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HomeMy WebLinkAboutXR2023-0815 - Permits��0`wPORT City of Newport Beach D - @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u i+7 i Permit Counter Phone: (949) 644-3288 a. Inspection Requests Phone: (949) 644-3255 C7�-IFp RN�P newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration 4fF f COMB Permit : XR2023-0815 Plan Check No: PC2023-0540 Issued Date : 03/28/2023 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 : 1755 SHERINGTON PL, W 201 Legal Desc : P BK 15 PG 36 PAR 2 Description: MFR RPR 8 SF DRYWALL & B SF INSULATION FOR UNIT WS201 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 : $400.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 44 Alteration sq. ft. Bldg : 8 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: 0 5 SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) 3oclion 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 1e 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 she is exempt from licensure and the basis forthe alleged exemption. Any violation of Section 703 L5 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, 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 properly, provided [hat the nprovements 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 built or iproved for the purpose of sale). 1, as owner of the properly, am exclusively contracting with licensed Contractors 10 construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ply to an owner of property who builds or improves thereon, and who contracts for the projectswith a. licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensers under the Contractors' Stale License Law for the following 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, ell 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 70" of the Business and 'rofossions Code, is available upon request when this application issubmitted or at [he following Web site:http:// w .leginfo.ca.govlcalaw.htmi. ',ignalure of Properly Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divi V ion 3 of the Business and Professiope-Foie. and my license is in full force nd effect. License Class License No Data - S12 Contractor Signature 6 .A, VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS" COMPENSATION COVERAGE IS UNLAWFUL, AMC) SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 03T OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE IAROR CODE, INTEREST, AND ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the following declarations: 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 th Brio 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 compensatioi Isurance carrier and policy number are: Policy Number is of Agent _ Date I certify that. in the perterman 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 agre 1, if I shnuiJ become subjso - the rka"' compensation provisions of Section 3700 of the Labor Cede, I shall forthwith comply with those provisions. nature of TION Applicant , � Dalo CLAFtAT10N REGARDING ONSTRUCTtON LENDING AGENCY / �reby affirm under penalty of perjurythat there Is a construction lending agencyfor the performance of the work for which this permit is Issued (Section 3097, Civil Code). lder's Name Lenders 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 orifir-I91,91s and state laws relating to building construction. I authorize representatives of this city or county to ante above identified property for inspection purposes. L . t nature of Properly Owner or Authorized Anent ^ Print Property Owner's or Authorized Aqent's Name �-f'I U Z(..._ IU)r�'NSJ%-�_ Date _ / ACTION REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED II UI SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED hJEPA PERMITEXTENDED nAOMD PCRMIT FINAL //� ASBE5705 NOTIFICAT N IS YOT APPLICABLE TO CERTIFICATE OF TT3 PR OSEt3 DEMOLI710 OCCUPANCY651JED // ( SIGNATURE: OFFICE USE ONLY