HomeMy WebLinkAboutXR2022-2371 - Permits�jEWPORT City of Newport Beach II III I I I II I II I III III III I II
Community Development Department- Building Division COMB Permit : XR2U22-2371
> y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2224
i Permit Counter Phone: (949) 644-3286
)° Issued Date
o� Inspection Requests Phone: (949) 644-3255
cgt�coar'�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: 5227 RESIDENCIA Legal Desc : N TR 15584 BLK LOT 7
Description: MFR R/R 5/8" TYPE GYP BOARD IN BATH SOFFIT CEILING. 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: : (951)2751710
Phone: (714)296-5502
Con State Lie : 956793
State Lie
Applicant: JAY TRUAX
Lie Expire : 01/31/2023
Address: 206.5 ABALONE AVE NEWPORT BEACH, CA
:c Bus Lie: BT30062023
Engineer:
Phone : (949) 285-5594
Bus Lie Expire : 01/31/2023
Address
Workers' Compensation Insurance
Phone:
Owner/Builder :
" Carrier: INSURANCE COMPANY OF THE WEST
Address :
Policy No: WVE506190300
Designer
Phone:
W. C.'Expire: 9/1/2022
Address
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $1,700.00
Type of Construction : V-B
Fire Hazard Zone : No
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : R-2
No of Units : 57
Alteration sq. ft. Bldg : 48
Bldg Height :
No of Stories : `3
Added/New sq. ft. Garage: 0
Building Setbacks :
Flood Zone: - X Use
Zone Zone : PC - Bonita Canyon
PROCESSED BY: -
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law forthe reason(s) indicated below by the chackmark(s) I have placed next to the applicable: items)
:clion 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 licensed pursuant to the: provisions of the Contractors` State License Law (Chapter 9 (commencing with Section 7000).of Division 3 of the Business and
fessionx Code) or that heorshe is exempt from iicensum 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 ($500).
I, as owner of the property, or my employees with wages as: their sole compensation, will do (_) all of or U portions of the work, and the structure Is not intended or offered for sate (Section 7044,
>iness 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
Irovements arc 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 o€proving that: it was not builtor
rrovedfor 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
rly to an ownerof property who builds or improves: thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors'. State License Law for the following reason:
my signature below i acknowledge that, exceptfor my persona( residence in, which I must have residedfor at least one year prior to completion of the improvements covered by this permit,.) cannot legs
a structure that I have built as an owror-buitdor if it has not been constructed in its entirety by licensed contractors, l understand that a copy. of the applicable law, Section 7044 of the Business: and
'affirm under penalty of perjury: that I am licensed under provisions of Ciapter.9. (commencing with Section
. License Class- License No Dote
DECLARATION
!by affirm. under penalty of perjury: one of the following declarations
3 of the Business and Profs 'io Code, and my license is in full force
t Contractor Signaturg
AL PENALTIES AND CIVIL FINES UP TO, ONE HUNDRED THOUSMD DOLLARS tS100,000), IN ADDITION TO THE
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
,mane of the work for which this permit is issued. Po(fpy No.
r
aye and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for they performance of the work for which this permit is. issued. My workers' compensal
Ince carrier and policy number ores _
Agent
In the
of Applicant
Policy Number
Date
x which this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date9-r-zz
erg.. tNr. aaFr,trr
Ireby.affirm under psnatty of perjuryinatmere is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code):.
ides s Name... Londer's Address
my signature below, t certify to each of the following:
I am the property owner or authorized to act on the: property owner's behalf.
I have read this application and the information'I have provided Is correct.
I agree to comply with all applicable city and county ordinancesandstate laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for Inspection purposes.
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