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Home My WebLink AboutXR2024-0614 - Permits;FW�okr City of Newport Beach 1111IIIIIIIIII 1111111111111111111111111111111111111111111jjCOMB Permit : XR2024-0614 Community Development Department - Building Division x R 2 0 2 4 0 6 1 4 r n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0498 Permit Counter Phone: (949) 718-1888 Issued Date : 04/02/2024 u 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 : 1940 16TH ST, O 306 Legal Dose: P BK 15 PG 36 PAR 1 Description: MFR R/R INSULATION AND DRYWALL 88 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 AV GARDEN GROVE, CA 92841 Phone: (714)737-7082 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: 10000055410 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 : $900.00 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 : 88 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 affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable tennis) 3eclion 7031.5,. Business and Professions Code: Any city or county treat requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ee 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 forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a. permit subjects the applicant to a civil penalty of of more than five hundred dollars (£500). 31, as owner of the property, or my employees with wages as their sole compensation, will do C_) 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' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements 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 nproved for the purpose of sale), 11, 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 poly to an owner of property who builds or improves thereon, and who contracts for the projectswith a licensed Contractor pursuant to the Contractors' State License Law). I I am exempt from licensure under the Contractors' Stale License Law for the following reason: ly 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 all a structure that I have builtas 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:li%ti .leginfo.ca.govlcaiaw.htmi. signature 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 7000) of Division 3 of the Business and Profess' y license is in full force nd effect. License Class License No Date -ILI Contractor Signature - �— VORICERS' COMPENSATION DECLARATION 1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANC, CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,000t, IN APOmON TO THE OST OF COMPENSATION. DAMAGES A$ PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the fallowing declarations: ] 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 thI erformance of the work for which this permit is issued. Policy No. have 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' Rance carrier and policy number are: Policy Number of Agent Dale 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 , if I should become subject to the ors ompensation provisions of Section 3700 of the Labor Code, I shall forthwRh comply with those provisions. or Date `-1 `Z —Ly Ireby 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, Civil Code), Ider's Name Lenders Address my signature helow, I certify to each of the following: I am the p• pe,iy owner or authorized to act on the property owner's behalf. I have read Ibis application and the information I have provided is correct.. (agree to colaoly with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county toe - entified property for inspection purposes. nature of Pronertv Owner or Authorized Agent Print Procertv Owner's or Authorized Acent s Name �G In �I �'/ � ✓I �;�. P�hi� Date AC-, ION I DATE I BY DECLARATiONOF COMPLIACE WITH CODE OF I REGULATIONS PART 610 OF AD AND AOMD RULE FEDERAL I FOR OFFICE USE ONLY EXPIRED TO PEWITEXTENOEC i OAQMD P5FP91TF1NA! j ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CFR7 rF7CATE U✓• S �� PROPOSED DEMOLITSON� OCCUPANCY 155bEd 10 SIGNATURE: