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Home My WebLink AboutXR2023-1806 - Permits�EwPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-18os p� 6 Community Development Department- Building Division X R 2 0 2 3 1 8 0 6 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1596 Permit Counter Phone: (949) 718-1888 Issued Date : 06/30/2023 ui. newportbeachca.gov/civic Inspection Area : 8 c9</FORN�¢ Combination Type - MFP P Work Class - Alteration 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 : 1800 16TH ST, H 205 Description : MFR R/R DRYWALL 6 SF Owner; UDR NEWPORT BEACH NORTH LP Address : 1745 SHEA CENTER DR STE200 HIGHLANDS RANCH, CO 80112-9 Phone: (720)283-6120 Applicant: MARTIN MARTINEZ Address: 7221 ORANGEWOOD AV GARDEN GROVE, CA 92841 Phone: (714)955-8307 Owner/Builder : Address : Phone: Legal Desc : P BK 15 PG 36 PAR 2 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 : 05/31/2024 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: Address : Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $400.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 1 Alteration sq. ft. Bldg : 6 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 ebeckmark(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 is permit to file a signed statement that he or she is licensed pursuantto 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 for a permit subjects the applicant to a civil penalty of of more than five hundred dollars IS500). 7 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, Iusiness 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•Sullder will have the burden of proving that it was not built or nproved for the purpose Of sale). 1 h as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not ppiy 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 licensure under the Contractors' Stale License Law for the following reason: fy 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 legalll ell a structure that I have built as an owner -builder if It has not been constructed in its ontiroty 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:hltp:liw .leginfo.ca.gov/calaw.html, signature of Property 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 700 of the Business and Prole slon. y licenseis in full force ad effect License Class License. No Date / Contractor Signatu VORKERS' COMPENSATION DECLARATION tARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1D0.00061N ADDITION TO THE GET OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ]TOS OF THE LASOR CODE; INTEREST, AND ATTORNEY'S FEES. hereby affirm under ,penalty of perjury one of the following declarations: I have and will maintain a ce tifrcate 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 rIf mance of the work for which this permit is issued. Policy No. ave 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' compensatiol Isar nce carder and policy number are: Policy Number Expiration Date of Agent :1I 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 Tat, if I should become subject to th ri spensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. // �9 ,ignature of Applicant , _ Deice/ (5� IECLARATION REGAR , TRUCTION LENDING AGENCY' hereby affirm under pen erjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). endues Name Lenders Address ly my signature below, I certify to each of the following- I am the property owner or authorizedto 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 Iaws relating to building construction. I authorize representatives of this city or county to enter en�ad property for Inspection purposes. ilonature of ProDartv Owner or Authorized Agent A % T>YT Print Property Owner's or Authorized Aeent's Named Date ACTION DATE BY t�LARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMfT EXPIRED C ( M:TT:D:;SBFSTOS NCT. PERMITCANCELLED —Q pir PEWRX77 I A29AQMD —�— —_ Z3f JN YH ( UAStfE5T05 NOTIFICATION 15 NOJ A�frf�4BLE TO CERTIFICATE Of OCCUPANCY ISSUED