HomeMy WebLinkAboutXR2024-5473 - Permits�"Wyar"r,. City of Newport Beach II III I IIII II III IIIIIII III II IIII I II
9 Community Development Department - Building Division COMB Permit : XR2024-5473
m X R 2 0 2 4 5 4 7 3
y 100 Civic Center Drive, Newpo.1 Beach, CA 92650 Plan Check No : XR2024-5471
Permit Counter Phone: (949) 718-188F Issued Date : 06/20/2024
newportbeachca.gov/civic
Combination Type - MFP Final Date:
Permit Status: Issued
Work Class - ADDITION/ALTERATION Inspection Area : 8
PERMITS EXPIRE 180 DAYS AFI ER ISSUANCE OR'LAS) 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 : 1890 16TH ST Legal Desc : P BK 15 PG 36 PAR 2
Description: MFR R/R DRYWALL AND INSULATION AT LAUNDRY AND TRASH ROOM 128 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 :
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 : 06/30/2025
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 :
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation :
$1,400.00
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 :
128
Bldg Height :
No of Stories : 3
Add/New sq. ft. Garage :
0
TOTAL sq. ft.
0
Building Setbacks
Flood Zone :
X
Use Zone:
PC - Oakwood Apartments
- UP1370, UP 1405
PROCESSED BY:
V
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reason(s) indicated oelow, oy the. checkmarK(s) , have placed next to the applicable item(:)
Section 7031-5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demol,sh, or repair any structure, prior to its issuance, also requires the applicant for
he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License La:r (Chapter o (commencing vith Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section (031.5 by any applicant for a permit Subjects the applicant to a civil penalty of
iot more than five hundred dollars ($500).
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 sale (Section 7044,
3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through empoyees' or persuna, ef'rorl. builds Gr improves the property, provided that the
mprovemenls are not intended or offered for sale. If, however, the building or improvement Is sold within one year of complation, t .e Owncr-2uildcr will h;:ve the be den of proving that it was not built or
mproved 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).
L7 1 am exempt from licensure under the Contractors' Stale 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 -builder if it has not been constructed in its entirely, by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web sfe:http://www.leginfo.ca.gov/calaw.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 Section 7Qtlb Iws the Business and Profess' 1' hse is in full force
and effect. License Class License No Date Y 7 Contractor Signatu
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 HUNDft HOUSAND DOLLARS If100,U551. IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following 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 th
pe ormance 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' compensation
ranee carrier and policy number are:
Policy Number
Date
lame of Agent
3 certify that. in the performance of the o k 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
iat. if I should become subject to the M
provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lignature of Applicant ,_ _ __.__ __..._.___ __ ___ —_._. _. _ Date�IECLARATION REGARDING ONSGENCY
hereby affirm under penalty f perju that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097, Civil Code).
ender's Name Lender's Address
ly 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 ordinipitces and state laws relating to building construction.
I authorize representatives of this city Or county to ente a en ified property for inspection purposes. �pT-,�
;immature of Prooertv Owner or Authorized ADent Print Property Owner's or Authorized Agent's Name 1 1`✓�1 r/evi Date
DATE I BVC �GULATIONS PART CLARATION OF O61 OF TITLE 40 AND AQMD RULECE WITH CODE OF RAL I FOR OFFICE USE ONLY
1403
PERMIT EXPIRED El I SUBMITTFO ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMIT EXTENDED LIAQMD
PERMIT FINAL SBESTOS NOTIFICATION APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUED I SIGNATURE: