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HomeMy WebLinkAboutXR2024-0611 - PermitsaF�Po�> City of Newport Beach 1111111111111111111111111111111111111111111111il ill111 jj COMB Permit : XR2024-0611 Community Development Department - Building Division x R 2 0 2 4 0 6 1 1 y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0498 i Permit Counter Phone: (949) 718-1888 Issued Date : 04/02/2024 -- 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: 940 IRVINE AVE, A 311 Legal Desc : P BK 15 PG 36 PAR 1 Description : MFR R/R INSULATION AND DRYWALL 159 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 : 10DOD055410 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 : $1,700.00 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 : 159 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 13S PROCESSED BY: - - SPECIAL CONDITIONS: ' 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) iecbon 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 is 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 rofessions Code) or that he or she is exempt from licensure and the basis for the alfeged 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). ] I, 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, usiness 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 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). 3 I, as owner of the properly, am exclusively contracting with licensed Contractors to Construct the project (Section 7044. Business and Professions Code: The Contractors' State License Law does not ply 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 am exempt from licensure under the Contractors' Slate License Law for the foRowing 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 legall, ell 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 'rofessions Code, Is available upon request when this application is submitted or at the following Web site:htlpolw .leginfo.ca.govlcalaw.html. lignature of Property Owner or Authorized Agent _ Date ., .ICENS£D 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 Profession license is in full force nd effect, License Class License No Date Lf -Z - Z tf Contractor Signature �— YORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100400L IN ADDITION TOTHE '.DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 erformance of the work for which this permit is issued. Policy No. I 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' compensaaol '.. insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone 4 QI 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 agre that, if I should become subject to to tamers ensation provisions of Section 3700 of the Labor Code, I shall forthwtih comply with those provisions. Signature of Applicant,i� Date DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I 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). Lender's Name Lenders Address By my signature below, I certify to each of the following: I am the propedv owner or authorized to act on the property owner's behalf. I have read U,iS application and the information I have provided is correct. I agree to cii.Iply with all applicable city and county ordinances and slate laws relating to building construction. I authorize rsxecentatives of this city or county to ent property for inspection purposes. I 11 Si mture of Pre. ert Owner or Authorized A ant Print Property Owner's or Authorized Agent's Name_Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 3 REGULATIONS PART 61 OFTITLE40AND AOMD RULE 11403 Fd1,NVT EXPIh£D 1. 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