HomeMy WebLinkAboutXR2024-0001 - PermitsD��EWP°�e City NeeloportBpatment_BulldingDlvision jji111111111111111111111111111111111111111111111111111 COMB Permit:XR2®24�-0001
y� Permit Counter Phone: (949) 718-1888 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0001
''' � M Z Issued Date : 01/0212824
newportbeachca.gov/civic Final Date:
c'c,rn", Combination Type - MFP Permit Status: Issued
I t' A ' 4
Work Class - Alteration � " � � „m., e—% nspec ion rea .
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 : 3021 RIVOLI Legal Desc : N TR 15584 BLK LOT 6
Description: MFR R/R 5/8" TYPE X GYP BOARD AND INSULATION AT LIVING ROOM WALLS. 160 SF
Owner: NEWPORT BLUFFS LLC
Contractor: NATIONAL RENOVATION INC
Architect : RANIERI RANDY
Address : PO BOX 2450
Address : PO BOX 78810
Address : 5868 MESQUITE SPRINGS RD
NEWPORT BEACH, CA 92658
CORONA, CA 92877
TWENTYNINE PALMS, CA 92277
Phone : (714) 720-2521
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 : $10,000.00
Type of Construction : V-8
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0 •;
Occupancy Groups : R-2
No of Units : 12
Alteration sq. ft. Bldg : 160- -
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: IRWD
,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat t am exempt from the Contractors' Slate License Law for the reasons) indicated below by the chackmark(s) I have placed next to the applicable ferrite)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or rapeir any structure, prior to its issuance, also requires the applicant for
ie permit to file a signed 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 Bus)noss and
'rofessions Code) or that he or she is exempt from licensure and the basis for the al)eged exemption. Any violation or Section 7031.5 by any applicant fora permit subjects the applicant tb a civil penalty of
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or t_) portions of the work, and the structure Is notintended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does no[ apply to an owner of property who, through employees' or personal effort, bWtds orfmproves theproperty, provided that the
mprovements are notintended or offered for sale. If, however, the building or improvement is sold within one year of completion. the Owner-Sulidar will have the burden of proving that it was not built or
nproved 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' Stale License Law does not
pply to an owner of property who bullds or Improves, thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from Ilcensureunder the Contractors' State License Law for the following reason:
iy my signature below I acknowledge that, except for my personal residence In which I must have resided far at least one year prior to completion of the Improvements covered by this permit, I cannot iagall)
all a structure that I havo built as an owner-bulldor if It has not been constructed in Its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 oftho Business and
!rofessions Code, is available upon request when this application is submitted or at the following Web aitaatttp:!/www.ieginFo.Da.gov/calaw.html.
Jgnature of Property Owner or Authorized Agent _._ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)•of Division 3 of the Business and Professions Code and To license is In full force
no effect. License Class License. No Date - - Z Contractor S"
YORICERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UPTO ONE HUNDRED THOUSAND DOLLARS (%tOQD00), IN AODRION TO THE
OST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEE$.
hereby affirm under penalty of perjury one of the following declarations:
3 1 have and will maintain a certificate of consent to selWnsure for workers' compensation, Issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, forth
orlcrgtance of the work for which this permit is issued. Policy No.
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`
carrier and policy number are:
Policy Number
of Agent
Dale
certify that, in the performance or 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
If I should become subject to theme^Yorker`r-enmpeTxsalinn-preuLSjo'ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date——G -Z (1/
IEOlARATION REGARDR,45 CONSTRUCTION LENDING AGENCY
hereby affirm uncle-,nrnalty 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).
tinder's Name _ Lender's Address
ra b my si5naluelow, I certify to each of the following:
I am :he property J.voer or authorized to act on the property owner's behalf,
I ha ie read this application and the information I have provided is correct.
I eg-ee to comply with all applicable city and county ordinances and state laws relating to building construction.
I aulhorize re?Iesentitives of this city or cou.D� i�-derH7iJed_�ropenly for inspection purposes. �L�%GY�
+nnatnre of ProDartY Owner or Authorized AcZZ Z" � _ Prinl Prnnertv owner's nr Authnrl2en Anwrnf'�e Nao,<
AC7O:1
PPRMIT EJPIRED
PFPmp'C^NCELLED
PEE9.VT.CaTENDED_
CERT1HCA7'E OF
OCCUPANCriSSUE0
BY DECLARATION OF COMPLIANCE WITtt CODE OF FEDERAL FOR OFFICE USE
REG'ULATION6 PART 61 OF TITLE 40 AND AQNID RULE
SUBMITTED ASBESTOS NOTIFICATION TO
NOTIFICATION IS NOTAPPLICABLE TO
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