HomeMy WebLinkAboutXR2024-0318 - Permitso
City of Newport Beach 1�11IiIp111�111111111111li1111111111ill1�11111111111 COMB Permit:XR2024-0318
Community Development Department- Building DivisionX R 2 8 2 4 0 3 1 8100 Civic Center Drive, Newport Beach, CA 92660Plan Check NO: PC2024-0267
Permit Counter Phone: (949) 718-1888 Issued Date : 0210812024newportbeachca.gov/civic 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 : 1940 16TH ST, O 211 Legal Desc : P BK 15 PG 36 PAR 1
Description: MFR ALT R/R DRYWALL AND INSULATION 18 SF
Owner: UDR NEWPORT BEACH NORTH LP
Contractor: WESTROCK RESTORATION
Architect
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 : WESTROCK RESTORATION
Bus Lic: BT30071857
Engineer
Address : 7221 ORANGEWOOD AV
Bus Lic Expire: 05/3112024
Address
GARDEN GROVE, CA 92841
Phone: (714) 737-7082
Workers' Compensation Insurance
Phone:
Carrier: STARR INDEMNITY & LIABILITY CO
Owner/Builder :
Policy No: 1000067955231
Designer:
Address :
W. C. Expire : 10/16/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$650.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups : R-2
No of Units : 1
Alteration sq. ft, Bldg :
18
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:
t hereby affirm under penalty of perjury than 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 Io 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not Intended or 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 year of completion, the Owner -Builder will have the burden of proving that it was not buntor
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' Stale License Law does not
apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ I am exempt from Iicensureunder the Contractors' State License Law for the following reason:
prior_
By my signature below P 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 Iegalt,
sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and
Professions Code„ is available upon request when this application is submitted or at the following Vyeb site:htip:liwww.leginfo.ca,govlcalaw.html.
Signature of Property Owner or Authorized Agent _ Date _
LICENSED CONTRACTOR'S DECLARATION
I hereby affi••.rm under penalty Of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 f Division 3 of the Business and Prpfessio do e e is In full force
and effect. License Class License No Date Z N Contractor Signatifie
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT" EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 70 ONE HUNDRED THOUSAND DOLLARS C6100,000I, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and WIII maintain a certificate of consent to .self -insure tot Workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
cerformance of the -cr4 for which this permit is issued. Policy No..
have and will ,na,n,ain workers' compensation insurance, as required by Section 3700 Of the Labor Code, for the performance of the work for which this permitis issued. My workers'
ra. I,e carrier s.Td pjl:cy number are!
Policy Number
of Agent
Date
ced'fy that, it the pelformance of the work for which this permit is issued. I shall not employ any person in any manner so as t0 become subject to the workers' compensation laws of California, and agre
t, If I should become subject o the w s' o eR .a lop provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nalw, e of App,Ica Il �'��T-_�--�'� Dai
C;_%'ZATION RE:GARC1l 'G CONIS`TRI3CTt44 LENN DING AGENCY
•r±�l• affirm underpenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
loer's Name Lender's Address
my signature b.,ljw, I certify to each of the following:
I am The properly owner or authorized to act on the property owner's behalf.
I have read this apol:cation and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county tt enter ltave7 e'd property for inspection purposes.
nature of Property Owner or Authorized AGent OV- Print Property Owner's OrAuthorized ADent's NameL P^,6l 0 •),i r� [JAA' naCn/ -A'�7 yt
ACTION DATE By jDECIAIVKT'ION OF COMPLIANCE WISH CODE OF FEDERAL FOR OFFICE USE ONLY
j REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I IJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED rirrA
PERMITEXTENDED _ LIAQMD_
PER,bfrTFINAL �, EE9TOS NOTIFICATION.IS LICABLE TO
CEATrfICATE OF PROPOSED EIy],OLTTq:-
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