HomeMy WebLinkAboutXR2024-0609 - Permits1,1>1 ipo, l City of Newport Beach 111111111111111111111111111111111111111111111111111111111II
C� �m Community Development Department- Building Division x R 2 9 2 4 0 6 0 g COMB PermIt:XR2024-0609
r n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0498
-,= Permit Counter Phone: (949) 718-1888
newponbeachca.gov/civic Final Date:
Issued Date : 04/02/2024
cq<.. ......r 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 : 1650 16TH ST, F 107 Legal Desc : P BK 15 PG 36 PAR 2
Description: MFR R/R INSULATION AND DRYWALL 123 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
: 05/31/2024
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 :
$1,300.00
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 :
123
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:
R�
,
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable itSTI
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
le 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 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 ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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),
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
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' State License Law for the following 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 Iegall)
ell a structure that I have builtas an owner-bullder 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:htipa1,1% v.leginfo.ca..govlcalaw.htmi.
signature of Property Owner or Authorized Agent _ �..� Date
.ICENSED 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 Professions-6edaC,_ Ymy license is in full force
Ind effect. License Class License No Date `f -)-- i 4 Contractor Signature j- — -
VORKERS' COMPENSATION DECLARATION
1ARN ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANO DOLLARS i6100,00061N ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
-11 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,
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the workfor which this permit is issued. My workers'
Fence carrier and policy number are:
Policy Number
Date
lame of Agent rnone s
It 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
tat, if I should become subject to the work »i-cnr»pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. L l
'signature of Applican� _—____.._ Dale_V._
IECLARATION REGARDING CNSTRUCTION LENDWG 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, Civil Code).
enders Name Lenders 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 dab application and the information I have provided is correct.
I agree tD .ji.Tply with all applicable city and county ordinances and slate laws relating to building construction.
I authorize rs,)maenlatives of this city or county toe ntified property for inspection purposes.
flDnnnlre of Prcnerfv Owner or AuthorizedAnent _ Print Property Owner's or Authorized Agent's Name
ACTION
DATE
BY I1€ DECLARAT€ONOF COMPLIANCEWITH CODEOFFEDERAL
FOR OFFICE USE ONLY
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