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Home My WebLink AboutXR2023-2253 - PermitsCity of Newport Beach D d Community Development Department- Building Division ' 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 718-1888 cqt/cp newportbeachca.gov/civic NH�P Combination Type - MFP Work Class -Alteration jji1111111111lil1111111111111111111111111111111111111111COMB Permit : XR2023-2253 Plan Check No : PC2023-1979 Issued Date : 08/16/2023 Final Date: 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: 2115 SHERINGTON PL, D 114 Legal Desc : P BK 15 PG 36 PAR 1 Description: MFR ALT R/R DRYWALL AND INSULATION FROM WATER DAMAGE. 67 SF Owner: UDR NEWPORT BEACH NORTH LP Address : 1745 SHEA CENTER DR STE200 HIGHLANDS RANCH, CO 80112-9 Phone : (720) 283-6120 Applicant: TIM WARREN Address: 7221 ORANGEWOOD AV GARDEN GROVE, CA 92841 Phone: (714)737-7082 Owner/Builder: Address : Phone Contractor : Signal Restoration Address : 7221 ORANGEWOOD AVE GARDEN GROVE, CA 92841 Phone: (714)763-4153 Can State Lic : 986693 Lic Expire : 09/30/2025 Bus Lic : BT30071857 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: STARR INDEMNITY & LIABILITY COMPANY 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 : $1,800.0 Type of Construction : V-B Fire Hazard Zone : NO Added/NewITI sq. ft. Bldg : 0 - Occupancy Groups : R-2 No of Units : 1 Alteration sq, ft. Bldg : 67 • • • , 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 UECLAKAI IV N. 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 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 he permit to fito a signed statement that he or she is licensed pursuant 10 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 llolt more than five hundred dollars ($500). J I, as owner of the property., or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiri and Professions Code. The Contractors' State License Law does not apply to an owner of property who, through employeesor personal Bfforf, builds or Improves the property, provided that the mprovelnents 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 mproved for the purpose of sale). 1 I, as owner of Cie property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate. License Law does not ply 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). 5 1 am exempt from licensure under the Contractors Slate License Law for the following reason -------- -------------------' -- ----- 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least oneyear prior to completion of the Improvements covered by this permit, I cannot logo 1 ;ell a structure that I have built as an owner -builder if It has not been constructed in Its entirely by Iteensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and Professions Code, Is available upon request when this application Is submitted or at the following Web site:Tito:!/wwhv.legnfo.ca.gov/calaw. hurl, Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70)�p, fthe Business and Professi I tense is in full force and effect. License Class License No Date // Contractor Signatur INORKERS' COMPENSATION DECLARATION NARRINC: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NO THOUSAND COLLARS IEt D6.Uael. IN ADO NON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ]Teti OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 370D of the Labor Code, for lht performance of the work for which this permit Is issued. Policy No. have and will maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers componsatior Insurance carder and policy number are: carrier Policy Number Expiration Date Jame of Agent _.II 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 agree hat, if I shouldbecome subject to the nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / 9 3ignalure of AppliOarrt _ _ _ Date____�a� �` J )ECLARATION RE13 G C N RUCTION LENDING AGENCY hereby affirm mce� prnal perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097 -enders Name Lender's Address 3y my signature Belo y, I certify to aeoh of the following: I am the propel y owner or authorized to acton the property owner's behalf. I have rend III s application and the information I have provided is correct. I agree to ccruply with all applicable city and county ordinanc s and state laws relating to building construction I authorize representallves of this city or county to onto tified properly for inspection purposes I Cinna4ve rf Prcn-m, Owner or Authorized Anent Prini Property Owner s or Authorized Agent's Name DATE BY `, t� RATION OF COMPLIANCE WITH CODE OF FIDE[ RFGUI. ATIONS PART 61 OF TITLE 40 AND AQMD Rl1LF NOTI51CATtON OCCUPANCYE SUED 1 ❑AQMD PE �� BEST D}NO1 IFICAII TAP L' BLE TO CERTIFICATE OF /yu� 05EDDE.MOLIT10N � —� cot ✓m SIGNATURE: FOR OFFICE USE ONLY Civil Code), ,q Y, V