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HomeMy WebLinkAboutXR2023-0128 - PermitsCity of Newport Beach ���WPORT p - 6 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 C'9C�F00.N�P newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration 11111111111111111111111111111111111111111111111111111111COMB Permit : XR2O23-01 28 Plan Check No: PC2023-0133 Issued Date : 0210812023 Inspection Area : 3 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: 1855 SHERINGTON PL, M 216 Legal Desc : P BK 15 PG 36 PAR 2 Description : MFR DECK REPAIR @ UNIT MS-216 & MS-316. 244 SF Owner: UDR NEWPORT BEACH NORTH LP Contractor: AAA RESTORATION INC Address : 1745 SHEA CENTER DR #200 Address : 29850 2ND STREET HIGHLANDS RANCH„ CO 80129 LAKE ELSINORE, CA 92532 Phone : (720) 283-6120 Phone : (951) 579-0724 Applicant: MANNYQUINTANAR Address: 29850 2ND ST LAKE ELSINORE, CA 92532 Phone : (951) 609-4637 Owner/Builder : Address : Phone : Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U Bldg Height : Building Setbacks Con State Lie : 834839 Lie Expire : 03/31/2024 Bus Lie: BT30056985 Bus Lie Expire : 10/31/2023 Workers' Compensation Insurance Carrier: HARTFORD UNDERWRITERS INS Policy No: 72WEAAC9XAX W. C. Expire: 4/1/2023 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units: - 50 No of Stories: 3 Flood Zone : X Use Zone: PC - Oakwood Apartments - UP1370, UP 1405 PROCESSED BY: V1__ _ . . SPECIAL CONDITIONS: Architect : MUSSER DAVID Address : 320 E GREENWOOD AVE LA HABRA, CA 90631 Phone: (714)241-8944 State Lie Engineer: ORTIZ ROBERTO C Address : 1744 W KATELLA AV STE 107 Phone: ORANGE, CA 92867 (714)997-1145 i Designer: Address Phone: Construction Valuation : $14,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 244 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 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 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 licensureand 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 not more than five hundred dollars ($500). 71 1, as owner of the property, or my employees with wages as their sole compensation, will do f-.) all of or U portions of the work, and the structure Is not Intended or offered for sale (Section 7044, Business 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 'inprovements 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 buili 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' State License Law does net 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). ❑ I am exempt from licensure-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 bythis permit, I cannot legalt! Roll a structure that I have built as an owner -builder if II has not been constructed in its entirety by licensed contractors, I understand that a copy of theapplicable law. Section 7044 of the Business and Professions Code, isavailable upon request when this application is submitted or at the following Web sits:httpJ/www.leginfo.ca.gov/calaw.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 provisions of Chapter 9 (commencing with Section 7000) o 1 o the Business and Professi o an >�ais' In full force and effect. License Class License No Date Contractor Signaturek COMPENSATION DECLARATION IARNING; FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL', AND SHALL SUBJECT AN EMPLOYER TO CRIMIN DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEYFEES. hereby affirm under penally of perjuryone of the following declarations: AL PEr ALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 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 'voLgiance 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 # _ JI certify that. In the performance of the work for whic 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 lot, if I should become subject to rk ' co n Ikon .. ions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. / -ignalure of. Applicant w Data) � r 2� ,ECLARATION REGAR TRUCT N LENDING AGENCY 0411�_ hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is. issued (Section 3097, Civil Code). ender's Name Lender's Address y 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 ord' s a slat a retail o building construction. I authorize representatives of this city or cotoe t a e-id for insp ctlon purposes. �AKK� icnature of Prooeny Owner or Authorized Anew nnl Prooerty Owner's or Authorized ADeW's Nam Ul I'fG1�Date t', !!! L ACTION DATE l PIT \ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY I REGULATIONS PART 610E TITLE 40 AND AQNID RULE PERMIT EXPIRED I I I LJ I SUBMITTED ASBESTOS NOTIFICATION To PERMIT FINAL ! La ASBESTOS NOTIiI[ON Is NOT APPLICABLE To CERTIFICATE Of OS'Z3- j PROPOSED DEMOLITION OCCUPANCYISSUED I .SIGNATURE: