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Home My WebLink AboutXR2024-0011 - Permits��wrorr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2024-0011 Community Development Department- Building Division X R 2 0 2 4 0 0 1 1 100 Civic Center Drive, Newport Beach, CA 02660 Plan Check No : PC2024-0005 Permit Counter Phone: (949) 71B-1888 "`�"" °� Issued Date : 01/02/2024 newportbeachca.gov/civic n Final Date: Combination Type - MFP Permit Status: Issued Work Class - Alteration 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 : 1970 16TH ST, N 311 Legal Desc : P BK 15 PG 36 PAR 1 Description : MFR ALT R/R DRYWALL AND INSULATION 21 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 Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U,R-2 Bldg Height: Building Setbacks contractor: WESTROCK RESTORATION Architect Address : 7221 ORANGEWOOD AVE Address GARDEN GROVE, CA 92841 Phone: (714)763-4153 Phone: Con State Lic : 986693 State Lic Lic Expire : 09/30/2025 Bus Lic: BT30071857 Engineer: Bus Lic Expire : 05/31/2024 Address Workers' Compensation Insurance Phone: Carrier: STARR INDEMNITY & LIABILITY COMPANY Policy No: 1000002994 Designer: Andress W.C. Expire : 10/16/2024 Phone: Fire Sprinklers : Fire Hazard Zone: No of Units : No of Stories: Flood Zone : X Use Zone : PC - Oakwood Apartments - UP1370, UP 1405 PROCESSED BY: SPECIAL CONDITIONS: LOVELACE MILES T 10509 VISTA SORRENTO PKWY, #102 SAN DIEGO, CA 92121 (858) 535-9111 NO Construction Valuation : $1,000.00 NO Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 21 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER I hereby alfirm under penalty of perjury that t am exempt from the Contractors' State License Law for the reason($) indicated below by the checkmark(s) I have placed next to the applicable item($) (Section 7031.5. Business arid 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 the permit to file 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 Professions 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation,will do U allof or U portions of the work, and the structure is not intendedor offered for sale (Section 7044. Business 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 improvements are not intended or offered for sale. If, however, the building or improvement is sold within one yearof completion, the Owner -Builder will have the burden of proving that it was not built or Improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with. licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). ❑ I am exempt from liCensure under the Contractors' Stale License Law for the following reason: By 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 Iegail! sell a structure that I have bull as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request. when this application Is submitted or at the following Web site.http:ltwww.leginfo.ca.govlcalaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7001f 13ivyfign 3 the Business and Prole icense is in full force and effect. License Class License No Date L/ L Contractor Signa e WORKERS' COMPENSATION DECLARATION NANNING' FAILURE TO SECURE WORKERS' COMPENSATION COVERAGES UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE H ED THOUSAND DOLLARS (E100,000), IN ADDITION TOTHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: —11 have and will maintain a certificate 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 Ih cerformance of the work for which this permit is issued. Policy No. 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' lance carrier and policy number are: ne of Agent certify that, in the performance if I should become subject to I Ignalure of Applicant Policy Number Expiration Date 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 •o pensation provisions of Section 3700 or the Labor Code, I shall forthwith comply With those provisions. IN I er cur•v---....___........_.._...._�_..._,.,v,.._._�._._... ____._..__ Dale_......._.. �� 2 sreby affirm under penatAf 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 bellow, I certify to each of die following: I am the property owner or authorized to act. on the property owner's behalf. l have read this application and the information I have provided is Correct I agree to comply with all applicable city and county or ''n Ices and state laws relating to building construction. — I authorize represenlat++vas of this city or county to -identified property for inspection purposes. nature of Property Owner or Authorized A e Print Property Owner's or Authorized Aaent's Name ACTION I DATE PERlvfir EXPiREO DECLARATION OF COMPLIANCE WITH CODE OF FEDEl REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 NOTI PICATION TO PERMIT FNDfD AQMD PERMIT FINAC 'ASBESTOS NOTIFICATI 4 IS G' AP ITO CERTIFICATE OF ��?� PROPOSED DEMOLITIO OCCUPANCYISSUED /4 SIGNATURE: FOR OFFICE USE ONLY 2f