HomeMy WebLinkAboutXR2023-2255 - PermitsO�aEWPOR� City of Newport Beach
15, Community Development Department - Building Division
F / b" 100 Civic Center Drive, Newport Beach, CA 92660
= Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
. Combination Type - MFP
Work Class - Alteration
111111111111111111111111111111111111111111111111111111 jj COMB Permit : XR2O23-2255
Plan Check No : PC2023-1979
_ - - Issued Date : 06/16/2023
Final Date:
Permit Status: Issued
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 : 1800 16TH ST, H 101 Legal Desc : P BK 15. PG 36 PAR 2
Description: MFR ALT R/R DRYWALL AND INSULATION FROM WATER DAMAGE. 10 SF
Owner: UDR NEWPORT BEACH NORTH LP
Address : 1745 SHEA CENTER DR STE200
HIGHLANDS RANCH, CO 80112-9
Phone:
(720)283-6120
Applicant:
TIM WARREN
Address :
7221 ORANGEWOOD AV
GARDEN GROVE, CA 92841
Phone:
(714)737-7082
Owner/Builder :
Address :
Contractor :
Signal Restoration
Address :
7221 ORANGEWOOD AVE
GARDEN GROVE, CA 92841
Phone:
(714)763-4153
Con State Lie
: 986693
Lie Expire:
09130/2025
Bus Lie :
BT30071857
Bus Lie Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: STARR INDEMNITY & LIABILITY COMPANY
Policy No : 1000002994
W. C. Expire : 10/1612023
Architect
Address
Phone:
State Lie
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 :
$500.00, ,
Type of Construction :
V-B Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups :
R-2 No of Units :
1
Alteration sq. ft. Bldg :
10 .. - • • ,
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:
1J
'
SPECIAL CONDITIONS
I hereby adirm 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)
>echon 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
Te 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
'rofesslons 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 ($50D).
7 1, as owner of the property, or my employees with wages as their sole compensation, will do i_) all of or (_) 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 yearof completion, the Owner -Builder vAll have the burden of proving that it was not built or
nproved for the purpose of sale).
I, as owner of the prope€ty, 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 following reason _-,_,_,_,,._„
y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prlor to completion of the Improvements covered by this permit, I cannot IogaH;
ell 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 of the Business and
'rofesslons Code. is available upon request when this application is submitted or at the following Web she:http://www.leginfo.ca.gov/calaw.titmt.
Ignature of Property Owner or Authorized Agenl ___ _--------- Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7DA qE L�1jvi ' f the Business and Professio e, and license is in full force
nd effect. License Class License No Data-4S'/_�_ Contractor Signature
VORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AMU SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND THOUSAND DOLLARS ($100,000), IN AUCTION TO THE
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 fallowing declarations:
have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Induslrial Relations as provided for by Section 3700 of the Labor Code, for
3rmance of the work for which this permit is issued. Policy No.
have and wiil 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' compense
rance carder and policy number are:
Policy Number Expiralic
of Agent Phone #
Date
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
if I should become subject to the wor r - • insabon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date / +�
tature of Applicant / r/�/G 3
._.A.__._ ._.._._ ,. �__......_..,_ ...._.__......._. .__.....__
reby affirm ur.da. penalt}C f oarxlry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
,der's Name _ Lender's Address
.r:y =_'gnature below. I certify to each of the Following:
I am the properly owner or authorized (0 acton the property owner's behalf.
I ll read this application and the information f have provided is correct
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorizert:pr,r_entalives of this city or county to enter abov ' tified property for inspection purposes. .,` `�[�
nature of Prpoerty Owner or Authorized Agent Print Property Owner's or Authorized ADent's Name i Oil ✓Q
ACTIor
1 PERM;I EXaffD
t, PERM r CANCF1.lFi)
DATE I BY
ONS PART 61 OF TITLE 40 AND AOMD RD I E
1403
I $l)BMITTEO ASBESTOS NOTIFICATION TO
PERMITFINAL (/y('#1 •"'W, 9%NBE5TD5 NOTIFICATA 0 I5 NOT APP !CABLE TO
CERTIFICATEOF ( l W+-�-,rr "PROPOSED DEMOLITION
OCCUPANCY ISSUED 14'Ym SIGNATl1l
FOR OFFICE USE ONLY
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