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Home My WebLink AboutXR2023-1804 - PermitsaEWPORr City of Newport Beach II IIII I I I II IIIIIII IIII II I IIIIII II Community COMB Permit : XR2O23-1804Community Development Department Division x R 2 0 2 3 1 8 0 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1596 Permit Counter Phone: (949) 718-1888 Issued Date : G newportbeachca.gov/civic Inspection Area : 8 cq</FORN�� Combination Type - MFP P 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 : 920 IRVINE AVE, B 211 Description: MFR R/R DRYWALL 10 SF Owner: UDR NEWPORT BEACH NORTH LP Address : 1745 SHEA CENTER DR STE200 HIGHLANDS RANCH, CO 80112-9 Phone: (720)283-6120 Applicant: MARTIN MARTINEZ Address: 7221 ORANGEWOOD AV GARDEN GROVE, CA 92841 Phone : (714) 955-8307 Owner/Builder : Address : Phone Legal Desc : P BK 15 PG 36 PAR 1 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 : 05131/2024 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 Address: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $700.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 1 Alteration sq. ft. Bldg : 10 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: ., , r OWNER -BUILDER DECLARA I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Lawlor the reason(s) indicated below by the checkmark(s) I have placed next to the applicable (em(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 :he 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 licensure and the basis for the alleged exemption. Any violation of Section 7031:5 by any applicant for a permit subjects the applicant to a civil pensity of not more than five hundred dollars ($500). 71 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 Improved for the purpose of sale). El I, 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 ra�iply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure 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 legall sell a structure that I have built as an owner -builder if ithas not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 or the Business and Professions Code, is available upon request when this application is submitted or at the following Website:http:Clwww.leginfo.ca.gov/calaw.btml, Signature of Property Owner or Authorized Agent _— Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury (rat I am licensed under provisions of Chapter 9 (commencing with Section 700( of fi' jjn of the Business and Professlons Cp e, r ense is In full force and effect. License Class License No Do U Contractor Signalur WORKERS' COMPENSATION DECLARATION MARRING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH6097AND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E 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 self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th ft'r1formance or the work for which this permit is Issued. Policy No,. 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' carrier and policy number are: Policy Number Te of Agent Date I certify that, in the perforr�tj!tnce of the work for which this permit 15 issued: I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agre t, if I should became subi_r�s1t. t01hers' pensalien provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _/nature of ApplicanlDa)e]�.�0� 2Cf_ARATtGN REGARDI CTION LENDING AGENCY l/ \ 3reby affirm under penal perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). irises 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 ordinan. s and slate laws relating to building construction. ? I authorize representatives of this city or county to enter t d property for inspection purposes. l,� (! t{Q Date �/J C/' inah,re of Prnnartv Owner or Autheri>Rd Anent Print Prcoartv Owner's or Authorized Aaents Name_ fIA'1 C ACTION PERMIT EXPERED PERMIT EXTENDED PERMIT FINAL CER'FIFICAT E OF OCCUPANCY ISSUED DATE. BY �(XA tAT€ON OF COMPLIANCE WITH CODE tlF FEDERAL FOR OFFICE USE ONLY REGSILATIONS PART 61 OF TITLE 40 AND AQOD RULE J-1403 , Q I SULMI fT€D ISRESTDS NO-IFI-ATION TO QEPf, € I'1LJ)kS$E5T05 NONFIC PROPOSED DEM9tITIC 516NAURE�� To