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Home My WebLink AboutXR2023-2471 - Permits,:"WPC" City of Newport Beach 11111111111111111111111111111111111111111111li� 1111111 jjCOMB Permit : XR2O23-2471 D4 Y @ Community Development Department - Building Division X R 2 0 2 3 2 4 7 1 1y" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2169 ? = Permit Counter Phone: (949) 718-1888 Issued Date : 09/07/2023 a.. newportbeachca.gov/civic Final Date: "<,FoaN'r 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 : 3000 RIVOLI Legal Desc : N TR 15584 BLK LOT 6 Description: MFR REMOVE/REPLACE 5/8" TYPE X GYP BRD IN WALLS AND CEILING, INSULATION AS REQUIRED 288 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 Lid Lic Expire : 01131/2025 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 : $5,200.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 10 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : ° 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone: PC - Bonita Canyon , PROCESSED BY: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that i 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 item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, all 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 L) allof or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Cede:. The Contractors' SAID License Law does not apply to an owner of property who, through employee-s' or personal effort, builds or improves the property, provided [hat the 'unprovernents are not intended or offered for sale. If, however, the building or improvement is sold within one yearof completion, the Owner -Builder will have tine 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 fire 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). ❑ I am exempt from licensure under the Contractors' Slate License Law for the fallowing 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 legal]) self 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 Cade, is available upon request when this application is submitted or at the following Web she:http:flwww.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent -_, _ Date LICENSED CONTRACTOR'S DECLARATION �,� I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of ivia on 3 of the Business and Professi` my,ticense Is In full force and effect License Class License No Data Contractor Signature T�� (. .I _/ WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ARE SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS f5100,000), IN ADDITION TO THE COST OF COMPENSATION, D0Uh4AGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the fallowing 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 onnance of the work for which this permit is issued. Policy No. have 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' compense hnce carrier and policy number are: Policy 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 te w kers subje� lq compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant _ r' _ ` -✓/ Date xreby 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, Civil Code). iders Name _ Lender's Address my signature below, I certify to each of the following: I am the property owner or auTD, i<ed to acton the property owner's behalf. I have read this application and the information I have provided is correct. I agree to campy wil, i al applicable aty and county ordinances and slate laws relating to building construction. I authorize representatives of :his city or county to enAr/jib jagove-identified property for Inspection purposes. PFRMI7'EXPIREO PERMIT CANCEI.CEU BY ? DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONSPART61 OFTITLE40ANDAQMD RULE 1403 ''.I SUBMITTED ASBESTOS NOTIFICATION TO PERMfT FINAL 'AyaEST�O CERTIFICATE OF _) j PROPOSEoC OCCUPANCY ISSUED �/23 ',i. SIGNATURE: NOTIFICATION is NOT APPLICABLE TO