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HomeMy WebLinkAboutXR2022-3107 - Permitsa�WPoRT City of Newport Beach IIII Permit XR2022-3107 O Community Development Department Division• Y P P g • .I XsR.2, 0.2.2 3 1 0 7 COMB : y 100 Civic Center Drive, Newport Beach, CA 92660 . • - • . • Plan Check No: PC2022-2973 S Permit Counter Phone: (949)644-3286 .a. '.`-`.` `.• a.. a•` Issued Date: 11/29/2022 c a« P S��FOAN` Inspection Requests Phone: (949) 644-3255 Inspection Area : 3 newportbeachca.gov/inspections Combination Type -MFP ••• .•° °°• ®o • WorkClass- Alteration :•: •• e. °• PERMITS EXPIRE 180 DAYS AFTER ISSUANCE CR LAV VALID INSV VCTfON, 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 : 880 IRVINE AVE Legal De: Description: MFR RPR DRYWALL & INSULATION (WATER DAMAGE Owner: UDR NEWPORT BEACH NORTH LP ; Contracti Address : 1745 SHEA CENTER DR STE200 Address' HIGHLANDS RANCH, CO 80112-9 Phone: (720) 283-6120 Phone -: Lie Expire: Applicant: RICHARD PERRY Bus Lie : Address: 7221 ORANGEWOOD AV Bus Lie Expire GARDEN GROVE, CA 92841 Phone : (714) 763-4153 Workers' Comp Carrier: 'STAR Owner/Builder: : Policy No: Address : '. W C_ Eirnirp Phone Code Edition : 2019 Fire Sp, Type of Construction : V-B Fire Ha: Occupancy Groups : R-2 No of U Bldg Height: No of Building Setbacks Flood Zone : X Use Zone : PC -Oakwood Apartments - UP1370, UP 1405 PROCESSED BY: SPECIAL CONDITIONS: 'DEN GROVE, CA E )763-4153 86693 9/30/2023 T30071857 5131 /2023 sation.Insurance NDEMNITY.& LIABI )0002994 '16/2023 Architect Phone: State Lie DUPLICATE LOVELACE MILES T 10509 VISTA SORRENTO PKWY, #102 SAN DIEGO, CA 92121 358)535-9111 ars : NO Construction Valuation Zone: NO Added/New/Ti sq. ft. Bldg - 21 Alteration sq. ft. Bldg : s : 3 Added/New sq. ft. Garage TOTAL sq. ft. $25,000.00 0 0 0 OWNER-au4.tiER DECLARATION .. ... :. .. ... t herehyaNrm under penalty of perjury that I am exempt from the Contractors' State License Law f4 to rej;"s)jndIV?Bd 40ow V the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5,.Business and Professions Code: Any city or county that requires a permit to construct:alter, irr prge,mqJnofisl or repair any structure, prior to its issuance, also requires the applicant far the permit to file a signed statement that he: or she is licensed pursuant to the provisions of the -:Contractors," SIzte License haw (bapO 4 (commencing with Section 7000) of Division 3 of the Business and Profossiotas Code) or that he or she is exempt from licerisuro and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant io a Civil penalty of not more than five hundred dollars ($500): 11 I, as owner of the property, or my employees with wages aB their sole compensation, will do(-) atjSPorj_'),portioTiA both¢yrark;:"84hp%ructure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' StateLicense Law does not apply to an owner of pgdperty rho,•thr ugh, employeesi,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 o.com'pfi;tion, A OLY44uilderwill have the burden of proving that it was not built or Improved for the purpose of sale). © I, as owner ofthe property,.am exclusively contracting with licensed Contractors to construct the project (Section 7 I Business and Profess ions Code: The Contractors': :State License Law does note a ply to an owner of property who builds or improves,thecaon, and who contracts for the projects with a licensed Contract r pursuant to the Contractors' State Ucense Law). . i am exempt from iicensure under the Gontractors' State License Law for the following reason. 1 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 tagall sell a structure that I have bull as an owner -builder if it has not boon. constructed in itserGrety by 11Censed contractors. I.updorstand that a copy;ofthe applicable, law, Section:7044 of ma Business and Professions Code, is, available upon request when this application is: submitted or at the following Web Bitwhttp:1A ww.Iegipfo'ca.govtoal'aw,limn, Signature of Property Owner qr 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) bf Division 3 of the Business ;and Professions Code,: and my license is in full force: and effect. License Class License No Date Contractor. Signature ORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS" COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ABDrrION: TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37" OF THE:LA13OR 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 soft -insure for workers' compensation, Issued by the Director f Industrial Relations as provided for by Section:3700 of the. Labor Cade; .for to performance 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 erformance of the work for which this permit is issued. My workers' compensatio insurance carrier and policy number are: .. Carrier Policy Number Explraticn Date Name of Agent: Phone # I certify 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 jaws of California, and agra Signature ifI of Applicant h comply with those provisions. that, I[ t should become sub[eat to the workers' compensation provisions of Section 3700 of the Labor Code, forthwith _ 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 vrhigh this permit is issued (Section 3097,. DNiI Code), Lender's Name: Lendees:Address.. By my signature below, I cartffy to each of the following: I am the property Owner or authorized to act On the property owner's behalf: I -have read this applicationand the information I have provided is Correct. 'I agree to comply wliIt all applicable city and County ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above-Idendfled property for inspection purposes. Si nature of Property Owner or Authorized Agent Print Property Owners or -Al thorized Agent's Name Date ACTION. .DATE BY DECLARATION 01 COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE. 1403 PE13MIT EXPIRED Ll I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED E3EPA. PERstirExrENDEO 0AQMD. PERMIT FINAL LlAsSISTOS NOTIFICATION 15 NOT APPLICABLE To CERTIFICATE OF 2 PROPOSED DEMOLITION OCCUPANCYISSUED Z�2� SIGNATURE: