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Home My WebLink AboutXR2024-0549 - PermitsaEwPoRT City of Newport Beach IliIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U24-0549 D� Q Community Development Department - Building Division r F. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0453 Permit Counter Phone: (949) 718-1888 Issued Date : D3/07/2024 3 > 2 newportbeachca.gov/civic Final Date: °gciFnaN�P Combination Type - MFP Permit Status: Issued Work Class - Alteration 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 : 3061 RIVOLI Legal Desc : N TR,15584 BLK LOT 6 Description: MFR- WATER DAMAGE REPAIR. R/R 5/8 GYP BIRD IN ENTRY WALLS.89 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 : 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 : 01/31/2025 Workers' Compensation Insurance Carrier: NORTH POINTE INSURANCE COMPANY Policy No : QWC6000115 W. C. Expire : 9/1/2024 Architect Address Phone: State Lie Engineer: Address Phone: Designer: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $3,600.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 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: OWNER -BUILDER DECLARATION t 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 iterrl(s) ieclion 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 is permit to file a signedstatement that he or she is licensed pursuant to theprovisions of the -Contractors State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and '.. ^refassions Code)or that he or she is exempt from licansum 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 of more than five hundred dollars (sf o0y.. 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work; and the structure is not intended or offered for sale (Section 7044, usiness 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 the nprovements 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 butlt or irproved for the purpose of sale), J 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 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 am exempt from licensors under the Contractors' State License Law for lire following reason ry my signature below t 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, 1 cannot legally all a structure that I have built as an owner -builder If It has not been constructed In its entirely by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of lira Business and 'rofess9ons Code, is available upon request when this application is submitted or at the fo#Cowing Web site:httpafvA+tiu.}eglnfo.co,gaviaataw.html. .ignature of Property Owner or Authorized Agent..___,______ note ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of ivi lien 3 of the Business and Prof ! my license is in full force ad effect. License Class License No Date �� Contractor Signature � JORKERS' COMPENSATION DECLARATION 'ARNINO: FAILURE TO SECURE WORMERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHRLL SUBJECT AN EMPLOYER TO CROINA PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS (Sf00ANXI IN AODlrION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDEO FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEE$. hereby affirm Under penalty of perjury one of the following declarations: I I have and will maintain a certlticato 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 the erformance 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 war% for which this permit is issoed. My workers' carrier and policy number are: to of Agent _ Certify that. in If I should be lalure of ADO Policy Number Date 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 work is' sensation laws of California, and agrei VU(CITION ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ` .,.�.�.__..�.._._._..... Da ._..�..�._.�._._. LENDING AGENCY neby affirm uoder'penaftg,of perjury that there Is. a construction lending agency for the performance of the work for which this permit is issued (Section 3097, C vil Code), liter's Name Lender's Address 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 vain all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or Count to eri t 6;8h -Identified property for inspection purposes. nature of Property Owner or Authorized A eat. ' Print Property Owner's or Authorized A ent's Name l ate TION DATE BY ? CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE: ONLY I REG ONS PART 6:1 OETifLERO AND AgMO RULE EXPIRED TO N PERMIT EXTENDED PCRMUFINAL BESTOS 1"IF CATION IS W T APPC1GABi.£ TO CERTIFICATE OF �!/iJ P SCO O€ I l OCCUPANCY15SVEf) l SIGW, TL'AE s'l i