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Home My WebLink AboutXR2023-0812 - PermitsCity of Newport Beach 0�. Community Development Department- Building Division > °1n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration COMB Permit : XR2023-0812 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 : 1950 16TH ST, L 111 Legal Desc : P BK 15 PG 36 PAR 1 Description: MFR RPR 300 SF DRYWALL & 300 SF INSULATION FOR UNITS LS-109; LS-107; AND LS-111 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 : $15,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : R-2 No of Units : 48 Alteration sq. ft. Bldg : 300 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 -UPI 370, 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 reasons) 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 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 'rofessions 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 fora, permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). 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 or offered 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 properly, provided that the mprovements 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 Tlproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' State License Law does not apply 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 licensure under the Contractors' Slate 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 legailt OR 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:httpJlwww.leginfo.ea.gov/calaw.htmi. signature of Properly Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 �O Iyr6�L t o the Business and P=IHOUSANUUOL�S icense is in full force Ind effect. License Class License No Date G Z Contractor Signatu VORKERS' COMPENSATION DECLARATION MARINE: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUND0,000I, IN ADDRION TO THE :OST 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: -11 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 Cade, for the performance of the work for which this permit is issued. My workerscompensatiol nsurance carrier and policy number are: - zanier Policy Number Expiration Date +lame of Agent Phone # _3I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre That, if I should becam;subjeo to wor rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith complywith those provisions.Signature of Applican Date____DECLARATION REGONSTR hereby affirm under perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's 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 [hisapplication 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 a -identified property for inspection purposes. 2/ Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent Name WQ iTe Date Z ACTION DATE B ECLARATION OF COMPLIANCE WITH CODEOF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRE[) 0 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED ------.1EPA_ PERMITfKTENOEO PERMIT FINAL L -' UAQMD 'I ASBE5TOS NOTIFICATIO IS NOT A PLICABLE TO CERTIFICATEOF OCCUPA14CY ISSUED �/ PROPOSED DEMOUTION SIGNATURE: 3