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Home My WebLink AboutXR2024-0742 - Permits�EWPpRT City of Newport Beach 111111111111111111111111111111111111111111111111111111 1111 COMB Permit:XR2024-0742 I @- Community Development Department- Building Division X R 2 0 2 4 0 7 4 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0599 IX Permit Counter Phone: (949) 718-1888 Issued Date : 0312712024 - newportbeachca.gov/civic Final Date: �P Combination Type - MFP Permit Status: Issued Work Class - Alteration 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 : 1034 CAMPANILE Legal Desc : N TR 15584 BLK LOT 5 Description: MFR R/R GYP BOARD AND INSULATION 15 SF Owner: NEWPORT BLUFFS LLC Contractor: REGAL COMMERCIAL SERVICES Address: PO BOX 2450 Address : 1220 W ALVAREZ AVE NEWPORT BEACH, CA 92658 ORANGE, CA 92868 Phone: (714)720-2521 Phone: (714)225-5193 Applicant: JAY TRUAX Address: 206.5 ABALONE AVE NEWPORT BEACH, CA 92662 Phone: (949)285-5594 Owner/Builder : Address : Phone : Con State Lic : 930316 Lic Expire : 03/31/2025 Bus Lic: BT30071719 Bus Lic Expire : 02/28/2025 Architect : RANIERI RANDY Address: 5868 MESQUITE SPRINGS RD TWENTYNINE PALMS, CA 92?71 Phone: (714)296-5502 State Lic : CO24225 Engineer: Address : Workers' Compensation Insurance Phone Carrier: CLEAR SPRING PROPERTY AND CASUALTY CO Policy No: CSWC00223803 Designer: W. C. Expire : 4/1/2024 Address : Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups: R-2 No of Units : Bldg Height: No of Stories Building Setbacks : Flood Zone: X Use Zone: PC - Bonita Canyon PROCESSED BY: SPECIAL CONDITIONS: Phone : NO Construction Valuation : $1,226.00 NO Added/New/TI sq. ft. Bldg : 0 27 Alteration sq. ft. Bldg : 15 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) ;Section 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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do i_) all of or U 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 employees' 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 of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, 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 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 licensure under the Contractors' Stale License Law for the following reason: By 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 legail, sell a structure that I have built as an owner -builder 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:http:l/www.leginto,ca.gov/calaw.htmi. 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 of Chapter 9 (commencing with Section 00/of Division 333oof the Business and Pro fe Ionsp6 my license is in full force and effect. License Ctngg License No Date \ Contractor Signature-1� WORKERS' COMPFMSATION DECLARATION I� NARNIN4::.J-URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. IN ADDITION TO THE COST OF COMPENSATIuN, ]AM! GES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I herso;, 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 th e 3rmanc3 of the'worl, fc. which this permit is issued. Policy No. Nava and will mair'ain 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' compensatiol surance carrier ann policy number are: Carrier Policy Number Expiration Date Name of Agent _ Phone # 0; ;crify. that, in tl,e pe .pTrance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the work ' compensation laws Of California, and agre Labor Code, I forthwith with those that. ;r I Fhould bt, Jj :n- subject to workers' compensation provisions of Section 3700 of the shall comply provisions. -'� � Signature of Applicant D'YCMI DECLARATION REG DIN STRUCTION LENDING AGENCY I hereby 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,ode). Lenders Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and c my rdinances and state laws relating to building construction. I authorize representatives of this city or county Titer e-identifed property for inspection purposes. A 3 -Z7 Z Si nature of Property Owner or Authorized Agent Print Pro a Owner's or Authorized Agent's Name -e ! v- Date ACTION DATE BY / RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED OM D PERMIT FINAL BE�TOS OTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF OCCUPANCY ISSUED �r '} PROPOSEO�DI MO�IBIh , SIGNATURE`/ ��;'��