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HomeMy WebLinkAboutXR2024-5260 - PermitsagWPpR� City of Newport Beach 11111111111 �1�1111111 itl 111111111111111111111111 111� 11COMB Permit : XR2024-5260 C�� @ Community Development Department- Building Division x R 2 0 2 4 5 2 6 0 �yy @ 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: XR2024-5237 i Perrnit Counter Phone: (949) 718-1888 Issued Date : 0513012024 .y. newportbeachca.gov/civic Final Date: cgt„!oaN�P Combination Type - MFP Permit Status: Issued Work Class - ADDITION/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 : 1605 SHERINGTON PL, YS LAUNDRY ROOM Legal Desc : P BK 15 PG 36 PAR 1 Description: MFR -REPLACE DRYWALL AND INSULATION (50 SF) Owner: UDR NEWPORT BEACH NORTH LP Address : 1745 SHEA CENTER DR #200 HIGHLANDS RANCH„ CO 80129 Phone: (720)283-6120 Applicant: WESTROCK RESTORATION Address: 7221 ORANGEWOOD AV GARDEN GROVE, CA 92841 Phone: (714)737-7082 Owner/Builder : Address : Phone 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 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-2 No of Units : 3 Bldg Height : No of Stories : 3 Building Setbacks : Flood Zone: X Use Zone: PC - Oakwood Apartments - UP1370, UP 1405 PROCESSED BY, SPECIAL CONDITIONS: 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: Construction Valuation : $1,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 50 Add/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 i I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Item(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 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 )!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). 0 I, as owner of the property, or my employees with %Vegas 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, 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 properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from hcensure under the Contractors' State License Law for the following reason: By my signature below ! 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 wfion this application is submitted or at the following Web site:Mtp:/Aaww.leginfo.ca.govlcalaw.htmi, 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 Section 7 0 of Division 3 of the Business and PEelSins-EYSfe -affd`# license is In full force and effect. License Class License No Date Contractor Slgnatu WORKERS' COMPENSATION OECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THDIISANO DOLLARS I$100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th f❑��errfo`rmance of the work for which this permit is issued. Policy No. N% 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' compensatiol Jhsurance carrier and policy number are: Policy Number Date lame of Agent Phone It Certify that, in the performance of the work for which ibis 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 iat, if I should becom Jubject to rthe v mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lgnature of Applicant Da IECLARATION REG DIN t RUCTION LENDING 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, iv€I Code). enders Name Lender's Address ly my signature below, 1 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 applicablecity and county ordinances and tateia%uyrelating to building. construction. I authorize representatives of this city or coun ante law operty for inspection purposes. .� \ g '1VI 3icnature of Prooertv Owner or Authorized Agent _. __._ - Pnnt Property Owner's or Authonzed Agent's Nam -(I Oj t' SGv r -P U 6 '/t Date ACTION I DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOROFFICEUSE I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED j LJ i SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LJEPA PERrVfIT FX7ENDED L3AQmD _ PERMIT FINAL CERTIFICATE OF OCCUPANCVISSUED I A5BEST S Np C3TF3tA`fION 15 N BLE TO I PROPOSED rMOLIT P S SIGNATURE: /