HomeMy WebLinkAboutXR2024-6305 - PermitsCity of Newport Beach
Community Development Department- I
100 Civic Center Drive, Newport Beach,
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
Combination Type - MFP
Work Class -ADDITION/ALTERAT
PERMITS EXPIRE 180 DAYS AFTER
NO CONSTRUCTION RELATED NOISE C
Job Address:
1950 16TH ST, M LAUNDRY ROOM
Descrl Ition
: MFR REPLACE DRYWALL @ THE L
Owner
: UDR NEWPORT BEACH NORTH LP
Address
: 1745 SHEA CENTER DR #200
HIGHLANDS RANCH„ CO 80129
Phone
(720) 283-6120
Applicant : OLIVER LOPEZ
Address: 619 S FREMONTAVE STE C
ALHAMBRA, CA91803
Phone:; (310)591-8198
Phone
Code Edition
:
2022
Type off
Construction :
V-A
Occupancy
Groups :
R-2,U
Bldg Height:
Building
Setbacks:
Flood Zone:
X
Use Zone:
PC - Oakwood Apartments -
BY:
CONDITIONS:
Division COMB Permit : XR2024-6305
III0ll�l4l� �l�lll6ll�3�llll0�ul5l�lll
i0 Plan Check No:
Issued Date : 09/19/2024
Final Date:
Permit Status: Issued
Inspection Area : 8
OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
AY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Legal Desc : P BK 15 PG 36 PAR 1
ROOM (397 SF)
Contractor:
WES- ROCK 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 : 05131/2025
Workers' Compensation Insurance
Carrier: STARR INDEMNITY & LIABILITY COMPANY
Policy No: 10000055410
W. C. Expire : 1 D/16/2024
Fire Sprinklers.,
NO
Fire Hazard Zone :
NO
No of Units:
3
No of Stories :
3
L111ME IN
Architect
Address:
Phone:
State Lic
Engineer:
Address :
,
Phone:
,
,
Designer: STEVE GROHNE
Address: 2309 112 FAIR PARK AVE
LOS ANGLES, CA 90041
Phone: (310) 591-8198
o
Construction Valuation; $5,000.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg : 397
Add/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
OWNER -BUILDER DECLARATION I
I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) 1 have placed next to lh' alpalpi cable item(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 ¢,frets 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 Soctlon 7000) of Divi nil Qf the Business and
Professions 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 applllca, flto a civil penalty of
not more than five hundred dollars (S500). Sfp
ElI, 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 sPlei ( ecbon 7044,
Business and Professions Code: The Contractors State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the property, 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).
111. 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
❑ I am exempt from licensure under the Contractors' Stale License Law for the following reason: I'
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 Ilt I p' Tait. 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; I Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:lfwww.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agem. _._ Date
LICENSED CONTRACTOR'S DECLARATION _
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Se n�) I io 3 of the ness and Prole de; and license is In full for e�
and effect. License Class License No `! I - I s Cent r or Signature �_
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 HUNDRED THOUSAND DOLLARS IE100,a(10), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0700 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 hav nd 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 n. f the'. Labor Code, for lh,
e ante of the work for which this peril is issued. Policy No.
ave 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 issuedMy workers' compensatior
in ,ranee carrier and policy number are:
Policy Number Expiration Date
Name of Agent Phone N
Lenity that, in the performanc f the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the wjlero�ensation Taws ofCalifornia, and agre,
hal.If I sho riSxc .e su o the wnr-kers' col pensation provisions D 'on 3700 of the Labor Code, I shall forthwith comply with those provisions.Signatu1�rpe of A caDiN _DiZ ARATI 'cGAR G CONST ING A CYLeroy affirm under penalty oT perjury that th Is a cxnstruction lending agency for the performance of the work for which this permit is issued (Section 30l
I Prds,s Name Lenders Address
By my signature bribw, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to colnpy with all applicable city and county ordil ces and state laws relating to byilding construction. /
I authorize representatives of this ci r county t r the above-ide Ified property f nspection purposes.
,Signature of Property Owner or Authorized el Print Pro a Owner's or Autho a ent's Nameat-
ACTION DATE DECLARATION Or—C94WANCE WITIeCODE OF FEDERAL i FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED I__I I SUBMITTFD ASBESTOS NOTIFICATION TO
PERMITCANCELLED OUPA
PERMIT EXTENDED Tffry���7y0AQIV1D
CERTIFICATE
�O�6 U SBE�NOTIMCATIOIV APPLICABLE TO
CERTlFlCATE OF / P SN
OCCUPANCY ISSUED ���