HomeMy WebLinkAboutXR2023-1798 - Permits�gWPO,4T City of Newport Beach II III IIII I IIII III IIIIIII IIIIIIIIII II COMB Permit : i�R2023-1798
Community Development Department -Building Division X R 2 0 2 3 1 7 9 8
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1596
Permit Counter Phone: (949) 718-1888 Issued Date : 06/30/2023
newportbeachca.gov/civic Inspection Area : 8
Combination Type - MFP
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 : 1940 16TH ST, O 107 & 307
Description : MFR R/R DRYWALL 90 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 :
Legal Desc : P BK 15 PG 36 PAR 1
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:
Address :
Phone: Phone
Code Edition : 2022
Fire Sprinklers :
NO
Construction Valuation :
$1,600.00
Type of Construction : V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg:
0
Occupancy Groups : R-2
No of Units :
2
Alteration sq. ft. Bldg :
90
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
is permit to rile 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 for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500)..
3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044,
usiness 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
npfovemenls 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
npreved for the purpose of sale).
3 I, 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
p€y 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:
q 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
all a structure that I have built as an owner -builder if It has not been constructed in its entirety by liconsad contractors. I understand that a copy of the applicable low, Section 7044 of the Business and
'rofessions Code, is available upon request whan this application is submitted or at the following Web site:httplfwww.leginfo.ca.govlcalaw.html,
Ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section /700 ) of S1 3 of the Business and -Pr q fession od ., • r my license is In full force
nd effect. License Class License No tBabb Contractor Signatur
VORKERS' COMPENSATION DECLARATION v \\
ARMING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND HOUSAAD DOLLARS (6100,000), IN ADDITION TO THE
DST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following 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
r\mance of the work for which this permit is issued. Policy No.
rve 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' companies
,lnce carrier and policy number are:
Policy Number
of Agent
Dale
I 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
t, if I should become subject to the h IS nation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
mature of Applicant D�l� (J / o ZOZ
CLARATION REGAB, IN O TR'UCTION LENDING AGENCY t
areby affirm under penalty_of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
ider's Name Lender's Address
my signature below, I esOy 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 information I have provided is correct.
I agree to comply with all applicable city and county ordinances and slate laws relating to building. construction.
I authorize representatives of this city or county t/� enter koya"EVdentified property for inspection purposes. /_
mature of Property Owner or Authorized Aoent A( ; /. _ Print Property Owner's or Authorized A4ent's Nam t v--,' t Glo v I.IJ ✓L Data 0/�o C
BY / V DE^iLARATiON OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED LJ �I SU�LMt'°TED /,SBESTOS N0'i FI :ATION TO
PERMIT CANCELLED L,.LEPA
PERMIT EXTENDEDrJ0t4i✓•J_
PERMIFFINAL L�j -�7, ASa.EST05 NOTIEICfz1(UN 13�N\ARPLICABtE TO
CERT(FICATE Of PROPOSFD DEMOIJ