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HomeMy WebLinkAboutXR2023-0813 - Permits�cvPOR, City of Newport Beach Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 I + Permit Counter Phone: (949) 644-3288 ''('•_ "`" Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration jj�1111111111111111111111111111�11111111111111111111111111COMB Permit : XR2023-o813 Plan Check No : PC2023-0540 Issued Date : 03/28/2023 Inspection Area : 8 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 : 820 IRVINE AVE, T 203 Legal Desc : P BK 15 PG 36 PAR 1 Description: MFR RPR 205 SF DRYWALL & 60 SF INSULATION AT UNIT TS203 Owner: UDR NEWPORT BEACH NORTH LP Address : 1745 SHEA CENTER DR STE200 HIGHLANDS RANCH, CO 80112-9 Phone: (720)283-6120 Applicant: Tim Paul Warren Address: 7221 Orangewood Ave. Garden Grove, CA 92841 Phone: (714)737-7082 Owner/Builder : Address : Phone: Contractor: SIGNAL RESTORATION SERVICES Address : 7221 ORANGEWOOD AVE GARDEN GROVE, CA 92841 Phone: (714)763-4153 Con State Lic : 986693 Lic Expire : 09/30/2023 Bus Lic : BT30071857 Bus Lic Expire : 05/31/2023 Workers' Compensation Insurance Carrier: STARR INDEMNITY & LIABILITY CO Policy No: 1000002994 W. C. Expire : 10/16/2023 Architect Address Phone: State Lic Engineer: LOVELACE MILES T Address: 10509 VISTA SORRENTO PKWY, #102 SAN DIEGO, CA 92121 Phone : (858) 535-9111 Designer: JON HURLEY BUILDING DESIGN Address : Phone: (619)248-2673 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,250.00 Type of Construction : V-B Fire Hazard Zone : NO Added/NewITI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 30 Alteration sq. ft. Bldg : 205 Bldg Height: No of Stories: 3 Added/New sq. ft. Garage : 0 TOTAL sq. ft.: 0 Building Setbacks Flood Zone: X Use Zone : PC - Oakwood Apartments - UP1370, UP 1405 PROCESSED BY SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(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 To 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 'rofesslons Cade) 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 of more than five hundred dollars (b500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended proffered for sale (Section 7044, lusiness 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 yearof completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale), 1 1, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not pply 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). J I am exempt from licensers, under the Contractors' Stale License Law for the following reason: ly 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,. ell a structure that I have birit as an Owner -builder if it has not bean constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION (yyi hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70t,81)Cyyi f the Business and Professi ` and my license is In full force nd effect. License Class License No Data ll 0 Contractor Signatu�r ) VORKERS' COMPENSATION.DECLARATION L/ 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN ERPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 1 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 erformance of the work for which this permit is issued. Policy No.. have 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' ranee carrier and policy number are: her Policy Number Expiration Date is of Agent Phone # 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 agre , if I should become subjec ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nsure of Applicant.. ______-_,� _ __,_ _ Date____ Ireby affirm underl+aGaltyof perjury thatthere is a construction lending agencyfor the performance of the work forwhich this permit is Issued (Section 3097, Civil Cede). Idlers Name Lender's Address my signature below, I certify to each or 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. 3 I authorize representatives of this city or county to enter ntitied property for inspection purposes. / / y,.(� V Q �'�� Date �0 2 2 " nature of Prooertv Owner or Authorized Aaent Print Prooarw Owner's or Authorized Agent's Name PERMIT EX➢IREP PERMIT CANCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUEO BY II)ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AONtp RU L € TO IS N01APPLICABLE TO