HomeMy WebLinkAboutXR2023-2988 - PermitsyEWPORr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XRZO23�298$
o� Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
" ? Permit Counter Phone: (949) 718-1888 Issued Date : 10/20/2023
.s: newportbeachca.gov/civic Final Date:
ot.icor+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 : 1870 16TH ST, L 101 Legal Desc : P BK 15 PG 36 PAR 2
Description: MFR DRYWALL AND INSULATION REPAIRS @ THE KITCHEN AND BATHROOM AREA (80 SF)
Owner: UDR NEWPORT BEACH NORTH LP
Address : 1745 SHEA CENTER DR #200
HIGHLANDS RANCH„ CO 80129
Phone:
(720)283-6120
Applicant :
SIGNAL RESTORATION
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 92B41
Phone:
(714)737-7082
Con State Lie
: 986693
Lie Expire :
09/30/2025
Bus Lie:
BT30071857
Bus Lie Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: STARR INDEMNITY & LIABILITY CO
Policy No : 1000067955231
W. C. Expire : 10/16/2024
Architect
Address
Phone:
State Lie
Engineer :
LOVELACE MILES T '
Address :
10509 VISTA SORRENT9 PKWY, #102 ,
SAN DIEGO, CA 92121
Phone:
(858)535-9111
Designer:
Address
Phone: Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
R-2
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
3
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks
Flood Zone :
X
Use Zone :
PC - Oakwood Apartments
- UP1370, UP 1405
PROCESSED BY:
SPECIAL CONDITIONS
$6,400.00
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
;Section 7031.5, Business and Professions Cade: 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 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
orofesslons Code) or that he or she is exempt from l{censure 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 I, as owner of the property, or my employees with wages as their sole Compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for safe (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 It was not built or
improved for the purpose of sale) -
El
1, 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
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).
El I am exempt from foensure 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-buildar if It has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.govlcalaw,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 "on 70 F I 'sjgn�.gi to Business and Professi ! my license is In full force
and effect. License Class License No Dtt �kC1 /G%Contrac gnature
WORKERS' CUMPENSATION DECLARATION +{
riARNING: FAILURE TO PE:URE WOB%ENS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FR1E5 UP TO ONE HUN 9 OUSAND DOLLARS (5100,000), IN ADDITION TO THE
rOST OF ^.OMPENi ATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Ihereby affirm under penalty of perjury one of the following declarations:
J I ouve and will maintain a certificate of consent to self -insure for workers' compensolioo, issued by the Director of Industrial Relations as provideo for by Section 3700 of the Labor Code, for th
p4-#p rnanco of Die vrork for which this permit is issued. Policy No.
QI ave and will r , wtain 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' compensation
u.s Jrarn�e carrier and policy number are:
Carler Policy Number Expiration Date
Nana of Agent Phone #
01 certify that, in Ina performance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the work ra' compensation laws of California, and agre
that, If I s'lould become �ilbject v ken compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �j
Signature of Applo / _ __ _ le�_ �LQ�e__- _,__,
DECLARATION RDfN CONSTRUC LENDING AGENCY
I hereby affirm under en of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
Lendore Name Lenders Address _
By 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 ordinanc d st to laws relating to building construction. . \\ fir"
I authorize representatives of this City county to enter "e0 property for inspection purposes. y1/L W 41.'-^revue GOv%2
Sro en o d Owner or AulnAgain Print. nl Property Owner's or Authorized A an' erne Da ignatwe of P
ACTION DATE. BY DF LARAT(ONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
EGl"ATIONS PART 61 OF TITLE 40 AND AQMD RO LE
1 1403
I SUBMITTED ASBESTOS NOTIFICATION TO
PER101T FINAL t 7/.2 Y ' qe/!,/_l i iJ S T 5 NOl"iFICA N IS A UCABLE TO
CERTIFICATE OF G Mon.
OCCUPANCrISSUED �/ SIC.NATIJ F: _-