HomeMy WebLinkAboutXR2022-3016 - Permits�tzPokr
City of Newport Beach
Community Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Alteration
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIII�6II II COMB Permit : XR2022-3016
Plan Check No: PC2022-2875
Issued Date : 11/16/2022
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 : 1067 CAMPANILE Legal Desc : N TR 15584 BLK°LOT 5
Description: REMOVE/REPLACE GYP BOARD IN BATHROOM WALLS, INSULATION AS'REQUIRED .(96 SF)
Owner: NEWPORT BLUFFS LLC
Contractor: NATIONAL RENOVATION INC
Architect : RANIERI RANDY
Address : 6110 RESIDENCIA
Address `. 1460'N Daly,ST
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 Lie : 956793
State Lie
Lie Expire : 01/31/2023
Applicant: JAY TRUAX
Bus Lie: BT30062023 !
Engineer
Address : 206.5 ABALONE AVE
Bus Lie Expire: 01131/2023
Address
NEWPORT BEACH, CA
Phone: (949) 285-5594
Workers' Compensation Insurance
Phone:
Carrier.: INSURANCE CO.OFTHE WEST
Owner/Builder :
Policy No: WVE506190300
Designer:
Address :
W. C. Expire: 9/112023
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers:, NO
Construction Valuation :
$2,600.00
Type of Construction : V-B
Fire Hazard Zone NO
Added/New/TI sq. ft. Bldg:
0 °
Occupancy Groups : U,R-2
No of Units : 30
' Alteration sq. ft. Bldg :
96 ...
Bldg Height:
No of Stories : 3
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
o :°°°
Building Setbacks
Flood Zone: X
'
Use Zone: PC - Bonita Canyon
PROCESSED BY:
SPECIAL CONDITIONS:
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that tam exempt from. the Contractors : State License Law for the-reason(s)': indicated Wow by the checkmark(s) I have placed next to the applfeable 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
ants: are not intended proffered for sale. It; however, the building or improvement is sold within one year of completion, the Owner-SU
for the: purpose of sake)r
inner of the property, am Exclusively contracting with licensed Contractors to construct the project(Sectaon 700, Business and'. Proles
n owner of property who builds or Improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Con!
rxempt from Iicensure:under the Contractors' State License Lawfor the following reason:.
tended or offered for sale (Section 7044,
Is or improves the property, provided that the
the burden of proving that it was not built or
r he Contractors State License Law does not
my license 'is -in full force: 11
RKERS' COMPENSATION DECLARATION
NING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL: FINES UP: TO ONE HUNDRED, OUSANDDOLLARS tfi00,i10(4, IN ADDITION TO THE
F OF COMPERSATNUL DAMAGES. AS PROVIDED. FOR IN 39C'TION370 OF THE LABOR CODE. INTEREST,AND A'€TORNEY'S FEES:..
,eby affirm under penalty of perjury one of the following -dec€arations.-
have and writ 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 th
ormance of the :work for which this permit is issued, Policy No-
ewill: 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' compensahor
e carrier and policy number are:
'ier Policy Number; Expiration Date
Is of Agent Phone If
codify that, in ft performance of the work: for which this permit is issued, I shall not employany person in any manner so as to become subject to the workers` compensation laws of California:: and agre
if I should become subject to the workers': coin ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
IatGre ofApplicant� Wi�
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,LARATTONREGA.repy affirm undef penegury atthere is a corishuction lend;,,, agency for the parfarrnancE of the work for which -this, permit is. issued (Section 3097, Civil Coda},
• T �gd2g to Comply with
• 1 alittlorite repripsent$l
SkIfture,of PrOD6" O"
ACTION:- ...
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PL•RMrt'G1NCE€LED•••
PM7Tr4TENOEIT
PE lid irrAL
GERTIEICATE:OF
OCCUPANCY ISSUED
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