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Home My WebLink AboutXR2023-0863 - Permits��EWPoRT City of Newport Beach Yo , Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949)644-328B Inspection Requests Phone: (949) 644-3255 `�c9<,FbnN`P newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration I1111111111111111111111111111111111111111111111111111111I 11COMB Permit : XR2O23-oss3 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 : 885 SEA GULL LN, B 101 Description: MFR WATER DAMAGE REPAIR 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 : Phone Legal Desc : P BK 15 PG 36 PAR 2 Contractor: SIGNAL RESTORATION SERVICES Address : 7221 ORANGEWOOD AVE GARDEN GROVE, CA 92841 Phone: (714)763-4153 Con State Lie : 986693 Lie Expire: 09/30/2023 Bus Lie: BT30071857 Bus Lie 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 Lie Engineer: Address Phone: Designer: JON HURLEY Address : 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/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-2 No of Units : 1 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 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, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to NO 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 fora permit subjects the applicant to a civil penalty of Of more than five hundred dollars ($500). 1 1, 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 sale (Section 7044, Iusfness 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 »proved for the purpose of sale). 3 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 poly to an owner of property wiio builds of Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 1 I am exempt from licensees under the Contractors' State License Law for the following reason Iy, rry 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 improvemonls covered by this. permit, I cannot legally ell a structure that I have built as an owner -builder 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 requestwhen this application is submitted prat the following Web site:hhp:li w .leginfo.ca.govicalaw.html. Ygnature of Property Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION /7 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 " ision 3 of the Business and ssipSryS - - de, and my license is In full force nd effect. License Class License No Da 3 Contractor Sign t r VORKERS' 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 1E00,000f, IN ADDRION TO THE DST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thr ner rmanca of the work far which €his permit is issued. Polley No. �g�fl- h va and will maintain tiwrkors' 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' compensatior I(is0r nee carrier and policy number are: -a er Policy Number Expiration Date erns of Agent Phone # �I certify that, in the performance the work for which this permit is issued. I shall riot employ any person in any manner so as to become subject to the workers' Compensat72-3 laws of California, and agrer hat, if I should become subject to fir{ workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant 4 )ECLARATION f2EGAG CO STR�UCTION LENDING AGENCY hereby affirm underpanalty of perjury that there is a construction lending agency for the performance of the :vorkfor which this permit Is issued (Section 3097, Civil Code). _ender`s Name Lenders, Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf, I have read this application and the information I have pr "tled is correct. I agree to comply with all applicable. city and county or n CBS and state laws relating to building construction. I authorize representatives of this city or coun en r e ove-Identified property for inspection purposes. /� r 7 3i nature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's Nam �./`- O Vp Date J 2 ACTION GATE. I BY DECLARATION OF COMPLIANCE Vd]rH CODEOF FEDERAL FOR OFFICE USE ONLY 1 I REGULATIONS PART 61 UFTITLE 40 AND AQNIO RULE PERMIT EXPIRED PERMIT CANCELLED CERTIFICATE OF OCCUPANCY ISSUED I SUBMITTED ASBESTOS NOTIFICATION TO NOD -C 'I NOTAPPUCAotR 'O 0 m m g 9' Z Cn -o -c - m ;a00 /�cD C) X n 3, s S CO — O _. �: m C O.. 17 0 S " ❑ (n 3 O� CD 0.01 >>h m 30(D M.a cmi a°m i I* 3m 0 CD am a�� 3 a N o 0 3 3 =m m N m (D CD 3° (a 0 m X (n n m �S7 m mCD 0 G3 Nymv o �� ufD a s O .3. N (n N r: p� O O' .. (p ID (D cDn m ID � ' 3 m° ° m M m w m s° » �� 00 0-0 o �,6 =N� 3 �mm o O (700- c� 7 c n' Q m (n p X (D 3, (D � 3. 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