HomeMy WebLinkAboutXR2024-1029 - Permits�EWPO�r City of Newport Beach 111 IIIpIII 1111111111111111111111111111111111111111111111 jj COMB Permit: XR2024-1029
0� Community Development Department- Building Division X R 2 0 2 4 1 0 2 9
100 Civic Center Drive, Newport Beach, CA 92660 Platt Check No:
Permit Counter Phone: (949) 718-1888 Issued Date: 04117/2024
u newportbeachca.gov/civic Final Date:
C9G/FppN�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 : 1650 16TH ST, F 207 Legal Desc : P BK 15 PG 36 PAR 1
Description: MFR REPLACE DRYWALL AND INSULATION 47 SF
Owner: UDR NEWPORT BEACH NORTH LP
Address : 1745 SHEA CENTER DR STE200
HIGHLANDS RANCH, CO 80112-9
Phone ; (720) 283-6120
Applicant: PABLO SAUCEDO
Address: 7221 ORANGEWOOD AVE
GARDEN GROVE, CA 92841
Phone: (714)737-7089
Owner/Builder :
Address :
Contractor:
WESTROCK RESTORATION
Address :
7221 ORANGEWOOD AVE
GARDEN GROVE, CA 92841
Phone :
(714) 763-4153
Con State Lic
: 986693
Lic Expire :
09/30/2025
Bus Lic:
BT30071857
Bus Lic Expire
: 05/31/2024
Workers' Compensation Insurance
Carrier: STARR INDEMNITY & LIABILITY COMPANY
Policy No: 1000002994
W. C. Expire: 10/16/2024
Architect
Address
Phone:
State Lic
Engineer: LOVELACE MILES T
Address: 10509 VISTA SORRENTO PKWY, #102
SAN DIEGO, CA 92121
Phone: (858) 535-9111
Designer
Address
Phone:
Phone:
Code Edition :
2022 Fire Sprinklers : NO
Construction Valuation : $800.00
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:
SPECIAL CONDITIONS:
I hereby affnn under penalty of perjury that I. am exempt from the Contractors' Slate License Law for the reason(s) indicaled below by the checkmark(s) I have placed next to the applicable iteri
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 applicantfor
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
Irofessions Code) or that he or she is exempt from licensors 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
,or more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
mprovements 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
riproved 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
Ippiy 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 licensum under the Contractors' State License Law for [tie following reason:
iy 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
;ell 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 theapplicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwwmr.teginfo.ca.gov)calaw.html,
>Ignature of Property Owner or Authorized Agent _ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 of Division 3 of the Business and Pr s]; de, .GO se is in full force
Ind effect. License Class License No Date ck �1 G ConVador SignaI r i
PORKERS' COMPENSATION DECLARATION — -
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS (S100,000), IN ADD IKON TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES -
hereby affirm under penalty of perjury one of the following declarations:
J I have and will maintain 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 the
Lerformance, of the work for which this permit is issued. Policy No.
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`
carrier and policy number are:
Policy Number
of Agent
Date
JI certify that. in the performance of the work 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 agree
rat, if I should becom subject to the ompeNetion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant — _ Da
11 Ci,ARATION REGA IN •ONSTRUCTION t_ENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is Issued (Section 3097, Ci II Code).
Enders Name _ Lender's Address
ly 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 Ppplication and the information I have provided is correct.
I agree to comply with all applicablecity and county ordinances a late laws relating to building construction.
I authorize representatives of this city or coun Loan v - ifled property for inspection purposes. p\ �(7 I �%
Signature of Propertv Owner or Authorized Agant L Y/ -- Print Property Owner's or Authorized Aoent's Name1 Y G?b1 0 �Wlt,r CeAn I Date Lf-17-14
A1TU`N DATE BY tX Ot1EGU RATPCN PART BI TITLE 40 AND LIANODC OID RUE C
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