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Home My WebLink AboutXR2023-2257 - Permits�eWFOR City of Newport Beach A�n > 4}y Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Z Permit Counter Phone: (949) 718-1888 %Wor, newportbeachca.gov/civic Combination Type - MFP Work Class - Alteration 11111111111111111111111111111111111111111111111111111��jjCOMB Permit : XR2023-2257 Plan Check No: PC2023-1979 Issued Date : 08/1e/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 : 1945 SHERINGTON PL, G 117 Legal Desc : P BK 15 PG 36 PAR 1 Description: MFR ALT R/R DRYWALL AND INSULATION FROM WATER DAMAGE.45 SF Owner: UDR NEWPORT BEACH NORTH LP Contractor : Signal Restoration Architect Address : 1745 SHEA CENTER DR STE200 Address: 7221 ORANGEWOOD AVE Address: HIGHLANDS RANCH, CO 80112-9 Phone : (720) 283-6120 GARDEN GROVE, CA 92841 Phone: (714) 763-4153 Phone Con State Lic : 986693 State Lic Applicant : TIM WARREN Lic Expire : 09/30/2025 Bus Lic: BT30071857 Address : 7221 ORANGEWOOD AV Bus Lic Expire : 05/31/2024 Engineer : LOVE LOVE LACE MILES T GARDEN GROVE, CA 92841 Add : Address 105 VISTA SORRENTO PKWY, #102 Phone: (714) 737-7082 Workers' Compensation Insurance DIEGO, CA 92121 Phone: (858) 535-9111 Owner/Builder : Carrier: STARR INDEMNITY & LIABILITY COMPANY Address : Policy No: 1000002994 Designer W. C. Expire: 10/16/2023 Address Phone: Phone: Code Edition : 2022 Type of Construction : V-B Fire Sprinklers : NO Construction Valuation : ion $1,800.00 atft. Occupancy Groups : R-2 Fire Hazard Zone : NO Added/New/TI sq. Bldg : 0 Bldg Height: No of Units : 1 Alterations ft. Bldg 45 No of Stories : 3 Added/New sq. ft. Garage: 0 .. Building Setbacks : 0 ft. TOTAL sq. • ° ' Flood Zone : X Use Zone: PC -Oakwood - UP1370, UP 1405 `Apartments PROCESSED BY: 3 J SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I.. am exempt from me hat requires a tpermit to construct, forate License Law the improve, idemol demolish, ororepair tany structure, prior fto its insuuance, also theapplicable file app cant for section 7031.5. Business and Professions Code: Any city or county to. permit to file a signed statement that he or she is licensed pursuant to the provisions o4 the Contractors' Stale License Law 031.5 b 9 (commencing with Section 7000) of Division 3 t the Business penal an rofesslons Code) or that he or she is exempt from licensure and he 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). ale cmpensaion, ] I, Be owner of the property, or my employees with wages as their s Law doesonol applytlo an owner of property who, through employees' or e sill do U all of or U portions of the work, and the tonal effort. builds or Improves the property, provided that the ;usiness and Professions Code: The Contractors' State 11provo ilients are not intended or offered for sale. If,. however. the building or improvement is sold within one year of completion, life Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 1. as owner of ire property, am elusively contracting with licensed Contractors to construct the project (Section 71 Business and Professions Code The Contractors' State License Law does not pproperty to an owner lot who builds or improves thereon. and who contracts for the projects with a licensed Contractor pursuant to he Contractors State License Law). 3 ern exempt from licensure under the Contractors" State License Law for the following reason. ____ .__..—. ._ .-_......... _ _ .._...__ _._ _ .-..-.. must have resided for at least one year or to et on of e improvements covered by this permit, I cannot 3y my signature. below a bull s an except for my f it has not been constructed sonal residence in tin its fentirety by licensed contractors. I understand that a copy of theapplicablelaw, Section 704d of the Business and ego ll :ell a siructu€e that I have built as a 'rofessions Code, is available upon requestwhen this application is submitted or atthe following Web site:Mtp:llwww.legtnfo.ca.gov/calavr:htm.. 3lgnature of Property Owner or Authorized Agent _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SecData70 f i ri io oi-1�oBuacto SSigoaturefessio ode nd. icense is in full force and effect. License Class License No 5 NORKERS' COMPENSATION DECLARATION COST IOP COMI THE URE TTOIO EC DAMAGES AS PROSURE WORKERS* VIDED SA INN COVERAGE 370615 UNLAWFUL, AND SHCODE, ALL SUBJECT AN ATTORR EMPLOYER To CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN R OUSAND DOLLARS (E100,0001, IN ADDITION TO F THE S. hereby affirm under penalty of perjury one of the following declarations: El I have and will maintain a certificate of consent to sell -insure (or workers' compensation. issued by he Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th tppf'''eh�(ll'formence of the work for which this permit is issued. Pollcy Ne. / 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' compensatio nsurance carrier and policy number are: Expiration Date 'Carrier Policy Number Phoneff Name of Agent . in the performance of the work forwhich this permit is issued, I shall not employ any parson in any manner so as to become subject to the workers' Compensation laws of California, and ogre ❑I certify that that, it I should become subject to the worker:' pe rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date____,. Signature of ARphcanl ...... -. ...._____._......---_.._...-..--.._..._......._..--- - ---- DECLARATION REGARDING C STRU N LENDtNG AGENCY hereby affirm under penafty of erfu t there Is a construction lending agency for endts Address of the work for which this permit is issued (Section 3087., Civil Code). e Lenders Name _ By my signature b"3I7 , ]certify to each of the following: rr the proprrty cwner or authorized to acton the property owner's behalf. I have read tills zpnucation and the information I have provided is correct. ' agree to comply with all applicable city and county ordin es and state laws relating to building conslructlon. I authorize representatives of this city or county to r - tified property [or Inspection purposes. rl�Q VC Date FI raturp of Propuu Jwner or Authodzed A ent Print Pro ert Oa/ner's or Authorized Agents Name ) ACTION DATE BY DECLARATION OF COMPLIANCE N+ITN CODE OF FEDERAL FOR OFFICE USE ONLY R. RFGW.ATIONS PART 61. OF TITLE 40 AND AOMO RULF 1403 o`.PM1f YNPIREO LJ I.SUBMITTED ASBESTOS NOTIFICATION TO _.._._. ?ERMI'LXTEN6'DU JA1QM_-- PERMIT FINAC ( SBE5T05 NOTIFICATI�0,N - (CABLE 70 <� PROPOSED DEMOLITICERTIFICATE OF OCCUPANCY ISSUED _..!!� sI SIGNATURE.... _.