HomeMy WebLinkAboutXR2022-2500 - Permits��6`wPORT City of Newport Beach
p ep Community Development Department- Building Division
> y 100 Civic Center Drive, Newport Beach, CA 92660
? Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
c94coaN�P newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Alteration
III III II II II COMB Permit : XR2O2? 25UU
Plan Check No: PC2022 23§5 z g¢y uw
Issued Date : 09/20/2022
Inspection Area : H
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: 9124 RESIDENCIA Legal Desc :
Description: MFR REMOVE & REPLACE 5/8" TYPE X GYP BRD IN WALLS AND 'CEILING; INSULATION AS NEEDED 128 SF
Owner: IRVINE COMPANY
Contractor: NATIONAL RENOVATION INC
Architect : RANIERI RANDY
Address :
Address `. 1460N Daly,ST
Address : 5868 MESQUITE SPRINGS RD
NEWPORT BEACH, CA 92658
Anaheim, CA 92806
TWENTYNINE PALMS, CA 92277
Phone :
-Phone: (951)275-1710
Phone : (714) 296-5502
Con State Lie : 956793
State Lie
'- Lie Expire : 01/31/2023
Applicant: JAY TRUAX
Bus Lic t. BT30062023 -
Engineer:
Address: 206.5 ABALONE AVE
Bus Lie Expire : 01/31/2023
Address
NEWPORT BEACH, CA
Phone: (949) 285-5594
Workers' Compensation Insurance
Phone:
Carrier: INSURANCE COMPANY OF THE WEST
Owner/Builder:
;.- Policy No: WVE506190300
Designer:
Address :
W. C. Expire: 9/1/2022
Address
Phone:
-
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $5,000.00
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 :
Bldg Height :
No of Stories : ' 3 -
_
Added/New sq. ft. Garage: 0
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
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SPECIAL CONDITIONS:
,moo
o
oa
oao a
checkmark(s) I have placed next to the
[he applicant for
the Business and
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 {_).portions of the work, and the structure is not intended oroffered for sale (Section 7044,
ness 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 theproperty,: provided that the
ovementa ale 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 builtor
oved for the purpose of sole).
I, as owner of the property,am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Profassions Gods: The. Contractors' State License: Lawdoes not
y 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).,
I am exempt from licensure-under the Contractors' State License :Law for the following reason:_ _
ny signature below f 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 leg
a structure that I have built as an ownorbuilder 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
assions Code, is available upon request when this application is submitted or at the following Web site:http:/iwxw.leginfo.ca.govlcalaw.htmi,
JUGFMCIU i.UII I M/k4I Una UC44JA l lull _
hereby affirm under penalty of perjury than am licensed Under provisions of Chapter 9 (commencing with Section 0 of DNisiorr3-of the Business and P salons Code and m license is in full force
no effect License Class License No Da �2 u :Contractor Signatu
VORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE. WORKERS' COMPENSATION COVERAGE Is UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO ONE NUNDRE (THOUSANDOOLLARS (Si00,000)., IN ADMIGH TO TILE
DST OF COMPENSATION, DAMAGES AS MINDED FOR IN SECTION 3700 OF THE LABOR CODE; INTEREST, AND ATTORNEY`.S FEES.
hereby affirm under penaltyof perjury one of the following declarations:
I 1 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 in
9fformance of the work for which this permit is issued. Policy No,
ave and will maintain workers Compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the workfor which this permit Is issued. My workers' oompensatioi
Isurance carder and policy number are;,
is of Agent.
certify that.
, if I should
ry that there
Name
I am the property owner or authoft,
I have readthis application and the
i agree to comply with all applicable
I allthoriZe representatives of this.c.
ACTION I DATE
PERMIT FINAL
CERVFICATE or
OCCUPANCYISSUED
Policy Number
lion Date
this permit is issued.. I shall not employ any person in any manner so as to become subject to the works ' c pensatinn laws of California,
ation provisions of Section 3700 of the Labor Code, I :shall forthwith comply with those provisions. 6{
Dat ('2n-2 G
NG AGENCY
nstruction lending agency: for the performance of the work forwhich this permit is. issued (Section 3097,. Civil Code)..
correct
Id state laws relating to building oonstntctioi
danti�perty for inspection purposes.
�_--.Print: Property Own,
,F COMPLIANCE WITH CODE OF FEDERAL I FC
ART 61 OF TITLE 40 AND AONID RULE.
i ASBESTOS NOTIFICATION TO
a
0TIrTrATIONtS NOT APPLICABLE TO i
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