HomeMy WebLinkAboutXR2023-0290 - PermitsCity of Newport Beach
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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
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newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Alteration
IIII�IIIIDIIIIiIIII�IIII0II0I0II�Illl II COMB Permit : XR2023-0290
Plan Check No: PC2023-0221
Issued Date : 02101/2023
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 : 3039 RIVOLI Legal. Desc : N TR-15584 BLK`LOT 6
Description: MFR - R/R 5/8" TYPE GYP BOARD IN 1ST & 2ND FL WALLS. R-13 INSULATION AS REQ'D 96 SF
Owner: NEWPORT BLUFFS LLC
Contractor: NATIONAL RENOVATION INC
Architect : RANIERI RANDY
Address : 6110 RESIDENCIA
-Address A460N 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 Lic : 956793
State Lic
'Lic Expire: 01/31/2025
Applicant: JAY TRUAX
Bus Lic': BT30062023
Engineer
Address : 206.5 ABALONE AVE
Bus Lic Expire : 01/31/2628
Address
NEWPORT BEACH, CA
- -7 b VA
Phone: (949) 285-5594
Workers' Compensation Insurance
Phone..
Carrier: INSURANCE CO OF THE WEST
Owner/Builder :
-. Policy No: WVE506190300
Designer: y-
Address :
W. C.'Expire: 9/1N2023 '
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers ; NO
Construction Valuation : $1,500.00
Type of Construction : V-B
'. Fire Hazard Zone NO
'Added/NewITI sq, ft. Bldg : 0
Occupancy Groups : R-2
No of Units : -. 12
' Alteration sq. ft. Bldg : 96
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
PROCESSED BY:�
SPECIAL CONDITIONS:
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I hereby
are
COMPENSATION DECLARATION
r,'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
T licensed Contractors to construct the project (Section 7044, Business and: Professions Code: The Contractors` State License. Law does not -
and who contracts for the projects with a licensed Contractor iiursuant to the Contraaiors"State License Law).
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my license is -in full force:.
IMO: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL: SUBJECT. AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL EWES OP TO ONE HUNDRED THOUSAND DOLLARS#Sr00,000 IN ADDITION TO THE
OF COMPERSAMR, DAMAGES. AS PROVIDED: FOR IN SECTION 3Ti13 OF THE LAaOR CODE. INTEREST, AND ATTORNEYSFEES: .
aby affirm under penalty pf perjury one of the following: declarations:
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 th
Irmance of the :work for which ibis permit is issued:. Policy No..
nave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for they performance of the work for which this permit is issued. My workers' compensatiol
arIIce carder and policy nombe€ are;
er Policy Number Expiration Date
a of Agent. Phone
:ertify that, In the erformance of the work#or 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 beco bjeet to the Fmrkers". Go
s of Section 370t) of the Latrar Code,.l§half Todhwlth gomply with those preufsions.
sure of. Applicant Date✓�4 l -, Z 3
LARATION RC LENDING Arta
Eby arm under p I€ j perjury y that them is a coast action fending agency farthe pe formance Of the work for which this permit is sued (Sect on 3497, Civil ode):
leis Name: - LandePs Address..
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OCCUPANCYISSUED