Lic : 956793 State Lic Lic Expire : 01/31/2025 Applicant : JAY TRUAX Bus Lic: BT30062023 Engineer Address : 206.5 ABALONE AVE Bus Lic Expire : 01/31/2024 Address NEWPORT BEACH, CA 92662 Phone: (949) 285-5594 Workers' Compensation Insurance Phone: Carrier: INSURANCE CO OF THE WEST Owner/Builder : Policy No : WVE506190300 Designer Address : W. C. Expire : 9/1/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $2,200.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 1 Alteration sq. ft. Bldg : 48 Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone: X Use Zone: PC - Bonita Canyon 6:S PROCESSED BY: SPECIAL CONDITIONS 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 applicableitem(s) (Section 7031.5. Business and Professions Code: Any city or county that requires a peril 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 0 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from ibensure 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 penally of not more than five hundred dollars ($500). El I, as owner of the property, or my employees with wages as their sole compensation, will do U all or or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeas' or personal effort, builds or improves the property, provided that the improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year or completion, the Owner -Builder will have the burden of proving that it was not built or Improved for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7344, Business and Professions Code: The Contractors' State License 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 hoansure under the t the y my signature below I acknowledge that, except my personal residence in which II Bmust have resided for at feast one year prior to completion of the Improvements covered by this permit I cannot legally (sell a structure that I have built as an owner-bollder if It 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 Professions Code, is available upon request when this application is submitted or at the following Web site:httpaM�.leginfo.ca.gov/calaw.htmi. 1. Signature of Property Owner or Authorized Agent._ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions or Chapter 9 (commencing with Section 7 pQ), ivision 3 of the Business and Profess o ,anr Iy I'i se is in full farce and effect. License Class License No Date 1 Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGES UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS n1100,0DC), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 tN performance of the work for which this permit is Issued. Policy No. sue 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' compensation insuranoe carrier and policy number are: Policy Number Expiratic of Agent Phone If Date certify that, in the performance of the work for which this pent is Issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, if I should become subject to t a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant __ — CLARATION REGARDING C ON CENDING AGENCY are'by affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),. lders Name Lender's Address 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 reed this application and the information I have provided is correct. I agree io c.,l.lply with all applicable city and county ordinances and state Pawrelofng [o building construction.I authori-e reifi ds. aresentafives of this city or county to enter the above-identp r it pectlon purposes. ^t ,iaf ,re of 0,,,rty nwnar or Aufhnri>erl Anpnt \1." I : 11 %Print Pmnarty Owner's nr Aidhnri>ad AnenYs Nama �/, �/ i 1/l� l �1h1 %!'r"1 4, rlYaYsi,l l' E ACl'ION DATE BY '. DECLARATION OF COMPLfM CMITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PARTbt OFTtTLE 40 AND AQNID RULE 1403 PERMiTEXP,7FD LJ I SURMITTED ASRESTOS NOTIFICATION TO r0MIT CANCELL ED 0EPA FF7MIT EXTE NOt!' Ffi rFINAL $9 QMD //JYK � 7y5BESTDS NOT] FICATION 15 NOT APPLICABLE 10 C"'IFfCATE OF PROPOSED DEMOLITION OCCIIPANCYiSSUFJ j SIGNATURE: