HomeMy WebLinkAboutXR2023-0861 - PermitsCity of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Alteration
jji1111111111111111111111111111111111111111111111111111jj COMB Permit : XR2023-0861
Plan Check No: PC2023-0756
Issued Date : 04/04/2023
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 : 1870 16TH ST, L 107 Legal Desc : P BK 15 PG 36 PAR 2
Description: MFR WATER DAMAGE REPAIR UNIT LS107 AND LS109
Owner: UDR NEWPORT BEACH NORTH LP
Address : 1745 SHEA CENTER DR STE200
HIGHLANDS RANCH, CO 80112-9
Phone:
(720)283-6120
Applicant:
SIGNAL RESTORATION SERVICES
Address :
7221 ORANGEWOOD AVE
GARDEN GROVE, CA 92841
Phone:
(714)763-4153
Owner/Builder :
Address:
Contractor: SIGNAL RESTORATION SERVICES
Address : 7221 ORANGEWOOD AVE
GARDEN GROVE, CA 92841
Phone:
(714)763-4153
Con State Lic:
986693
Lic Expire :
09/30/2023
Bus Lic:
BT30071857
Bus Lic Expire : 05/31/2023
Workers' Compensation Insurance
Carrier: STARR INDEMNITY & LIABILITY CO
Policy No: 1000002994
W. C. Expire : 10/16/2023
Architect
Address
Phone:
State Lic
Engineer
Address
Phone:
Designer: JON HURLEY
Address :
Phone :
Phone: (619) 248-2673
Code Edition :
2022 Fire Sprinklers :
NO
Construction Valuation :
$2,000.00
Type of Construction :
V-B Fire Hazard Zone :
NO
Added/New/T1 sq. ft. Bldg :
0
Occupancy Groups :
U,R-2 No of Units :
2
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
2
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:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
i hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable iteri
3eclion 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, OF repair any structure, prior to its issuance, also requires the applicant for
is 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 (S500).
1 1, 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,
,usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, huilds 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 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
pply 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 licensors under the Contractors' State License Law lot the fallowing reason:
-y 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 legally
oil a structure that I have buult 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
'rofesslons Code., is available upon request when this application is submitted or at the following Web site:http:/iWww.leginfo.ca.gov)calaw.html.
dgnature of Property Owner or Authorized Agent _GM_
.ICENSED CONTRACTOR'S DECLARATION 1"
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f sic of the Business and Pro ssi s�j>de nilmy lice is is In full force
no effect. License Class License No Date `Z' Contractor Signet (V/
VORICERS' COMPENSATION DECLARATION
'ARNING; 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 ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAROR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
] I have and will maintain a certificate of consent to self- insure for workers Compensation. Issued by the Filrectar of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
e^_rmance of the work for which this permit is issued. Policy No_
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 issued. My workers'
carrier and policy number are:
Policy Number Expiration Date
of Agent Phone #_
certify that, inthe performance o n e 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
1, if I should become subject fo t e orkers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant- A.'ile G
CLARATIGN REGAR171 RUCTION LENCs2NG AGENCY If
areby affirm underpenat of perjury that there is a construction lending agency far the performance of the work for which this permit is issued' (Section 3097, Civil Code).
Idler's Name Lender's Address
my signature below, I certify to earn of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have propd is correct.
I agree to comply with all applicable city and county ortfigiariPs and state laws relating to building construction.
I authorize representatives of this city or county to ant above -identified property for inspection purposes.j
nature of Property Owner or Authorzed Agent �� Print Property Owner's or Authorized Agent's Name T .t;-T1 (` bl V� Date / 'l/
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FriL'=�ly�Ca3�l,YXi7� I RI
REGULATIONS PART 61 OF TITLE 40 AND AQMU RULE
1403
El I SUBM1 TFD ASBESTOS NOTIFICATION TO
PERMIT EXTENDED QMO _
PER+Lfi7FINAL �ry �3, /L,//i/l( St3E!TO5 NG11F A['I NI Ol AVpLICAdIE 10
OCCUPANCY
Of I -- Y/ RO OSF.D DE('AOLI l
DCtUPANCY ISSUED 61GNAT0R
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