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
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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
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ASBE5705 NOTIFICAT N IS YOT APPLICABLE TO
CERTIFICATE OF
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PR OSEt3 DEMOLI710
OCCUPANCY651JED
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( SIGNATURE:
OFFICE USE ONLY