HomeMy WebLinkAboutXR2023-3265 - Permitsa WP_oRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit : XR2O23-3265
e Community Development Department- Building Division
F ly 1D0 Civic Center Drive, Newport Beach, CA 92660
s Permit Counter Phone: (949) 718-1888 Plan Check No : PC2023-2794
newportbeachca.gov/civic Issued Date : 11/16/2023
Combination Type - MFP Final Date:
Work Class - Alteration Permit Status: Issued
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 : 940 IRVINE AVE, A 312
Legal Desc : P BK 15 PG 36 PAR 1
Description: MFR - WATER DAMAGE REPAIR AT BATHROOM AND KITCHEN
AREA
Owner: UDR NEWPORT BEACH NORTH LP
Contractor: SIGNAL RESTORATION
Address : 1745 SHEA CENTER DR STE200
Address : 7221 ORANGEWOOD AV
Architect
HIGHLANDS RANCH, CO 80112-9
Phone: (720)283-612D
GARDEN GROVE, CA 92841
Address
Phone:. (714)737-7082
Phone:
Con State Lic : 986693
State Lic:
Applicant: SIGNAL RESTORATION
Lic Expire : 09/30/2025
Bus Lic: BT30071857
Address : 7221 ORANGEWOOD AV
Bus Lic Expire : 05/31/2024
En
Engineer
g
GARDEN GROVE, CA 92841
Address:
Phone: (714) 737-7082
Workers' Compensation Insurance
Owner/Builder :
Carrier: STARR INDEMNITY $ LIABILITY CO
Phone:
Address :
Policy No: 1000067955231
Designer:
W. C. Expire: 10/16/2024
Address
Phone:
Phone:
Code Edition : 2022
Type of Construction : V-B
Fire Sprinklers : NO
Construction Valuation
Occupancy Groups : U,R-2
Fire Hazard Zone : NO
No of Units: 1
Added/New/Ti sq. ft. Bldg
Bldg Height:
No of Stories : 3
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
Building Setbacks :
TOTAL sq. ft.
Flood Zone : X
Use Zone : PC - Oakwood Apartments -
UP1370, UP 1405
PROCESSED BY:
SPECIAL CONDITIONS:
It
$1,000.00
0
OWNER -BUILDER DECLARATION
' es a emrit to cans1ruvL alter, improve, dampish. or repair any structure, prior to. its issuance, also requires the applicant for
' State License Low (Chapter 9 (commenc
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
Ssclion 7031:5, Business and Professions Code: Any ci y or county u,at requrr p
the perrnit fo file a signed statement iha[ ha ar she is Iicsnsed pursuant to the previsions of the ing with Suction 7000) of Division 3 the Business and
Contractors
Professions Code) or that he or she Is exempt from (ddan5urE and iha basis oY the atieged sxsmptlOn. Aay violation of Section 7031.5 by any applicant for a permit subjects the applicant to 2 CiVil penalty of
f or U portions of nor more than flue hundred dollars (5500;,
0 I, as owner of the property, or my employees vtit[�lveageea eth �e5°ot apply Conan Iwner of the work, and the structure is not intended or offered for sale (Section 7044,
property who, through ' o
ugh employees' personal effort. builds or improves the property, provided that the
Business and Professions Code: The Contractors S
mprovements are not intended or oftacad for sale. It, however, the building or improvement is sold within one year of completion, the Owner -Builder well have the burden of proving that it was not u or
I
improved for the purpose of sale) Contractors
rl I, as owner of owner Po err w21), exclusively or coversthe with licensed who contracts For ithe projects o construct wghpe Censedject vC nlracfar pursuant to he Conisa fors State L cenoserLaw). Slate License Law does no
,aPPly to an own p P Y-- _,—..---- - ...
followingnec
—.... Y P--that a o
IBy y C exempt from licensure under the , except
t for Stara License Law for the hickImreason , of the applicable law, Section 7044 of the Business and
By my signature below k acknowladye that, except or my Personal residence vi which I must have resided for at least one ear riot to cum Istlon of the improvements covered by this permit, 1 cannot Iagall
soil a structure that I have built as an Owner -builder if it has not been constructed in its entirety by licensed contractors. I understand PY PP
Professions Code, is available upon request when this application is submitted or at the following Web sitethtlp.liwww.leginfO.ca.govlcalaw.html. — J— Date - _.��----
Signature of Proporty Owner or Auhorized Agent
LICEN'.SED CONTRACTOR'S DECLARATION ense is In full force
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section r f q'Yls the
rsSignaturefessions e.
and effect. License Class License No ' f�
WORKERS' COMPENSATION DECLARATION
COST WARNING: MILURE PENSAO SECURE
WORKERS'
AS COMPENS FOR IN SECTION aTO6 OF THE ATION COVERAGE IS UNLAWFUL,
CODER INTEREST ANn tAEMPLOYER TO TTORNEY'S FEES
RIhE1HAL PENALTIES AND CIVIL FINES OF TO ONE MUNORE TWOUSANO DOLLARS (ETDe,O3e1, IN ADDITION TOTHE
DED
hereby affirm under penalty of perjury one of the following doclaratlons:
❑ I have and will maintain a certilu0ale of consent to self -insure or workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thI
performance of the work for which this permit is issued. Policy No_
I 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' compansatior
i urance carrier and policy number are: Expiration Date
Policy Number oA e n
is of Agent
certify that, in the performance of he work for which this Permit is isssued..EI shall
3not
emf Labor Code,person II she I forthwith comply Subject
Mannar 90 08 to with hose p ovito s ones workers' compsnsalion laws of California, an agre
e
if I should become subject to the workP 0Date---
nature of Applicantmance
_.
CLARATfON REGARDiM1IG C R. 71 N i.END1 G AGENCY ivil Code).
areby affirm under penalty of at there is a construction lending agency fortheperfor Address of the work for which this permit Is issued (Section 3097, C
rder s Name
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 information 1 have provided is correct.
I agree to comply with all applicable city and county ordinances and stets laws relating to building construction.
Identified property for inspection purposes. ✓1� I'e�„ Date
I authorize representatives of this city or county io o,..., o.nnom, ou,,,er'c nr Authorized Awl's Name. _
DGCLARAT€ON OF COMPLIANCE Ve9Tli CODF.OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
Imo
EXPrdt'L
—.-
��R�rT
CERTIFICATE OF
OCCUPANCYUSUEG
TO