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Home My WebLink AboutXR2024-0344 - PermitsEWPoRr City of Newport Beach D 6 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ' S Permit Counter Phone: (949) 718-1888 o- newportbeachca.gov/civic c'«roaN`" Combination Type - MFP Work Class - Alteration jjl111111111111111111111111111111111111111111111111111111jj COMB Permit : XR2024-0344 Plan Check No: PC2024-0280 Issued Date : 02/12/2024 Final Date: .--..._ Permit Status: Issued 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: 4039 RIVOLI Legal Desc : N TR 15584 BLK LOT 6 Description : MFR R/R 5/8" GYP BOARD AND INSULATION AT KITCHEN 104 SF Owner: NEWPORT BLUFFS LLC Address : PO BOX 2450 NEWPORT BEACH, CA 92658 Phone : (714) 720-2521 Applicant : JAY TRUAX Address : 206.5 ABALONE AVE NEWPORT BEACH, CA 92662 Phone : (949) 285-5594 Owner/Builder : Address : Phone Contractor: NATIONAL RENOVATION INC Address : PO BOX 78810 CORONA, CA 92877 Phone : (951) 275-1710 Con State Lic : 956793 Lic Expire : 01/31/2025 Bus Lic: BT30062023 Bus Lic Expire : 01/31/2025 Workers' Compensation Insurance Carrier: NORTH POINTE INSURANCE COMPANY Policy No : QWC6000115 W. C. Expire: 9/1/2024 Architect: RANIERI RANDY Address : 5868 MESQUITE SPRINGS RD TWENTYNINE PALMS, CA 92277 Phone : (714) 296-5502 State Lid Engineer Address Phone: Designer Address Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg Occupancy Groups : R-2 No of Units : 16 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks: Flood Zone : X Use Zone : PC - Bonita Canyon PROCESSED BY:� SPECIAL CONDITIONS: $4,700.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors.' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items ;Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernclish, or repair any structure prior to its issuance, also requires the applicant for .he 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 Tot more than five hundred dollars ($500). t 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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, builds or improves the property, provided that (fie Improvements are not Intended or offered for sale. If, however, the building or improvement Is sold within one year of completion, the OwnerLBullder will have the burden of proving that it was not built or Improved for the purpose of sale). 0 I, 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 noL apply to an o:rmer of property who builds or improves thereon; and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 0 I am exempt from ltoensure under the Contractors' State 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, %all a structure that I have built as an owner -builder if it has not been constructed in its entirety by hConsad 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:li",w.leginfo.ca.go\,'calaw:html. Signature of Property Owner or Authorized Agent v__ 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 Professions Code and my license Is In full farce and effect. License Class License. No Date Lj Convector Signal e WORKERS' COMPENSATION DECLARATION NABBING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DIYIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS Priowri O FOR W SECTION 3TOS OF THE LAaOR CODE, INTEREST,. AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 0 1 have and wilt maintain a certificate or consent (G self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth performance 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 Date 1e of Agent vnone N certify that, in the performance of 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 sub�e workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date ) hereby affrrmEr1 e�alty 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). enders Name lender's Address _ ly 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 comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -Identified property for inspection purposes. lionature of Pro,,cr:, Owner or Authorized. Print Property Owner's or Authorized Agent's Name %.'('in ✓ Y" i'�'/I CIy Date ., 2- ACTION DATE -E DECLARATION COMPLIANCE VVITHC DE OF O 4DFEDERAL FOR OFFICE USE ONLY N PART PFRMIF CANCEU vE. ii%4IT EXFENDED PFR,Y117 FINAL Cl OF OCCUPANCY ISSUEC ASBESTOS NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE TO