HomeMy WebLinkAboutXR2024-0561 - Permits�EWPORT City of Newport Beach 111 IIIIIIII 1111111111111111111111111111111111111111111111 jj COMB Permit : XR2024-0561
D� Community Development Department- Building Division x R 2 9 2 4 0 5 6 1
F ? 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
4�ti2�' 4- -0457
6 Z Permit Counter Phone: (949) 718-1B88 Issued Date : 03/07/2024
.s. newportbeachca.gov/civic Final Date:
Cq<JppAH�P Combination Type - MFP Permit Status: Issued
Work Class - Alteration Inspection Area: a
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 116 Legal Desc : P BK 15 PG 36 PAR 1
Description : MFR REPLACE INSULATION AND DRYWALL 1777 SF
Owner: UDR NEWPORT BEACH NORTH LP
Address : 1745 SHEA CENTER DR STE200
HIGHLANDS RANCH, CO 80112-9
Phone:
(720)283-6120
Applicant:
WESTROCK RESTORATION
Address :
7221 ORANGEWOOD AV
GARDEN GROVE, CA 92841
Phone :
(714) 737-7082
Owner/Builder :
Address :
Contractor:
WESTROCK RESTORATION
Address :
7221 ORANGEWOOD AV
GARDEN GROVE, CA 92841
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 SORRENTO PKWY, #102
SAN DIEGO, CA 92121
Phone: (858)535-9111
Designer:
Address :
Phone:
Phone:
Code Edition :
2022 Fire Sprinklers :
NO
Construction Valuation : $15,008r00"
Type of Construction :
V-B Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups :
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
PROCESSED BY:
SPECIAL CONDITIONS
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 items)
Section 7031,5, Business and Professions Code: Any city or county that requires a pernilt to construct, alter, improve, demonsh, or repair any structure, prior to its issuance, also requires the applicant for
to permit to file a signed statement that ho 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
Tofessions 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
of more than five hundred dollars ($50D).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not Intended or offered for sale (Section 7044,
usin Dss and Professions Code: The Contrectors' Stale License Law does not apply to an owner of property who, through employeesor personal effort, builds or improves the property, provided that tile,
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 bui€t or
nprovod for the purpose of sale).
3 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
ppiy 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).
I I am exempt from licensors under the Contractors' State License Law for the following reason
•y 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 legalii
all a structure that I have built as an owner -builder if ithas not boon 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:llwww.leginfo.ca.govlcalaw.frtml,
signature of Property Owner or Authorized Agent _ _—_ Date
.ICENSE'.D CONTRACTOR'S DECLARATION
hereby affirm under penalty Of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of Rivision 3 of the Business and Pr f ssions od n f •rose is in full force
nd effect. License Class License No out
7 _1 Contractor Signatllr
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T DUBANO DOLLARS ($11)e,0001. IN ADORION TO THE
OST OF COMPENSA410N, DAMAGES AS PROVIDED FOR IN SECTION 3TD8 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declaratlons:
] I have and will maintain a carlitrcate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
0(formance of the work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier and policy number are:
Policy Number
of Agent
Date
JI certify that, in the performance of the work f hie permit is issued. I shall not employ any person in any manner so a$ t0 become subject to the workers' compensation laws of California, and ogre
rat, if I should becoinTqiiject to the workers' co 'a provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'r��//
iunaiure of Applicant a Daly\ �� 7 XY
ILCLaRt.TION E.ECA —._—.G AGENCY / TTTT
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, Civil Code),
eodrr's Name _ Lender's Address
q my signature bckv., : Cerll#y t reach of the following:
I am the propi c, termer or authorized to act on the property owner's behalf.
I have read this of F!i.ation and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances laws relating to building construction.
I authorize representatives of this city or souk ttyrto sftj.A r ov ed property for inspection purposes.
ACTION DATE BY DECLARATION OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART bt OF TITLE 40 AND AQNID RULE
PERMi T EXPI RED
PERMIT CANCELLED
PEANUT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
ITi]
� c
m
Ln
x O
O
ray <
-�
U I
N
W mg
C)C
P
®�
Z
b o
0)
R
0,2 co
® v
S
x U
a
y
3
7
m m
Wbdo
a)
b ?
y
Q
® O
r l
U
�E U
o
O
�
ca
c
O
0
c
C
0
U
a7
co 0a)
LO
0 C
O
0 y 0
`m
0 0
y
� m a
N
E E
E
M ""
0 y
O
c: (6
CO a)
o
N 7
N
o
u
�O
C 0
U >,
(
O
0
6�
X
0
a) fN
CIDC
m C
R9 a3
-
d
+t+
O >. fN
G)
N O
E
0 0
a
c -0 Q
®•®-
CN
osL
U f6
a) a)-0
0 W
O
O
.Q
j 0 U)0
O
r O w
U
® E
®
M
C O
C 0.
M
U
a3
yO .N
=
=
°a)
N
E ev
UUv
ca
o
m=
o-0-L
ay's
D_
o
cm
CE�
Co
'sf®�3
�0
W
N d0
.00
O0)
0
N 3
0
L
-0 E
E E
Y
3
07
0 O
w.
C f=6
aS E
E
L
C Y 0
a3
0
a) a9 N L
e l® �_
a)
O N
U 0
=_ N
O.°
0>
0 0 B 0
aNmO
e� m
ae�;
� en
> coi
E
�
° fl' ' a
0
w B
`�
9±
E aJ O C
L ce
'O
m
U
ro
O• m
an
cu _
76
Q) as
O>
-oLID
00
(6
N
O
d a
0
�a
N
�O�
:0
0
OEV�
�N
N
CO
N
E
m
'}
0.0
O��
U
C O N
0
>' i a 3
£ O a3
6 0
Cu.'..�—.
U
_C'O OD
N
a) =
cm
M=
o � a) w
Y
N`o c � �
�
0moo
r-
N
®
- N In
°
.Q
0 L a>7
��
U
S O) M
� c: Elf
®
N
�o E
a)
U
®
•M 0
a) —
U c O
U)
a) L
a
p a)
@i 0 CO
N
.Q
O
CL
4 e
��
c� o
aa))o(D
ro
a) CIO
I a�
�
.O 07 U)CO
N A
0
E
=
0
..Kti
w
0
c
�}
1CZU
°O as
in
a)
®
A
a
0