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Home My WebLink AboutXR2023-2989 - Permits"EWPoRT City of Newport Beach 111I��III��111111111111111111111111111111111111111111111 jjCOMB Permit : XR2O23-2989 p� + I. Community Development Department- Building Division F. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No x. Permit Counter Phone: (949) 718-1888 Issued Date : 1012012023 newportheachca.gov/civic Final Date: °g4coa"`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 101 Legal Desc : P BK 15 PG 36 PAR 2 Description: MFR DRYWALL AND INSULATION REPAIRS @ THE KITCHEN AREA (32 SF) Owner: UDR NEWPORT BEACH NORTH LP Contractor: SIGNAL RESTORATION Architect Address : 1745 SHEA CENTER DR #200 Address : 7221 ORANGEWOOD AV Address HIGHLANDS RANCH„ CO 80129 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 Bus Lic: BT30071857 Engineer; LOB =LACE MILES T Address : 7221 ORANGEWOOD AV Bus Lic Expire : 05/31/2024 Address : 105C9 VISTA SORRENT�O Pi{WY, #102 , GARDEN GROVE, CA 92841 SAN JIEGO, CA 92121 Phone: (714) 737-7082 Workers' Compensation Insurance Phone: (858) 535-9111 • • . "" 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 : $2,560.00 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 : 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: f�J SPECIAL CONDITIONS: 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 nextto the applicable items) ;Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernolish, or repair any structure, prior to Its issuance, also requires the applicant for '.he permit to file a signed statement that lie 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 Orofessions 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 L) 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-Builderwill have the burden of proving that It was not buill or improved for the purpose of sale). 71 1, 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 ra'ptply 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). u I 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 for at least one year prior to completion of the Improvements covered by this permit, I cannot legally 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 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:liwww.ieginfo.ca.gov)calaw.html. Signature of Property Owner or Authorized Agent _ Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (commencing with Se n 70 f 'Vis) d,[he Busttl and Prof li' 1 my license is to full force and effect. License Cliss License No a G 3 CantrapjlQ/r Signa re WORKERS' COMPENSATION DECLARATION WIPWN4FAILURE -C LEJURE WORXERS' COMPENSATION COVERAGE IS UNWWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE L D THOUSAND DOLLARS ($100,000). IN ADDITION TO THE LOST OF_-OMP[N�ATION. DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR COOP, INTEREST, AND ATfORNEir'S FEES- Ihareby affirm under penalty of perjury one of the following declarations: 0 1 nave and w91 In'Jitain 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 in pe.fom,ance Of ❑}e,mDllr for which this permit is issued. Policy No. Prhave and will rue. lain 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` comper is 'isurance carrierFolicy number are: :amen Policy Number Expiration Date came of Agent _ Phone t4 ,I cen& 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 agre Fat, if I should become subject tot f ers' a Gnsatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply Arlh those provisions. gnature of Appli nl5WG_ r, Cate /EC LARATLO GA Ni TR W:t:, LENDING AGENCYhereby affirm under p perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). -ender's Name Lenders Address -._.. 3y my signature below, I certify 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 ordinances and state laws relating to building construction. I authorize representatives of this city or coup.. to en ao niified property for inspection purposes. ^ y� ii nature of Property Owner or Authorized L Pnnl Property Owner's or Authorized A ent's me It%� ,M, to ACTION DATE B DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PAR] 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED _ (U I SUBMITTED ASBESTOS NOTIFICATION TO PFRMITCANCFLLED S �C.TCPA PERMIT EXTENDED __._.. ._ ❑AQMD._._ ......._...._.___ _— CERTIFICA(AL --_ t"y/�3 PAD 5ESD DEMOU ON TAP L£ Tq CERTIFICATE Of / r(/ ' OCCUPANCY ISSUED `:. SIG T RE: I