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HomeMy WebLinkAboutXR2023-2715 - Permits�EWPpRT City of Newport Beach II II IIIII I IIIII IIIIIIIII IIII II III IIII II COMB Permit : XR2O23-2715 o� -a Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2377 z Permit Counter Phone: (949) 718-1888 Issued Date : 09/27/2D23 newportbeachca.gov/civic FinalC9��F00.N�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 : 1985 SHERINGTON PL, E 103 Legal Desc : P BK 15 PG 36 PAR 1 Description: MFR DRYWALL AND INSULATION REPAIR (96 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 : Contractor: SIGNAL RESTORATION Address : 7221 ORANGEWOOD AV GARDEN GROVE, CA 92841 Phone: (714)737-7082 Con State Lic : 986693 Lie Expire : 09/30/2025 Bus Lie: BT30071857 Bus Lie Expire : 05/31/2024 Workers' Compensation Insurance Carrier: STARR INDEMNITY & LIABILITY COMPANY Policy No : 1000066386221 W. C. Expire : 10/16/2023 Architect Address Phone: State Lie Engineer : LOVELACE MILES T > > Address : 10509 VISTA SORRENTO FKWY, SAN DIEGO, CA 92121 Phone : (858) 535-9111 Designer Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $7,689.00- 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: jr SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I ant 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 to its issuance, also requires the applicant for HE 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 i$500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is notintended or offered for sale (Section 7044, Business and Professions Code: The Contractors' Slate 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 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' Stale License Law does not app€y 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). El I am exempt from licensure under the Contractors' State License Law for the following 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, !.cannot legall! sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by Ileansod 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:lhvAw.leginfe.ca.govlcalaw.html. 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 Sequon 7 f I Ii ' n ' e Busirnd Professions se is In full force and effect License Class License. No Dates Cfe"ss Contract nature WORKERS' COMPENSATION DECLARATION x� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUN THOvaAND DOLLARS (Sr D0,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under oenalty of perjury one of the following declarations: ❑ 1 have and wit`-rc4ntain 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 th ¢ATt finence of the Ivorkfor which this permit Is issued. Policy No.. and will .T,ca,lain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is !saved. My workers` carrier aril policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is Issued. I shall net employ any person in any manner so as to become subject to the works ' compensation laws of California, and agre if I s,lould uLo r subject to th r ce c e s ton provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n J— pp\\ ,�, I.;IJ,s of ApPlOfant_„——_-_- hereby affirm under periki �erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). Lirder's :Jame Lender's Address ly my signature LJcy:, 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 andthe information I have provided is correct. I agree to comply with all applicable city and county ordirieiiic2s and st to laws relating to building construction. � h I authorize representatives of this city or cou to b d property for inspection P,purposes ,_.. c .. _, _ _. n____.w ...._. ,.. ,v.,...-,...a.n. D,inl —n , 11 nr d.ut6nmorl Anwnf' bmw f V 1 ACTION PERMIT EXPIRED PEflM1T CANGELl.EP PERMIT EMENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AQMD RULE A58FSTOS NOTIFICATION TO TQ FOR OFFICE USE ONLY 9/2P%2s