HomeMy WebLinkAboutXR2023-0818 - Permits,EWvoRr,
City of Newport Beach
Community Development Department -Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Alteration
COMB Permit : XR2023-0818
Plan Check No : PC2023-0540
Issued Date : 03/2812023
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 : 920 IRVINE AVE, B 201 Legal Desc : P BK 15 PG 36 PAR 1
Description: MFR RPR 20 SF DRYWALL FOR UNIT BS201
Owner: UDR NEWPORT BEACH NORTH LP
Address : 1745 SHEA CENTER DR STE20D
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 :
$1,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups :
R-2
No of Units :
36
Alteration sq. ft. Bldg :
20
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
9
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 Rem(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, 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 Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption.. Any violation of Section 703 t.5 by anyapplicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
111, 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 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 built or
rlra�roved for the purpose of sale)..
LJ I, as ow ter of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code: The Confmctors' State License Law does not
ra�iply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractum' State License Law).
IJ [ am exempt from licensure under the Contractors' Stale License Law for the following reason: -._-_--- .__---- ._._.__
By my signature below [. 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 entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application Is submitted or at the following Web site:http:/Iwww.leginfo.ca.gov/calaw.html.
Signature of Properly Owner or Authorized Agent _ Dete
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of vi ' n 3 of the Business and Prof ' n and my license is in full force
and effect. License Class License No Date 2 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 4bIO0,000). IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
1711 ho3me and will maintain a certificate of consent to sei&insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
pedofmance of the work for which this permit Is Issued. Policy No.
;K 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' compensatiol
nsurance carrier and policy number are:
tamer Policy Number Expiration Date
dame of Agent A Phone #
-11 certify that. in the performance o e 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
hat, if I should become subject tot war ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant — Date 3 k -
IMrr AnAYInM DFnAOr'fl Nlr- rn 'rQ1IrTInM r Cull) r ACMMrV
hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code).
-Ender's Name Lenders Address
iy my signature below, I certify to each of the following: -
I am the property owner or authorized tG act on the pro Sri'
owner's behalf. �7
I have read this application and the into,ha divided is correct.
I agree to comply with all applicable city and coup c i nces an ate laws relating to building construction. v
I authorize representatives of this city or county t en t e ve-Identified property for inspection purposes. //jJ/� (+
ltonah,re of Prnnerty (nwnsr or Authorized Ansnl Print Pronn" Owner's or Authorized Anent'a Name / Date h
PERMIT FINAL
CERTIFlCATEOF
OCCUPANCY ISSUED
BY 'DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
I REGULATIONS PART FI OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
NOT APPLICABLE