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Home My WebLink AboutXR2023-0817 - Permits��gWPORT City of Newport Beach 0 - @ Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 o- Inspection Requests Phone: (949) 644-3255 C'�CIF00.N`P newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration X R 2 0 2 3 0 8 1 7COMB Permit : XR2O23-081 7 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 : 1940 16TH ST, O 207 Legal Desc : P BK 15 PG 36 PAR 1 Description: MFR RPR 130 SF DRYWALL & 100 SF INSULATION FOR UNIT 0207 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 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 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-2 No of Units : 38 Bldg Height: No of Stories : 3 Building Setbacks Flood Zone : X Use Zone : PC - Oakwood Apartments - UP1370, UP 1405 PROCESSED BY: 1337 SPECIAL CONDITIONS: 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 Construction Valuation : $6,500.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 130 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 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 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 ie 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 of more than five hundred dollars ($500). 11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work; and the structure is not intended or offered for sale (Section 7044, ,usmess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' orpersonal 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 built or nproved for thepurpose of sale). 3 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not pply 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), I I am exempt from licensors under the Contractors' State License Lawlor the following reason •y 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 legalh ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors.) understand that a copy of theapplicable 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:/Iw .leginto.ca.gov/calaw.html. .ignature of Property Owner or Authorized AgentDate .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 0 'Vi , - ,gf f�ta Business and Prbfes my license is In full force nd effect. License Class License No Date � jContractor Sign VORKERS' COMPENSATION DECLARATION ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SIDO.000), IN ADDITION TO THE DST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a cortificate of consent to self -insure for workers' compensatiun, 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' mince carrier and policy number are: Policy Number of Agent Date 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 subject to IS, compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3 , �e 2 J iature of Applicant Date_,-,_ 3reby affirm under penal o erjury that there is a construction lending agency for the performance ofthe work for which this permit is issued (Section 3097, Civil Code) ider's Name Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to act on theproperty 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 a e- e-identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Prooertv Owner's or Authorized Auent's Name ACTION DATE BY ---I' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OFTI7LE 40 AND AQNID RULE PERMITEXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO _ —_— PERMITCANCF.LLED 7- EPI�—t- A PERNFtT EXTENDED LJAt1MD PERMIFFINAL .�..// SSESTOS NOT3F9 ATI I5 CABLE TO CENYIFICATEOF j�jt � PROP05ED OEMOLI OCCUPANCY155UED SIGNATURE: f �/2svz'�