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Home My WebLink AboutXR2023-0864 - PermitsO��gWPORT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 } Inspection Requests Phone: (949) 644-3255 c9t/pppN�P newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration 1111�1 111111111111111111111111111111111111111111111111111 11111 COMB Permit : XR2023-0864 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 : 820 IRVINE AVE, T 207 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 OWnedBuIlder : Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U,R-2 Bldg Height : Legal Desc : P BK 15 PG 36 PAR 1 Contractor: SIGNAL RESTORATION SERVICES Architect Address : 7221 ORANGEWOOD AVE Address GARDEN GROVE, CA 92841 Phone: (714) 763-4153 Phone Con State Lic : 986693 State Lic Lic Expire : 09/30/2023 Bus Lic : BT30071857 Engineer Bus Lic Expire: 0513112023 Address Workers' Compensation Insurance Phone: Carrier: STARR INDEMNITY & LIABILITY CO Policy No: 1000002994 Designer: JON HURLEY W. C. Expire : 10/1612023 Address : Phone : (619) 248-2673 Fire Sprinklers : NO Construction Valuation : Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg No of Units : 1 Alteration sq. ft. Bldg: No of Stories: 2 Added/New sq. ft. Garage: TOTAL sq. ft. : Building Setbacks : Flood Zone : X Use Zone : PC - Oakwood Apartments - UP1370, UP 1405 PROCESSED BY: SPECIAL CONDITIONS: $2,000.00 0 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 thecheckmark(s) I have placed next to the applicable Items) (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 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 Section 7000) of Division 3 of 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 applicant to a civil penalty of not more than five hundred dollars ($500). 13 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, Business and Professions Code The Contraclors 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 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). 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 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). El I am exempt from licensors under the Contractors' State License Law for the following reason: _._ 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 legall, soli a structure that I have built as an owner -builder it 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 Professions Code, isavaliable, upon request when this application is submitted or at the following Vyeb site:http:liwww.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing. with Section 7000) of Division 3 of the Business and Professions Code, and my licenseisIn full force and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION 1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T14OUSANO DOLLARS (E100,000), IN ADDITION TO T DST OF co MPENaATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS, INTEREST, AND ATTORNEYS Ease, hereby affirm under penalty of perjury one of the following declarations: 3 1 have and will maintain a certificate of consent to selNraure for workers' compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for arformance 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 performance of the work for which ibis permit is issued. My workers' Fence earner and policy number are: Policy Number Expiration Date of Agent I 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 COIfforiia, and t, If I should become subject to the workerscompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature or Applicant Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY era by affirm under penalty of perjury that there is a construction lending agency for the performance ofthe work for which this permit is issued (Section 3097, Civil Code). lder's Name Lender's Address my signature below, I certify to each 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 provided is correct, I agree to comply with 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 -Identified property for inspection purposes. )Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date I ACTION DATE j BY DECLARATION OF COMPLIANCE WITH CODE. OF FEDERAL I REGULATION5 PART 61 OF TITLE 40 AND ACIMO RULE 1403 FOR OFFICE USE ONLY PERMITEXPIBED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITC4NCELLEL7_ _ E EPA -PfRMIT EXTENDED --_� _ �eOMD PERAAITPLNAL CERYIFICATE OF OCCUPANCYISSUED �� Lj 'III L...I ASBESTOS NO 11 FICA FION IS NOT APPLICA13LE 'f0` /%li PROPOSED DEMOLITION SIGNATUREt