The URL can be used to link to this page

Home My WebLink AboutXR2022-2501 - Permits�eWPoRT City of Newport Beach II III I I I II I II I III III III I II 04 @ Community Development Department- Building Division COMB Permit:XRZO22-2501 r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 022 2 3 6 z Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Issued Date: e9/20/2022� ` cc �,.t�, ogLcoa"�� newportbeachca.gov/inspections Inspection Area : yt @ 1y Combination Type - MFP I �•d Work Class - Alteration 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: 1001 CAMPANILE Legal .Desc : Description: MFR REMOVER REPLACE 5/8" TYPE X GYP BIRD IN WALLS AND CEILING, INSULATION AS NEEDED 48 SF Owner: IRVINE COMPANY ]. Contractor: NATIONAL RENOVATION INC ; Architect : RANIERI RANDY Address : -' Address c 1460N DalyjST 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 Lic : 956793 State Lic -: Lic Expire: 01/31/2023 Applicant: JAY TRUAX Bus Lic: BT30062023 Engineer Address : 206.5 ABALONE AVE Bus Lic Expire : 0113112023 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 : $2,149.00 Type of Construction : V-B Fire Hazard Zone i' NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 '.. No of Units : . 2 = Alteration sq. ft. Bldg : Bldg Height: No of Stories : ` 3 Added/New sq. ft. Garage: 0 Building Setbacks Flood Zone Use Zone: PROCESSED BY: SPECIAL CONDITIONS: ° o I hereby: affirm under penalty of penury. that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) ( have placed next to the.: applicable item(s) ction 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 lts issuance, also requires the applicant fo permit to file a signed statement that he or she is licensed pursuamto the provisions of the Contractors' State License Law (Chapter $ (commencing with Section 7000) of Division 3 of the Business a ressions Code) or that he of she is exempt from Licensors and the basis for the alleged exemption- Any violation of Section 7031.5 by any applioantfora permit subjects the applicantto acivil penalty more than five hundred dollars ($500). 1, as owner of the property,or my employees with wages as their sole compensation, will do:L) all of or U portions of the work, and the structure is not intended or offered :for sale (Section 7044, iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees'' or personal. effort, DOWN or improves the. property, provided that the rovements 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 31, as owner of the property, .a,exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The. Contractors' State License Law does not. poly 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 I am exempt from ftcensure under the Contractors' State License Law for the following reason: _ ,y my signature below I acknowledge that, except for my personal residence in which I must sided for at have releast one year prior to completion of the improvements covered by this: permit, I cannot legs ell a structure that I have built as an owner builder if It has not been constructed in its entirety by licensed contractors. ) understand that copy of the applicable low, Section 7044 of the Business and 'rofessions-Code, is available upon request when this application is: submitted or at the following Web site:http:Awww.teginfo.G"ovlcalaw.html. i agnature 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 7 of Division 3-of bie Business and Prof s 5d se is in full force: nd effect License Class License No Date -L Contractor.Signatur PORKERS' COMPENSATION DECLARATION EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND. SPALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES OP TO ONE HUNORI THOUSAND DOLLARS (St00,004, IN ADDITION TO TI DST OF COMPENSATION, DAMAGES AS PROVIOEO FOR IN SECTION Blob Of THE LABOR CODE, INTEREST, AND ATTORNE'r'S FEEe, hereby affirm under penalty of perjury One of the following declarations: I 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 9eformance of the work for wh ch 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' compensati Isl a carrier and policy number. are: :artier Policy Number Expiration Date of certify. that, In , if I should be Ider's Name. my. signature Below, 10 1 am the property owns I have read: this applic I agree to comply with I authorize representa'l. ACTION CERtINCAi'EOF OCCUPANCY ISSUED for which this permit is<issued. I shall not employ any person in any manner sous to become subject to the workers' compensation laws of Califomia. and egret ' ion provisions of Section 3700 of the Labor Code, Ishall forthwith comply With those provisions p a— Da "L '2 0 Z Z OX'CMTDING AGENCY are is a construction lending agency for the performance of the. Work for which this permit is issued (Section 3097, Ci. 1 Code), Lender's Address and e ° e e m ° cc behalf, 3 to building construction. for Inspection purposes. FEDERAL I FOR OFFICE.. RULE N€YTAPPLICABL£ 'ro 1-Za