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HomeMy WebLinkAboutXR2023-2990 - Permits��eWPoRr City of Newport Beach p e Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - MFP Work Ciass - Alteration X R 2 0 2 3 2 9 9 01II COMB Permit : XR2023-2990 Plan Check No: f Issued Date Date : 10/20/2023 Final Date: Permit Status: Issued Inspection Area : a 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 : 1605 SHERINGTON PL, Y 212 Legal Desc : P BK 15 PG 36 PAR 2 Description: MFR DRYWALL AND INSULATION REPAIRS @ THE BATHROOM AREA (32 SF) Owner: UDR NEWPORT BEACH NORTH LP Address : 1745 SHEA CENTER DR #200 HIGHLANDS RANCH„ CO 80129 Phone: (720)283-6120 Applicant: SIGNAL RESTORATION Address: 7221 ORANGEWOOD AV GARDEN GROVE, CA 92841 Phone : (714) 737-7082 Owner/Builder : Address : Phone Contractor: SIGNAL RESTORATION Address : 7221 ORANGEWOOD AV GARDEN GROVE, CA 92841 Phone : (714) 737-7082 Con State Lie : 986693 Lie Expire : 09/30/2025 Bus Lie : BT30071857 Bus Lie Expire : 05/31/2024 Workers' Compensation Insurance Carrier: STARR INDEMNITY & LIABILITY CO Policy No: 1000067955231 W. C. Expire : 10/16/2024 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 - UP/1370, UP 1405 PROCESSED BY: SPECIAL CONDITIONS Architect Address Phone: State Lie : • .. , ' Engineer : LOVELACE MILES T ". Address : 10509 VISTA SORRENTJ P:K3NY, #m SAN DIEGO, CA 92121 Phone : (858) 535-9111 • • „ ' " Designer: , Address Phone NO Construction Valuation : NO Added/NewITI sq. ft. Bldg 1 Alteration sq. ft. Bldg : 3 Added/New sq. ft. Garage TOTAL sq. ft. : $2,560.00 D 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{%) I have placed next to the applicable items) ;Section 703f .5, Business and Professions Code: Any oily or county that requires i Pans of he Contractorsmit to oorudfuCtl ' StaterOveT Lice se Lawshr or repair any structure, (Chapter(Chapterr 9 (commencing withrto Section 7000) of Diviss issuance, also on requires3 of the for .he permit to file a signed statement that he or she is licensed pursuant to the provisions professions Code) or that he or she is exempt from iicensure 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 o not more than five hundred dollars ($500).. 7 11 as owner of the property, or my employees with wages as their sole compensation, will do i_) 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)- © 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 no 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)). -- — C] I am exempt from licensure under the Contractors' Slate 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 soli a structure that I have built as an owner -builder 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''Neb site;http:/hwna.leginfo.ca.gov/calaw,html, Date ;Signature of Property Owner or Authorized AgentLs an LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under pronsions of Chapter 9 (commencing with Section P OO of DivisfriS thheoB antr in r Signaturefessio 1k a y license is In full farce and effect. License Cass License No WORKERS' COMPENSATION DECLARATION !N1FN'Yr:' FAILURE -C LL URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUN HOUSANO DOLLARS Ib100,S001, IN ADDITION TO THE 'OST OF _OMPEN,ATION. DAMAGES AS PROVIDED FOR IN SECTION 3TO OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. IIhhterety affirm under penalty Df perjury one of the following declarations: i-1 1 nave and w91 mu:titan a certificate of consent to self -insure for workers' Compensation, issued by the Director of Industrial Relations as provided for by Section 370G of the Labor Code, for th ps,forniance of it?o Wary for which this permit Is issued. Policy No. eve and will lauintain 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' campensatio lisiti carrier' rc' policy number are: Expiration Date Lamer Policy Number Phone # xame of Agent __ 1 certify that, in Lhe 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 taws of California, and agre L] that, if I should t;acom ubiect to the wor �sadon ns of Saclion 3700 of the Latrdr Code, I shall itlrthNilh comply with those provisions. /�Signature of AppliCLARATION EG i7lN co T U O I hereby affirm under penal' of p rjury that there Is a construction lending agency for the per Address By of the work for which this permit is isusd (Sectlon 3097, Civil Code). Lender's Name By my signature below, I certify to each of the fbllgwi 19: I am the property owner or authorized to act on the property owner's behalf, I have read Iris application and the information I have provided is correct. I agree to comply uvDh all applicable city and county ordinances and state laws relating to buildingconstruction. I authorize representatives of this city or county to enter ov ntfF roperty for inspection purposes. 4pate Si nature of Pro arty Owner or Aulhonze Print Pro arty dwner s ar Authorized A, enl'sV#ak'a ACTION GATE fiy DECLARATIONUFCOMPLIANCEW,,,g CODEOF FEDERAL FOR OFFICE USE ONLY i RFGUI,P.TI0N5 PART 61 OFT'ITLE40AND AOMD RULE 1403 PERMITEXPiRED _ _—I I SUBMITTED ASBESTOS NOTIFICATION TO PERMI7CAA'CELLEC? EPA----------- FERMiTfXTfNOED_OMD "tUN -( _ j2 A%ij f TOS kI T AC _.._— BLE. 0 PERYNTFINAL // !! rGf'/'f///J CER7`PrCATE OF PROPOSF.MOLITION - OCCUPANCYL55UEp SIGNATURE