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Home My WebLink AboutXR2023-0816 - Permits��QWpOR� City of Newport Beach II��I�IIII IIIIII IIIIIIII IIIIIII IIIIII III II COMB Permit : XR2O23-081 6 - @ Community Development Department- Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0540 Permit Counter Phone: (949) 644-3288 Issued Date : 03/28/2023 e. Inspection Requests Phone: (949) 644-3255 °'°pFoaN`P Inspection Area : 8 newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration - - •--_ p ,- ., 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: 1850 16TH ST, P 107 Description: MFR RPR 70 SF DRYWALL FOR UNIT PS107 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: Legal Desc : P BK 15PG36 PAR 2 Contractor: SIGNAL RESTORATION SERVICES Address: 7221 ORANGEWOOD AVE GARDEN GROVE, CA 92841 Phone: (714) 763-4153 Con State Lie : 986693 Lie Expire : 09/30/2023 Bus Lie: BT30071857 Bus Lie 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 Lie 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 : $3,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : R-2 No of Units : 22 Alteration sq. ft. Bldg : 70 Bldg Height : No of Stories : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks Flood Zone: X Use Zone: PC - OakwoodApartments- UP1370, UP 1405 PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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, 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 forthe 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 the improvements are not intended or offered for sale. IL 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 reply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). L.J I am exempt from licensure under the Contractors' State License Law for the following reason:____.________—__v___._......___...__.___._._____....._.__.._—._...___ By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal. sell 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:hltpl/www.leginto.ca.govicalaw.html. Signature of Property Owner or Authorized Agent ._._ to LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) f D'vi ,ion 3 of the Business and Professi Is od and my Iicens is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' CDMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUMORC0 THOUSAND DOLLARS (6100,000), IN ADDITION TO TH' COST OF COMPENSATION, OA14AGESAS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the fallowing declarations: 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 ormance 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' compensa rance carrier and policy number are: Ier Policy Number Expiration Date of Agent certify that, in the performs e if 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 lays of California, and agre I, if I should become subje o workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7 nature of Applicant _ Data CLARATION REGAROIN M ON RU TfON LENDING AGENCY Neby affirm under penalty of perjury that there is a construction landing agency for the performance of the Work for which this permit is issued (Section 3097, Civil Code). Iders 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 [Oformagon I he a provided is correct. I agree to comply with all applicable city and coun rdinances and state laws relating to building construction. I authorize representatives of this city or county t e ter above -id I led property for inspection purposes. r�1 y,� �7 kl natures of Pronariv Owner or Authorized Annul Print PrODarty Owners or Authorized AOenCs Name �; IT I ill / U vt •" 5� Date y / j/. ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY r REGULATIONS PART fit OF TITLE. 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLEO EPA PERMIT EXTENOED QMD PERMFICATE 1:1 ASBESTOS --- ` //A NATED EMOUTIO Tl N NOI'APPLICABLE 1'0 CERTIFICATEOF /7 / ��"'iii�� OCCUPANCY ISSUED N