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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