HomeMy WebLinkAboutXR2023-1799 - Permits04'.
City of Newport Beach 111IIIIII1111111111p1111111111111111111111p1111111111 jj COMB Permit : XR2O23-1799
Community Development Department- Building Division X R 2 0 2 3 1 7 9 9
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1596
Permit Counter Phone: (949) 718-1888 Issued Date : 06/3012023
newportbeachca.gov/civic Inspection Area : 8
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 : 1755 SHERINGTON PL, W 311
Description
: MFR R/R DRYWALL 14 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 2
Contractor: SIGNAL RESTORATION SERVICES
Address : 7221 ORANGEWOOD AVE
GARDEN GROVE, CA 92841
Phone:
(714)763-4153
Con State Lic
: 986693
Lic Expire:
09/30/2023
Bus Lic:
BT30071857
Bus Lic Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: STARR INDEMNITY & LIABILITY CO
Policy No: 1000002994
W. C. Expire : 10/16/2023
Code Edition: 2022
Fire Sprinklers :
Type of Construction : V-B
Fire Hazard Zone
Occupancy Groups : R-2
No of Units :
Bldg Height:
No of Stories
Building Setbacks :
Flood Zone : X
Use Zone: PC - Oakwood Apartments - UP1370, UP 1405
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer: LOVELACE MILES T
Address: 10509 VISTA SORRENTO PKWY, #102
SAN DIEGO, CA 92121
Phone: (858)535-9111
Designer:
Address :
Phone:
NO Construction Valuation :
NO Added1New/TI sq. ft. Bldg
1 Alteration sq. ft. Bldg :
3 Added/New sq. ft. Garage
TOTAL sq. ft. :
$700.00
14
14
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Iterate)
,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 penalty of
Tot more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do U 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. 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).
0 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Seaton 7044, Business and Professions Code: The Contractors' State License Law does not
a pty to an owner of property who builds or Improves thereon, 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' State License Law for the following reason: -__
By my signature below l 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 legalll
sell aastructure that I have built as an owner -builder if ft has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 70" of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.taginfo.ca.govlcalow.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")vif the Business and Pro dss4 Dd and my Itcense is In full force
and effect. License Class License No DatCoeVactor SienaIMORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE 18 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINFINES UP TO ONE H ND. THOUSAND DOLLARS (S100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEE$.
hereby affirm under penalty of perjury one of the fallowing declarations:
1 have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth
TKormance 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
of Agent
Date
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
t, if I should becom subje or compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wish those provisions.
nature of Appiccan VW
CLARATtON R. ARD} r CONSTRliCT14N LENDING AGENCY
areby affirm un p ally of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ideis Name Lender's Address
3y 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 ordinances and state fawn relating to building construction.
I authorize representatives of this city or county to enter -identified property for inspection purposes.
3 ignature of Property Owner or Aulhonzed A ent, Print. Propeny Owner's or Authorized A
ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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