HomeMy WebLinkAboutXR2023-0720 - Permits�"£` PoRT City of Newport Beach
O Community Development Department - Building Division
F 100 Civic Center Drive, Newport Beach, CA 92660
S Permit Counter Phone: (949) 644-3288
r Inspection Requests Phone: (949) 644-3255
cq<iFoaN`P newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Alteration
�1111 11111111111111111111111111111111111111111111111111 11111COMB Permit : XR2023-0720
Plan Check No : PC2023-0596
Issued Date : 03/17/2023
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 : 355 BAYWOOD DR, 355 Legal Desc : P BK.189 PG 6 PAR 1
Description: MFR - R/R GYP. BOARD IN WALLS AND CEILING; INSULATION AS REQUIRED. 864 SF
Owner: IRVINE COMPANY
Address : 550 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone:
Applicant: JAY TRUAX
Address: 206.5 ABALONE AVE
NEWPORT BEACH, CA
Phone: (949)285-5594
Owner/Builder :
Address :
Phone
Contractor: NATIONAL RENOVATION INC
Address : PO BOX 78810
CORONA, CA 92877
Phone :
(951) 275-1710
Con State Lie
: 956793
Lie Expire:
01/31/2025
Bus Lie :
BT30062023
Bus Lie Expire : 01/31/2024
Workers' Compensation Insurance
Carrier: INSURANCE CO OF THE WEST
Policy No: WVE506190300
W. C. Expire : 9/1/2023
Architect :
RANIERI RANDY
Address :
5868 MESQUITE SPRINGS RD
TWENTYNINE PALMS, CA 92277
Phone:
(714)296-5502
State Lie
Engineer
Address
Phone
Designer+�-
Address:
Phone :
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
$18,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg:
0
Occupancy Groups :
R-2
No of Units :
8
Alteration sq. ft. Bldg :
864
Bldg Height :
No of Stories :
2
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks
Flood Zone :
X
Use Zone:
PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the res son(s) indicated below by the checkmark(s) I have placed next to the applicableitem(s)
Ilion 7031-5, Business slid Professions Code: Any city or county that requires a permit to construct, altar, improve, demolish, or repair any structure, poor to its Issuance, also requires the applicant for
permit to No a signod statement that he or she is licensed pursuant to the previsions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions Code) of 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
dness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' nr personal effort, builds or improves the property, provided that the
rovements are not intended or offered for sale. IL 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
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' Slate License Law does not
dy to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
J I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy my signature helow 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 pc
all a structure that I have built as an owner -builder if ithas not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the
4'ofessions Code, is available upon request when this application is submitted orat the following Web site:htip://v ,leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENS£D CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 3 (commencing with Section 0 of Division 3 of the Business an sloes e; aad. rtrY license is In full force
nd effect. License Class License No Date contractor Sigd I
VORKERS' COMPENSATION DECLARATION ``g 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIA FINES UP TO 011E H 0 Eo HOUSANO DOLLARS t$100A00), M ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED Fort IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY"a PEES,
hereby affirm under penatty of perjury one of the following declarations:
»r
I 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
'ormance of the work for which this permit is Issued. Policy No.
ve 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' compensa
Rance carrier and policy number are:
Policy Number Expiration Date
of Agent Phone #
11 certify that, in the performance 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 workers' compensation laws of California, and agree
tat, It I should become subje to Yh :_bns coon 3700 of the Labor Code, I shall forthwith Comply with those provisions. /
ignalure of Applican4 _ _ DatXivi
l 7
'ECLARATION - ION LENDING AGENCY
hereby affirm under of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,ode).
ender's Name/ Lender's Address
y 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 read this application andthe information I have provided is correct.
I agree to comply with all applicable city and coun rdmances and state laws relating to building construction.
I authorize representatives of this city or counly to ter t Hh„o INe„nfrd props fn r' .purposes. �/
iwt iatuie of PrODartv Owner or Authorized AgenPrint Property Owner's or Authorized Aaent's Name 1 Jt IV49', ate
ACTION DATE B�CLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
�I REGULATIONS PART bi OF TITLE 40 AND AQMD RULE
g58E-,1`05 NOT,FICATION TO
PERMITC4NCELLED
PERMIT EXTENDED
15 NOT APPLICABLE TO
CERTIFICATE OF
OCCUPANCY15SUED