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Home My WebLink AboutXR2023-1805 - Permits�e�'PoRT City of Newport Beach IIIIIIIIII I IIIIIIII IIII IIIIIIIIIIIII IIII III II COMB Permit : XR2023-1805 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1596 u }a Permit Counter Phone: (949) 718-1888. Issued Date : 0613012023 newportbeachca.gov/civic Inspection Area : 8 4LiFp 0.�� 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 : 1650 16TH ST, F 204 Description : MFR R/R DRYWALL 20 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 Lie 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 : 10116/2023 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 : $800.00 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 : 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 -Oakwood Apartments - UP1370, UP 1405 PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penaltyof perlurythal 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 items) (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 far 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 end Professions Code) or that he or she is exempt from Ilcensure 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). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of at 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 hulit 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 who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 0 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below t acknowledge that, except for my personal residence In which I must have resided for aI 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-buildor if It has not boon 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.govlcolaw.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 70 D) suss' 3 f the Business and Profe •slops n y license is in full force and effect. License Class License No Date Contractor Signet WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINEB UP TO ONE HONOR USAND DOLLARS (E/00,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370S OF THE LABOR COME. INTEREST, Me ATTORNEYS FEES_ hereby affirm under penally of perjury one of the following declarations: I nave and will maintain a certificate of consent to sale -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th per{ rmance of the work for which €hispermit is issued. Policy No. 11 ve 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' compensadoi nsur, rice carrier and policy number are: tar Policy Number Expiration Date game of Agent Phone # :11 certify that, in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and Agra hat, if I should boon a subject t e w- r ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applic n 3ECLARATtON RE OIN CONSTRUCT �E'.DING AGENCY (/ hereby affirm under p 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). _endArs Name Lenders Address Ily my signature below, I oertffy 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 ordina cos and state taws relating to building construction. I authorize representatives of this city or county to ante a a e. lifted property for Inspection purposes. J,, 1 8 �� Signature of Property y Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name / 1 r"'C ' 0 1, Date ACTION DATE RY tARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE PERMIT EXPIRED i L l i SUdMTTCD iSBESTOS No7IF;CATtON TO PERMIT EXTENDED PERMIT FINAL Q—Z �- ASBESTOS NOTIFICAt I -�A PLICABLE 70 CERTIFICATEL Pft POSED NOUTI OCCUPANCY ISSUED SIL.NATUREt jt