HomeMy WebLinkAboutXR2024-0610 - Permitso� ro+R�T
City of Newport Beach vision II IIII I IIIIIIIII I I II IIIIIIIII I I III II COMB Permit : XR2024-0610
9 Community Development Department -Building Dr ' `n. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No ' PC2024-0498
Permit Counter Phone: (949) 718-1888 Issued Date: 04102/2024
`= newportbeachca.gov/civic Final Date:
cq<Foar�"'' 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 : 940 IRVINE AVE, A 211 Legal Desc : P BK 15 PG 36 PAR 1
Description: MFR R/R INSULATION AND DRYWALL 45 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
Can State Lie :
986693
Lie Expire:
09/30/2025
Bus Lie:
BT30071857
Bus Lie 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 Lie
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 :
$550.00
Type of Construction :
V-B Fire Hazard Zone : NO
Added/NewlTI sq. ft. Bldg :
0
Occupancy Groups:
U,R-2 No of Units : 1
Alteration sq. ft. Bldg :
45
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
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PROCESSED BY:
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SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Rants)
(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
the 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 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 (5500).
❑ I, as owner of the ;property, or my employees with Wages as their sole compensation, will do U all of or U patens of the work, and the structure is notintended 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 it was not built or
improved 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
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).
❑ 1 am exempt from licensure under the Contractors' Slate 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 legalll
sell 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 70" of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web. site:http:llw .leginfo.ca..govlcalaw.html.
Signature of Property Owner or Authorized AgerA Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio y license is In full force
and effect. License Class License No Date W Z' l k Contractor Signature - —
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00E), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STUB OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 have and will maintain a certificate of consent to selfAnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Cade, for the
rperformance of the work for which this permit Is issued. Policy No.
ynl 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' compensatior
insurance carrier and policy number are:
Policy Number
of Agent
Date
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 t0 become subject to the workers' compensation laws of California, and agree
, if I shouldbecome subject te�_ox ers�ompensahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1
lature of ApplicantDale �� 1 Li
ireby affirm under penalty of perjury that there is a Construction fending agency for the performance of the work for which this permit is issued (Section 3097. Civil Code).
Nees Name Lenders Address
my signature below, I certify to each of the following:
I am the propert, owner or authorized to act on the property own•••er's behalf.
I have read this application and the information I have provided Is correct.
agree to cdl nply with all applicable city and county ordinances and state taws relating to building construction.
I authorize laps aaentafives of this city or county to enter th alett e-idenffied property for inspection purposes. i I
nature of PrCDeriv Owner or Authorized Anent r��' Pint Prooerty Owner's or Authorized Auent's Name r t'n E1 fi C+u[y (i? Date
PEW r FINAL
CEH71FICATf nF
CC.:UP4NCY ISSUE0
REGULATIONS PART 51 OF TITLE40AND AQMD RULE
NOTIFICATION TO
NOTIFICATION IS NOT APPLICABLE TO
FOR OFFICE USE ONLY