HomeMy WebLinkAboutXR2023-2253 - PermitsCity of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 718-1888
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newportbeachca.gov/civic
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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),
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