The URL can be used to link to this page

Home My WebLink AboutXR2023-1803 - Permits�gWaoRr City of Newport Beach II III I II II II I III IIIIIIIIII IIIIIII II COMB Permit: XR2023-1803 6 Community Development Department -Building Division X R 2 0 2 3 1 8 0 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1596 3 yb z Permit Counter Phone: (949) 718-1888 Issued Date : 06/30/2023 newportbeachca.gov/civic Inspection Area : 8 </FppN� 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: 1965 SHERINGTON PL, K 102 Description: MFR R/R DRYWALL 35 SQ FT 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 Dose: 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: Phone: 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-3 No of Units : 1 Alteration sq. ft. Bldg : 35 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: _ V� 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 applicableitem(s) 'action 7031.5, Business and Professions Cade: 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 to 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 for the alleged exemption. Any violation of Section 7031.5 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, usiness 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 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 nproved for the purpose of sale). 11, 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 pply to an owner of properly who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I I am exempt from licensors under the Contractors' State License Law for the following reason: ,y my signature below I acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the improvements covered by this permit, I cannot legally all a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code., is available upon request when this application is submitted or at the following Web site:http:llwww.loginfo.ca.govicalaw.html. 'signature of Property Owner or Authorized Agent ___ Date _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 B) of i f tp. he Business and PCofessions C ^arise is In full force rid effect. License Class License No Dat Contractor Signatur \/ VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T SAND DOLLARS (St D0,000). IN ADDITION TO THE GET OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TO6 OF THE LASOR CODE, INTEREST, AND ATTORNEYS FEES.. hereby affirm under penalty of perjury one of the following declarations: 3 1 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, forth %formance 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 Expiration Dale of Agent JI 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 Lat, if I should bec a subject tG rl aF«e mpensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. —7 -ignature of Applic t,,,,, IECLARATION R Ate tNO ONSTRUCTION LENDING AGENCY hereby affirm under pe 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). ender's Name Lender's 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. 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 enterIS%,t1> fled property for inspection purposes. ,/ �_/ ,� r;;L(f P F/� /%� ionature of Proberty Owner or Authorized Agent � /� �-F� Print Property Owner's or Authorized AGent's Name ri ! r ✓� Date "r l DATE I BY PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED ON5 PART 51 OF TITLE 40 AND AQMD RULE TTTED k5BE5TD8 NOTI FI �ATION TO VO 705 NOTMCATION 15 NOT APPI<ICABLE TO PR09OSEO FOR OFFICE USE ONLY 3