HomeMy WebLinkAboutXR2023-0810 - PermitsSEW �Rrh City of Newport Beach 111111p11111111111p11111p11111111111p1111111111111plJill COMB Permit : XR2O23-0810
Community Development Department - Building Division X R 2 0 2 3 0 8 1 0
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0540
U >r7 S Permit Counter Phone: (949) 644-3288 Issued Date : 03/28/2023
Inspection Requests Phone: (949) 644-3255 - , _ Inspection Area : 8
,��FoaN 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 : 880 IRVINE AVE, K-108 Legal Desc : P BK 15 PG 36 PAR 1
Description: MFR RPR 50 SF DRYWALL & 50 SF INSULATION
Owner: UDR NEWPORT BEACH NORTH LP
Address : 1745 SHEA CENTER DR STE200
HIGHLANDS RANCH, CO 80112-9
Phone: (720)283-6120
Applicant: Tim Paul Warren
Address: 7221 Orangewood Ave.
Garden Grove, CA 92841
Phone: (714)737-7082
Owner/Builder :
Address :
Phone :
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: LOVELACE MILES T
Address: 10509 VISTA SORRENTO PKWY, #102
SAN DIEGO, CA 92121
Phone: (858)535-9111
Designer: JON HURLEY BUILDING DESIGN
Address :
Phone: (619)248-2673
Code Edition:
2022 Fire Sprinklers :
NO
Construction Valuation :
$4,000.00
Type of Construction :
V-B Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups:
R-2 No of Units :
42
Alteration sq. ft. Bldg :
50
Bldg Height :
No of Stories :
3
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
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
ie pormit 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 vlolation 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).
3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 pmperty who, through employees' or personal effort, builds or improves the property, provided that the
nprovemonts are not Intended or offered for sale. If. however, the building or improvementis sold within one year of completion, the Owner -Builder will have the burden of proving that it was not bull or
nproved 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
pply to an Owner of property who builds or improves Thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law).
7 I am exempt from licensure under the Contractors' Slate License Law for the following reason: ___-___.._�._..._.__�..___
ly 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 legalll
all 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 request when this application is submitted or at the following Web site:http:Owww.leginfo.ca.gov/calaw.htmt.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section TO ) Divisio 3 f the Businessland P2D7KO?SANO
d my license is in full force
nd effect. License Class License No Date Contractor Signatu
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE MUND DOLLARS ($100,000), IN ADDITION TO THE
03T OF COMPENSATION. DAMAGES AS PROvioeO FOR IN SECTION NOS OF THE LABOR 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 seINnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
ormance 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 this permit is Issued. My workers' compensa
Trance carrier and policy number are:
Policy Number Expiration Dale
of Agent Phone #
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 California, and
, if I should become subiw Voihe workers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
of
CLARATION REG +�PfNG CONSTRUCTION LENDING AGENCY
�reby 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).
ldere 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 slate laws relating to building construction.
I authorize representatives of this city or county to entejJheqbg6}jileJr tified property for inspection purposes. _
ACTION DATE BY RQU4AT pN5 PARLARATION OF T OF TNTLE46ANDD AgMD RUIECE WITH CODE OF RAL FOR OFFICE USE ONLY V
03
PERMIT EXpIR£D I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
PERM7TPlNAL
CERTIFICATE OF
OCCUPANCY ISSUED
PROPOSED
NOTIFICATION IS NP4ARPUCABLE TO