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Home My WebLink AboutXR2023-0864 - Permits (2)��EWPORT City of Newport Beach II IIIIIIIII II IIII IIIII IIII IIIIII IIII II II COMB Permit : XR2023-0864 @ Community Development Department- Building Division X R 2 0 2 3 0 8 6 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0756 i Permit Counter Phone: (949) 644-3288 Issued Date : 04/04/2023 .�.� Inspection Requests Phone: (949) 644-3255 Inspection Area : 8 Cq</F00.��P newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration 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 STE2D0 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 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 Lie : 986693 State Lie: Lie Expire : 09/30/2023 Bus Lie: BT30071857 Engineer: Bus Lie Expire : 05/31/2023 Address Workers' Compensation Insurance Phone: Carrier: STARR INDEMNITY & LIABILITY CO Policy No: 1000002994 Designer: JON HURLEY W. C. Expire : 10116/2023 Address : Phone : (619) 248-2673 Fire Sprinklers : NO Construction Valuation : $2,000.00 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 No of Units : 1 Alteration sq. ft. Bldg : 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: j , OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasonis) indicated below by the checkmark(s) I have placed next to the applicable itern(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for le 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 sire 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 ($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, lusiness 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 improvemant 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). 11. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coder The Contractors' State License Law does not pply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7 I am exempt from kcensure under the Contractors' State License Lawfor 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 prior to Completion of the improvements covered by this permit, I cannot legall, oil 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 theapplicable law. Section 7044 of the Business and rofessions Code„ is available upon request when this application is submitted or at the following Web site:http:Ilwww.leginfo.ce,gov)calaw.html. fgnature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION �� hereby affirm under penalty of perjury that I am licensed under provisions Ott' fiplot 9 (commencing with Section 70 ) of (vision 3 of the Business and Pror fort;YCgliQ i no my license is In full force nd effect. License Class license No Dater Contractor Signature i1ORKERS' COMPENSATION DECLARATION ✓/ ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 70 ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 1 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, form LGIIr of the work for which this permit is issued. Policy No. iI h ue 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' oompensmia nce carder and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone ff ❑I certify that, in the performance a 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 - f California, and ague that, If I should become subject tote or is' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with (hose provisions. 13 Signature of Applicant DaT DECLARATION REG ING C00471RUCTION LENDING AGENCY I hereby affirm under penalty of perjury that them is a construction lending agency for the performance of the work for which this permit is issued (Siction 3097, Civil Cade). Lender's Name Lender's Address By 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 1 have provided Is correct. I agree to comply with all applicable city and county or nces and state laws relating to building construction. I authorize representatives of this city or county t an r e eve -identified property for inspection purposes. �J-/ Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name .lam dfk pate ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i RE.GULATIONS. PART 51 OF TITLE 40 ANDAQNID RULE 1403 PERMIT EXPIRED ____ 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CAMCEEEED I —� 0EPA APPLICABLE T9 CERTIFICATE OF OCCUPANCY15SUED 1 ,/1e% 1 rH'