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Home My WebLink AboutXR2023-3268 - Permits�gWPO�T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIII IIIIIIII II COMB Permit : XR2U23-3268 o� .1 Community Development Department -Building Division X R 2 0 2 3 3 2 6 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2797 ~ rt Permit Counter Phone: (949) 718-1888 Issued Date : 11/16/2023 newportbeachca.gov/civic Final Date: cgciFonr�r Combination Type - MFP ELEC PLUM Permit Status: Issued Work Class - Alteration Inspection Area : 8 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 : 885 SEA GULL LN, B 207 Legal Desc : P BK 15 PG 36 PAR 2 Description: MFR -WATER DAMAGE REPAIR 57 SF Owner: UDR NEWPORT BEACH NORTH LP Contractor: SIGNAL RESTORATION Architect Address : 1745 SHEA CENTER DR #200 Address : 7221 ORANGEWOOD AV Address HIGHLANDS RANCH„ CO 80129 GARDEN GROVE, CA 92841 Phone : (720) 283-6120 Phone : (714) 737-7082 Phone Con State Lie : 986693 State Lie Lie Expire : 09/30/2025 Applicant: SIGNAL RESTORATION Bus Lie: BT30071857 Engineer Address : 7221 ORANGEWOOD AV Bus Lie Expire : 05/31/2024 Address GARDEN GROVE, CA 92841 Phone: (714) 737-7082 Workers' Compensation Insurance Phone: Carrier: STARR INDEMNITY & LIABILITY CO Owner/Builder : Policy No : 1000067955231 Designer Address : W. C. Expire: 10/16/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $2,200.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-2 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - Oakwood Apartments - UP1370, UP 1405 PROCESSED BY: SPECIAL CONDITIONS: A., f hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reasouri indicated below by the checkmark(s) I have placed next to the applicable Items) ($action 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dery ish, or repair any structure, prior 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 is lie is exempt from lieensure 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for safe (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 pmving that it was not built or improved for the purpose of sale). El 1, 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). ❑ I She exempt from licensure under the Contractors' Stale License Law for the following reason ____ _ By my signature below [ 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 legal], sell a structure that I have builtas an owner-buildor if it has not been constructed in is entirety by licensed contractors. I understand that a copy of the. applicable taw, Section 7044 of the Business and Professions Code., is available upon request when this application is submitted or at the following Web sitethltp:!lwmw.leginfo.ca.govlcal2W:html. Signature of Property Owner or Authorized Agent __,_ ,_,_.____,_. ,v._. Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700Q)siii yisi� f the Business and Professi ehmy license is in full farce and effect. License Class License No Date // //(( Contractor Signature DD WORKERS' COMPENSATION DECLARATION MARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN HOUSAND DOLLARS ($100.000), IN AUDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR tlN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES_ hereby affirm under penalty of perjury one of the fallowing declarations: -11 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 )etRrformance of the work for which this permit is issued. Policy No. 9 have 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` comper ioi nsurance carrier and policy number are: :artier Policy Number Expiration Date vame of Agent Phone tt ❑1 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 ogre hat, if I should become subject to th2xozllperrsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / / Signature of Applicant Date— /t /1 h l� )ECLARATION REGARDI � CO TRUCTIOG AGENC :N DINY -'— hereby affirm under ;penal of rjury, that there is a construction lending agency for the performance of the work for wench this permit is issued (Section 3097, Civil Code). _order's Name Lenders Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act art the property owner's behalf, I have read this application and the information I have provided is correct. I agree to comply with all appI cable city and county ordinances and slate laws relating to building. construction. 1 authorize representatives of this city or county to enter lied property for inspection purposes. Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name _ _ __. [ I i7") ✓VQ l'r1l "� Dale ACTION DATE BY-.CtARATICNO COMPLANCE WITH. CODEOF FEDERAL FOR OFFICE USE ONLY I, REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SURMIT'TED ASBESTOS N OTI FI CATION TO _._._._._._--------- .__�__ PERMI7CA.NCELLEJ dEPA F'ERvffT FXiENOlG 1 _ uAOMD ...... __ _ _ ..._ .._ ._i. TQS NO t IFICAI ION 15 Ni APPII tltE 10 CERTIFICATE OF rp IrpRQPO5E00EMOLITION OCCUPANCY ISSUED �___ SIGNATURE;