Loading...
HomeMy WebLinkAboutXR2023-0819 - PermitsEWPOR City of Newport Beach 1 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U $ Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C'9C1F00.N`P newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration COMB Permit : XR2023-0819 Plan Check No : PC2023-0540 Issued Date : 0312812023 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 : 1815 SHERINGTON PL, V 201 Legal Desc : P BK 15 PG 36 PAR 2 Description: MFR RPR 30 SF DRYWALL & 30 SF INSULATION FOR UNIT VS201 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 Lic : 986693 Lic Expire : 09/30/2023 Bus Lic: BT30071857 Bus Lic 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 Lic 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 : $1,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 48 Alteration sq. ft. Bldg : 30 Bldg Height : No of Stories : 3 Added/New sq. ft. Garage : 0 TOTAL sq. ft.: 0 Building Setbacks Flood Zone : X Use Zone : PC - OakwoodApartments - UP1370, UP 1405 •_ PROCESSED BY: SPECIAL CONDITIONS: 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 the checkmark(s) I have placed next to the applicable item(s) (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 $notion 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensors andthe basis forthe 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professions Cade: 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 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 OUR or improved for the purpose of sale). 0 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not ffly 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). IJ I am exempt from licensors under the Contractors' Slate 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 legal) sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, isavailable upon request when this application is submitted or at the following Web site:httpJtwww.leginfo.ca.gov/calaw.Mml. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) F Divi to of the Business and Professio od ,and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000), IN ADDITION TOTHE COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations: © 1 ha a 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 the perfo once 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' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone If 0I certify that. in the pedormane the work for which this permit is issued, I shell not employ any person in any manner so as to become subject to the workers' compelt$ati� of California, and agre that, if I should become subjec€ a rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3 Signature of Applicant — Date DECLARATION REGARDING IMNSTfFUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). 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 I hav7qvided is correct, I agree to comply with ail applicable city and county r nances a state laws relating to building construction. I authorize representatives of this city ar county to r the a ve identified property for inspection purposes. Si nature of Property Owner or Authorized A ent PrmtPropertvOwner's or Authorized A ent's Name (� �/ L (l Jr.� Date ACTION DATE BY LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 FERMITEXPMEO _ ISUBMITTED _ASBESTOS NOTIFICATION TO PERMITCANCELLED MEPA PERMITEXTENDED UAQMD FERMRFlNAL /_/y�OPpSED DEMO tKt. tIDPPLICABLE TO CERTIFICATEOF / �y��/ OCCUPANCYISSUED SIGNATURE: