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Home My WebLink AboutXR2023-2927 - PermitsagWPo"' City of Newport Beach 111 IiIIIII 111111111111111111111111111111111111111111111111COMB Permit:XR2023-2927 @ Community Development Department- Building Division X R 2 0 2 3 2 9 2 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2498 Permit Counter Phone: (949) 718-1888 Issued Date : 10/17/2023 newportbeachca.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 : 1650 16TH ST, F 202 Legal Desc : P BK 15 PG 36 PAR 2 Description: MFR DRYWALL REPAIR 20 SF, INSULATION REPAIR 20 SF Owner: UDR NEWPORT BEACH NORTH LP Contractor : SIGNAL 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: SIGNAL RESTORATION Bus Lic : BT30071857 Engineer ; LOVELACE MILES T ' Address : 7221 ORANGEWOOD AV Bus Lic Expire : 05/31/2024 Address : 10509 VISTA SORRENTO PKWY, #1,112 ' GARDEN GROVE, CA 92841 SAN DIEGO, CA 92121, , ' Phone: (714) 737-7082 Workers' Compensation Insurance Phone: (858) 535-9111 Carrier: STARR INDEMNITY & LIABILITY COMPANY ' Owner/Builder : Policy No: 1000066386221 Designer : • •' Address : W. C. Expire : 10/16/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $477.8;,' 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: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checitmark(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 ha 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). 71 1, 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 -Builder will have the burden of proving that R was not built or improved for the purpose of sale). 0 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' State License Law). ❑ 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 legal) sell a structure that I have built as an oamor-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.htip:liwww.teginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent ..__ __ ._— Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se n 700 f y Zs the Business and ofession ra y Ilcense is In full farce and effect License Class License No �C C7 Contractor Si ure WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE MUN OUSANO DOLLARS ISi DD,D00), IN AODmON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self,maure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. Policy No. av,, 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' compensatio �n anc+carrier ,.;no oliuy number are: Policy Number Date an,b [Agent _ _ _ _ rnwm n 11 certify 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 I:+l, n I St. Id been a subject to t11 ksalian provisions of Section 3700 of the Labor Code, shall forthwith comply M1lh those provisions. LCLAR7.7fOAf NG NSTRUC71 N LENDING AGENCY hereby affirm and^r oat f perjury that there Is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). endar's Name _ _ Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to out art the property owner's behalf, I have read this application and the information I have provided is correct. I authorize representatives all a of this le unt to e f and state laws relating to building construction. I agree to Comply with all applicable city and �unty oral ances identified property for Inspection purposes. ',�I denature of Prooettv Owner or Aulhoriz A- nt Print Pro arty Owner's or A tarized A ent's Name I t "y' EXPIRED PERMIT EMENDED DATE E OY,� DECLARATION OF COMPLIANCE 1h11Tfi CODE OF FEDERAL I FOR OFFICE i j: REGULATIONS PART 61 OF TITLE. 40 AND AOMO RULE NOTIFICATION TO PEPMJ7 FINAL �� Y ! I `BESTOS NOTIFICArI 111111 ICARLE TO C€RRFfCA7E Of ) y R OSED DEMOLITf OCCUPANCY ISSUED SIGNATURE: