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Home My WebLink AboutXR2023-3288 - Permits�EWPoT City of Newport Beach II IIIIIII IIIIIIIIIIIIIIII IIIIIIIIIIIIII IIIIIII II COMB Permit : XR2023-3288 11� Community Development Department- Building Division X R 2 0 2 3 3 2 8 8 F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2812 Permit Counter Phone: (949) 71 B-1888 Issued Date : 11/22/2023 a,S newportbeachca.gov/civic Final Date: Cb(/Fp0.N�P 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 104 Legal Desc : P BK 15 PG 36 PAR 1 Description: MFR -WATER DAMAGE REPAIR IN KITCHEN, BEDROOM, & BATHROOM AREA 250 SF Owner: UDR NEWPORT BEACH NORTH LP Contractor: SIGNAL RESTORATION SERVICES Architect Address : 1745 SHEA CENTER DR STE200 Address : 7221 ORANGEWOOD AVE Address HIGHLANDS RANCH, CO 80112-9 GARDEN GROVE, CA 92841 Phone: (720)283-6120 Phone: (714)763-4153 Phone: Con State Lie : 986693 State Lie: Lie Expire : 09/30/2025 Applicant: TIM WARREN Bus Lie : BT30071857 Engineer Address : 7221 ORANGEWOOD AV Bus Lie Expire : 05/31/2024 Address GARDEN GROVE, CA 92841 Phone: (714) 737-7082 Workers' Compensation Insurance Phone: Carrier: STARR INDEMNITY & LIABILITY COMPANY owner/Builder: Policy No: 1000002994 Designer Address : W. C. Expire : 10/16/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $4,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/Newts sq. ft. Bldg: 0 Occupancy Groups : U.R-2 No of Units : 1 Alteration sq. ft. Bldg : D Bldg Height: No of Stories : 3 Added/New sq. ft. Garage: 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 penalty of perjury that I ant exempt from the Contraclors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ftem(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 Codej or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 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 heensure under the Conlmctors' State 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.rannot Iegall sell a structure that I have built as an owner-buildor 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 when this application is submitted or at the following Wed site:http:l/"w y.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 7000) f D i 9 of the Business and ProfeSale license is In full force and effect. License Class License No Date - .) Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN OUSANO DOLLARS f$t00,000i, IN ADDriION TO THE ]DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY''S PEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 ierformance of the work for which this permit is issued. Policy No. I11i and wilt maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permitis issued. My workers' compensation urance carrier and policy number are: mer Policy Number Expiration Date me of Agent Phone # I Certity that, Inthe 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 t, if I should become subject to npensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / nature of Applicant _ Date CLARATION REGARDS ' G LENDING AGENCY areby affirm under penalty of perjury that there is a Construction lending agency for the performance of the work for which this perm It Is issued (Section 3097, Civil Code). ider's Name Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the propertyowner's behalf. I have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this oily or county to entert tified property for inspection purposes. nature 1y4 nature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name Ij "' ` "A�+"' � Date TION DATE BY , DE ARATION. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY t REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE 1403 PER�YRT EXTENDED LJAi1MO PERM7FFINAL 7 /5 Zy ` y�kSRE5T05 N01'i F9CATION J 19x > LICAIAE TO CERT0,CATE OF / J PROPOSEOfIVOLITION C OCCUPANCY ISSUED [IrNATIIRF-