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XR2023-2469 - Permits
2FWvoR461� City of Newport Beach COMB Permit:XR2023-2469 Community Development Department - Building Division X R 2 0 2 3 2 4 6 9 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2168 Permit Counter Phone: (949) 718-1888 Issued Date : 09107/2023newportbeachca.gov/civic Final Date: < row Combination Type - MFP YP 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 : 7416 RESIDENCIA Legal Desc : N TR 15584 BLK LOT 8 Description: MFR REMOVE/REPLACE 5/8" TYPE X GYP BIRD IN LAUNDRY ROOM WALLS, INSULATION AS REQUIRED 80 SF Owner: IRVINE COMPANY LLC Contractor: NATIONAL RENOVATION INC Architect : RANIERI RANDY Address: 111 INNOVATION DR Address : PO BOX 78810 Address! 5868 MESQUITE SPRINGS RD IRVINE, CA 92617 CORONA, CA 92877 TWENTYNINE PALMS, CA 92277 Phone : (949) 720-3100 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 COMPANY OF THE WEST Owner/Builder : Policy No: WVE506190301 Designer Address : W. C. Expire: 9/1/2024 Address Phone: Phone: Code Edition: 2022 Fire Sprinklers : NO Construction Valuation : $2,400.00 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 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X ' Use Zone : PC - Bonita Canyon j3*5 PROCESSED BY: SPECIAL CONDITIONS: r I hereby affirm under penally of perjury that t am exempt from the Contractors' State License Law for the reason(s) 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 licensura 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). '0 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of of ( ) 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 properly 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 ticensure under the Contractors' State 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 legall, sell a structure that I have built as an owner-buildor if It has not been constructed in its entirely 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://ww .leginfo.ca.gov/calaw.titmt, Signature of Property Owner or Authorized Agent_______ Data LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of p ivision 3 of the Business and Professior�s� y license is In full force d n� and effect. License Class License No Date Contractor Signature `/ WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ail D0.0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3701 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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. and will maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. MY workers' carrier and policy number are: Pclicy Number of Agent Date 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 agre if I should become subject o kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. s )aline of Applicant ... ._...._ _______.W._... _._.__. __......__..__._.___ ._._.._...._... v Date._ , nn nr ��, vCYArinl \I \3 liltArlAf�CAI/�V �V' areby affirm under penalty of perjury that there is a construction lending agency for the performance of fine work for which this permit is issued (Section 3097, Civil Code) rder's Name Lender s Address my signature below, I certify to each of the following; I am the property owner or authortzgd to acton the property owner's behalf. I have read this application al x. Cu, information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws a'olating to building construction. I authorize repre.;entdlives of this cih, or county to �ef e��>pove-identified property for inspection purposes. (� / I nature of Prnnartv Owner or Authorup.d Anent 7 Yf�"5�' - Print Prooertv Owner's or Atdhorized Aaent's Name `r i v; . On O ((- 7)C1 \%� Date ACTION ( DATE BY DECRAION OF RATIOS PART 61 COMPLIANCE TITLE 40 H ODE OF FEDERAL I FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCE2.LED NOTIFIC"AI ION IS NOT APPLICABLE TO C€RTI€ICAT€ Of OCCUPANCY ISSUED