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Home My WebLink AboutXR2023-1354 - PermitsWpc Cityof Newport Beach 111111111111111111111111111111111111111111111111111111111II �� 'R"I Community Development Department Building Division COMB Permit : XR2U23-1354 Y P P X R 2 0 2 3 1 3 5 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1215 ?+ ? Permit Counter Phone: (949) 718-1888 Issued Date : 05/23/2023 c r newportbeachca.gov/civic Inspection Area : 4 Combination Type - MFP Work Class - Alteration ! , it 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 : 4065 RIVOLI Legal Desc : N TR 15584 BLK LOT 6 Description: MFR REMOVE AND REPLACE 5/8" TYPE X GYP BRD IN LIVING ROOM WALLS, INSULATION AS NEEDED 528 SF Owner: IRVINE COMPANY LLC Address : 111 INNOVATION DR IRVINE, CA 92617 Phone: (949)720-3100 Applicant: JAY TRUAX Address : 206.5 ABALONE AVE NEWPORT BEACH, CA Phone : (949) 2B5-5594 Owner/Builder : Address : Phone Contractor: NATIONAL RENOVATION INC Address : PO BOX 78810 CORONA, CA 92877 Phone: (951)275-1710 Con State Lie: 956793 Lie Expire : 01/31/2025 Bus Lie : BT30062023 Bus Lie Expire : 01/31/2024 Workers' Compensation Insurance Carrier: INSURANCE CO OF THE WEST Policy No : WVE506190300 W. C. Expire : 9/1/2023 Architect: RANIERI RANDY Address : 5868 MESQUITE SPRINGS RD TWENTYNINE PALMS, CA 92277 Phone: (714)296-5502 State Lie Engineer: Address Phone: Designer: Address Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $11,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 13 Alteration sq. ft. Bldg : 528 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 AND LIQUEFACTION OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the eheckmark(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, alter, 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). rl I, as owner of the property, or my employees with wegas as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors State License Law does not apply to an owner of property who, through employees' or personal effort, holds or improves the property, provided that the Improvements 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 improved for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not �aP,ply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law), t_I I am exempt from licensure under the Contractors' Stale License Law for the following 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 legall, soil 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 Code, is available upon request when this application is submitted or at the following Web site:http:/iWmi,loginfo.ca.gov/celaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I 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 Prof -si de,-ap A • full force and effect. license Class License No Date ry< � Contractor Sign e INORICERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE, INTEREST, AND ATTORNEY-S FEE& hereby affirm under penalty of perjury one of the following declarations: .J 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 th 3erformanee of the work for which this permit is issued. Policy No. 2ave 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' compensatiol urance carrier and policy number are: carrier Policy Number Expiration Date Vame of Agent Phone M :11 codify that, in the performance of the work for which this permit is issued. I stall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and Agra ,hat, if I should become subject to the workers' corn nsadon ' Wns-oI Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant } Dater S 2 Z XCLARATION R QWZMB,CIINTTRUCTION LENDING AGENCY hereby 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). _endor's Name Lenders Address 3y my signature below, I certify to each of the following: I am the property Owner or authorized to act on the property owner's behalf. I have read this application and the Information I have provided is correct. I agree to comoy won all applicable: city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or county to en "- _ for Inspection purposes. 3ignature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name /19j/ll�l�1�- ► �1��3 Date ACT'7N I DATE RV DECLARATION Or COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AONID RULE 1403 _ PEgM,T EXrrfRED El I SUBMITTED ASBESTOS NOTIFICATION TO PE9M�TC----- LEC1 QEPA PEW4TEYTE1VDED , IeOMp PE7:ATF7AL �a65705 NOTIFCA(ION 15 NOT APPLICABLE TO F CEVIFICA OF j /�//LS �/y j F OPOSEDDEMOLIL-4".�— 0CCVaANfY155UE0 i i //MM++ I SIGNATUR - —