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Home My WebLink AboutXR2024-0214 - PermitsaEwPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2024-0214 D� p Community Development Department- Building Division X R 2 0 2 4 0 2 1 a 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0183 Permit Counter Phone: (949) 718-1888 Issued Date : 01/25/2024 u o- newportbeachca.gov/civic Final Date: c9</FURN�P 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 203 Legal Desc : P BK 15 PG 36 PAR 1 Description: MFR ALT R/R DRYWALL AND INSULATION 49 SF Owner: UDR NEWPORT BEACH NORTH LP Contractor: SIGNAL RESTORATION (NOW: Architect WESTROCK RESTORATION) Address : 1745 SHEA CENTER DR STE200 Address; 7221 ORANGEWOOD AV Address : - HIGHLANDS RANCH, CO 80112-9 GARDEN GROVE, CA 92841 Phone : (720) 283-6120 Phone : (714) 737-7082 Phone Con State Lic : 986693 State Lic: Lic Expire : 09/30/2025 Applicant: SIGNAL RESTORATION (NOW: WESTROCK Bus Lic: BT30071857 Engineer : LOVELACE MILES T , RESTORATION) Address : 7221 ORANGEWOOD AV Bus Lic Expire : 05/31/2024 Address : 10509 VISTA SORRENTQ PKVyY, #10 GARDEN GROVE, CA 92841 SAN DIEGO, CA 92121 Phone: (714) 737-7082 Workers' Compensation Insurance Phone: (858) 535-9111 Carrier: STARR INDEMNITY & LIABILITY CO Owner/Builder : Policy No: 1 D00067955231 Designer Address : W. C. Expire : 10/16/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $1,100.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New[Ti sq. ft. Bldg : 0 Occupancy Groups : U,R-2 No of Units : 1 - Alteration sq. ft. Bldg : 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 DECLARATION I hereby alilrin under penaltyof perjury that I am exempt from the Contractors' State License Lawlor the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable item(s) (Section 7031,5, Business and Professions Code: Any City or county that Fequlres a permit to construct, alter, improve, dernolish, 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 Gcensure 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 1$500). 1, as ownerof the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended oroffered 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 properly, provided that the Improvements 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 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 propertywho builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the improvements covered by this permit, I cannot legall sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copyof 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:httpalwww.leginfo.ca.gav/calaw.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 7 0 qI ""a �uslness and Profess Me Cod f a is In full force and effect License Class License No Date 7, '5 Mntractor Sionaturec lJ COYFENSATION DECLARATION 'r:ARNING; FAILURE TJ JICURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED O' IL 2 SS 1f0 DOLLARS (S100,000), IN ADDITION TO (qsT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm unocr pei ahy of perjury one of the following declarations: I Nava and willmalntain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ormance of kha work for which this permit is issued. Policy No. agve 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" compensa: Trance carrier trd policy number are: Policy Number of Agent Date I cer ity that, in the performance of c for hich 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 t if I should became subject to atlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. e :na,ure of Applicant _ __ __ CLARATION REGAL NG "NSTRUCTION LI: DING AGENCY areby affirm under pe Ity perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). )der s Name Lender's Address -- — nay signature below, roarnify 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 I have provided is correct. I agree to comply with all applicable city and county ordina Taws relating to building construction. I authorize representatives of this city or county to ter f� e- & roperry for inspection purposes. �1 :mature of Property Owner or Authorized Aaerh C Print Property, Owner's or Authorized Aaent's NaIIIO �, 4/ "—' Oakum! f 25, FOR OFFICE USE ONLY 1403 PERMIT EXPIRED PART 61 OF TITLE 40 AND AQMD RU LE T ICv �A DdLE 70 CERTIFICATE OF O0SED10 L OCCUPANCYISSUEA PJ—