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Home My WebLink AboutXR2023-1808 - Permits�gwaoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIII�I II COMB Permit : XR2U23-1 $�$ 04 @� Community Development Department -Building Division X R 2 0 2 3 1 8 0 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1596 Permit Counter Phone: (949) 718-1888 Issued Date : 06130/2023 u newportbeachca.gov/civic Inspection Area : 8 c9��FORN�P Combination Type - MFP 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 : 835 SEA GULL LN, C 111 Description : MFR R/R DRYWALL 30 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 : Legal Desc : P BK 15 PG 36 PAR 2 Contractor: SIGNAL RESTORATION SERVICES Address : 7221 ORANGEWOOD AVE GARDEN GROVE, CA 92841 Phone : (714) 763-4153 Con State Lie : 986693 Lic Expire: 09/30/2023 Bus Lie: BT30071857 Bus Lie Expire : 05/31/2024 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: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $900.00 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 : 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 - Oakwood Apartments - UP1370, UP 1405 PROCESSED BY: �I SPECIAL CONDITIONNS 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, poor 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 ftensure 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 penalty of not more than five hundred dollars ($500), 13 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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. 11, 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). ❑ 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 apply to an owner of property who builds or Improves thereon, and wbo contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). El I am exempt from ticensure under the Contractors' State 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, soil a structure that I have built as an ownor-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:llwww.leginfo.ca.govlcalaw.html. Signature. of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) DWI n 3 of the Business and professions q licenseis In full force and effect. License Class License No Dat� Convector Signatu WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO GRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TtIOUSAND DOLLARS (S100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 ormance of 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 Date 'ame of Agent Phone # ]I certify that, in the performance 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 IaL if should become subject to the we re. ' compy •atlan provisions of Section 9700 of the Labor Code, I shall forthwith comply with those provisions. ��, /// / iynalure of Applicant / Ltate=�( DECLARATION RBGARDI4of �8/' R 6CTION LENDING AGENCY �` hereby affirm under penalerR+try that theta is a construction lending agency for the performance of the Work for which this permit Is issued (Section 097, Civil Code). enders Name Lenders Address y 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. 1 have read this application andthe information I have provided is correct. I agree to comply with all applicablecity and county ordinances and state laws relating to building construction. I authorize representatives of this city or county�nttc�\, -enter t� ed proparty for Inspection purposes. ) . �G / � icnefure of Prooertv Owner or Authorized Anent & Print Property Owner's or Authorized Aoent's N n 1/LJ \ ''` Date IO/ ACTION DATE BY j ZPEE1IRATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403PERMIT EXPIRED I CANCELLED—--SURI ITTED ASBF.S70S NCTI ECATI ON TO PERMIT CANCELLED CERTIFICATE(-2s.�.i LJASBE}TO5 NUT3FICp'f!O f5 OC' TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYfSSUEO C.i SL:N�Tl.RF.