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Home My WebLink AboutXR2023-2713 - PermitsaE�wvoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XRZO23-2713 D� @ Community Development Department- Building Division X R 2 0 2 3 2 7 1 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2377 Permit Counter Phone: (949) 718-1888 Issued Date : 09/27/2023 newportbeachca.gov/civic Final Date: °gticoa+�" Combination Type - MFP 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 : 920IRVINE AVE, B 304 Legal Desc : P BK 15 PG 36 PAR 1 Description: MFR DRYWALL AND INSULATION REPAIR (32 SF) Owner: UDR NEWPORT BEACH NORTH LP Contractor: SIGNAL RESTORATION Architect Address : 1745 SHEA CENTER DR STE200 Address : 7221 ORANGEWOOD AV Address HIGHLANDS RANCH, CO 80112-9 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: TIM WARREN Bus Lie: BT30071857 Engineer : LOVELACE MILES T Address : 7221 ORANGEWOOD AV Bus Lie Expire : 05/31/2024 Address : 10509 VISTA SORRENTO PKWY, #102 GARDEN GROVE, CA 92841 SAN DIEGO, CA 92121. Phone: (714) 737-7082 Workers' Compensation Insurance Phone: (858) 535-9111 Carrier: STARR INDEMNITY & LIABILITY COMPANY Owner/Builder: Policy No : 1000066386221 Designer: Address : W. C. Expire : 10/16/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $2,560.00 - 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 : 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 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 hem(s) (Section 7031-5. Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, 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 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 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 (_) all of or U 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). El 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from licansure 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, sell a structure that I have built as an owner-buildar 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:liwww.leginfo.ce.govlcalaw.html. Signature of Property Owner or Authorized Agent _ _ Date LICENSED CONTRACTOR'S DECLARATION 'Q� I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec'on 6� ' " tar 4" / `usiness and Profess' . a license is In full force and effect. License Class License. No D 'j' ntrector Sign WORKERS' COMPENSATION DECLARATION NARNING: FAIW RE TO SECURE wORKER3' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ON H EO THOUSAND DOLLARS ($104050). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 8706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. hereby affirm under Qenal€y, of perjpry one of the following declarations: have and will T.a main a certificate of consent to self- insure tot workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for "m:a,nt'e of the work frr which this permit is issued. Policy No. and will rr,s:rtuin workers' compensation insurance, as required by Section 3700 of the Labor Code,. for the performance of the work for which this permitis issued. My workers' carrier and policy number are: of Agent if I Policy Number Date that, in 'he 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 Califomia, and agre wul ew sub:a, Ite-w rker 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Cf Gf App ants_. its— //Z % z CS-LARATION RS ARC' G CONSTRUCTION LENDING AGENCY hop of irm and arty 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). eiders Name _ Lenders Address y my signature b 11 it 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 slate caws relating to building construction. rI I authorize representatives of this city or county to enterr jea" k�d property for inspection purposes. A-, p „ \ Zvi 4214 fill ACTION PERM 7 EXPIRED P€KNIT CANCELLED PFRMi7 EXTENDED CERTIFICATE OF / OCCUPANCYISSUEA OF CONitrLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AQMD RULE I RMUS114 i m 61 TO or Authorized AgenVS Ns(me iS#].IHtl;1fy*liY xsld WI "-