The URL can be used to link to this page

Home My WebLink AboutXR2023-3325 - Permits@ 'PORT City of Newport Beach IIIIIIIIIIIII II IIIIIIIII IIIIIII IIIIII IIIIIII II COMB Permit : XR2023-3325 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2841 Permit Counter Phone: (949) 718-1888 -a. Issued Date: 11/22/2023 newportbeachca.gov/civic Final Date: cqG/FO RN�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 : 1870 16TH ST, L 205 Legal Desc : P BK 15 PG 36 PAR 2 Description: MFR- WATER DAMAGE REPAIR IN KITCHEN AND BATH 132 SF Owner: UDR NEWPORT BEACH NORTH LP Contractor: SIGNAL RESTORATION SERVICES Architect Address : 1745 SHEA CENTER DR #200 Address : 7221 ORANGEWOOD AVE Address HIGHLANDS RANCH„ CO 80129 GARDEN GROVE, CA 92841 Phone : (720) 283-6120 Phone : (714) 763-4153 Phone Con State Lic : 986693 State Lic Lic Expire : 09/30/2025 Applicant: TIM WARREN Bus Lic : BT30071857 Engineer: Address : 7221 ORANGEWOOD AV Bus Lic Expire : 05131/2024 Address GARDEN GROVE, CA 92841 Phone: (714) 737-7082 Workers' Compensation Insurance Phone: Carrier: STARR INDEMNITY & LIABILITY COMPANY Owner/Builder : Policy No: 1000002994 Designer: Address : W. C. Expire : 10/16/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $1,207.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft, Bldg : 0 Occupancy Groups : U,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 a3*Z034X149_l5 SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of Penury that I am exempt from the Contractors' Stale license Law for the reason(s) indicated below by the checkI have placed next to the applicableitam(s) mark(s) 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 110 or she is licensed pursuant to the provisions of the Contractors' Slate License Caw (Chapter 9 (commencing with Section 7000)Of Division 3.of the Business and professions Code) or that he or she is exempt from licensors and the basds for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3USIi1P.SS 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 mproved for the purpose of sale). 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 a ply 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 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:/Iwww.leginfo.ca.govlcalaw html. Signature of Property' Owner or Authorized Agent Oats LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencfnq with Section 7Q0Q �Iv'y5tq of the Business and Professio �. - y Ocense is In full force and effect. License Class License No #e„ ..1 l ! / C Conti'adtor-Signeture, WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (9f00,000), IN ADDITION 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: ❑ I have and will maintain a ceniffoate of consent to self -Insure for Workers' Compensation, Issued by the Director of Industrial Relations aS previded for by Section 3700 of the Labor Code, forth 'ormance of the work for which this permit is issued. Policy No. 4have 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` comper iol rance carrier and policy number are: is of Agent certify that, in the performance of the , if I should become subject to the w9 Of Applicant Policy Number Date 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 satlonprovisions of Section 3700 of the Labor Code, I shall forthwith comply Win those provisions. / Dater � Z7 /Z,3 hereby affirm under penalty Onper}ury that theca is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, endei s Name Lenders Address ly my signature below, I certify to each of the following: I am the property owner or authonzed 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 ordinan sand slate laws relating to building construction. I authorize representatives of this city or county to enter to ntified property for inspection purposes. t•�- I Print PenOwrty Owner's Or Authorized AOent's. Name I ('� ACTION DATE BY l LARAT€ONOFCOMPLIANCE WITH CODE OF FEDERAL { FOR OFRCE USE ONLY REGULATIONS PART bl OF TITLE 40 AND AQNID RULE 1403 PFRMITFXPIRFO C I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED I L 1AQMD PERMrT RMAL _l ASBESTOS NOT IFICATTO LICAeIE TO CERTIFICATE Of P.{OPOSFD DEMO OCCUPANCYISSUfO __ SSGNAFURE Civil Code). a i(W vt ,nrna t I