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HomeMy WebLinkAboutXR2023-2982 - Permits�E'waoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23'2982 D4 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2572 r+� S Permit Counter Phone: (949) 718-1888 Issued Date : 10120/2023 .a.. newportbeachca.gov/civic Final Date: Cq�/FOFN\P 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: 1755 SHERINGTON PL, W 207 Legal Desc : P BK 15 PG 36 PAR 2 Description: MFR DRYWALL AND INSULATION REPAIRS @ THE VANITY AREA (B 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 : Contractor: SIGNAL RESTORATION Address : 7221 ORANGEWOOD AV GARDEN GROVE, CA 92841 Phone : (714) 737-7082 Con State Lic : 986693 Lic Expire : 09/3012025 Bus Lic : BT30071857 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: STARR INDEMNITY & LIABILITY CO Policy No : 1000067955231 W. C. Expire : 10/16/2024 d Architect Address: Phone: State Lic Engineer : LOVELACE MILES T Address : 10509 VISTA SORRENTO PKWY, #102 SAN DIEGO, CA 92121 Phone: (858)535-9111 Designer: Address Phone: Phone: Code Edition : 202 Fire Sprinklers : NO Construction Valuation : $640.00 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: I_ SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION l hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Items) (Section 7031-5. Business and Professions Code: Ally city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, one; 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 (_) 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). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState 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). © 1 am exempt from licensure under the Contractors' State License Law for the following reason -for By my signature below € acknowledge that, except for my personal residence in which I must have rrsld od at least one year prior to completion of the Improvements covered by this permit, I cannot legali sell 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 Web site:http:liwww.leginto.ca,gov/calow.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 SeGRISIn 7CPD Of n 3 pej3usin s and Professlo license is In full force and effect. Licel lse CI•Iss License No Da)l% tT r Signatur i WORKERS' COMPENSATION DECLARATION t fr.FA.hd. FAILURE tD SEC' IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN. THOUSAND COLLARS ilil Oe). IN ADDITION TO THE LOST OF COMPENSLT':'f, DAMAGES AS PROVIDED FOR IN SECTION 374E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm and^r penalty of perjury one of the following declarations: 0 1 have and wwl mdi'tlam 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 IN Fsrfnrmance of thu wort, for which this permit is issued. Policy No., Rymme and will maintain workers' compensation insurance, Be required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compersatio insurance carrier goo policy number are: Carrier_ _ Policy Number Expiration Date Nana of Agent , _ Phone # IT re-t'.f, that, in the performance of file 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 Calffomia, and agre that, if I mould brccril cublact to r pensation provisions Of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. a Signature of APP i tt T _ uaTa l� z2y ...�.. DECLARATION A N ONSTR!cTION LENDING AGENCY /_\ I hereby affirm under pa 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). Lender's Name Lender's Address By 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 ordi state laws relating to building. construction. 1 authorizrrenlalives of this city Or cot ty to e = entified property for inspection purposes. epeftesOwner Si na]urO of Pero or Authonzed A nl Print Property Owner's or Authorized A ent's Na ACTION DATE 9 , DECLARATION OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED II SUBMITTED ASBESTOS NOTIFICATION TO _ —�� PERMITCANCEI LED .......... PERLt7T EXTENDED PERbRT FINA! _q �0 � �J QM6 / /�11 ASBESTOS NOI IFICA' ION IS 1'APPLICABLE 10 iII�_Q CERTIFICATE OF OCCUPANCY uA RROPOSF FIN01, I ''. �j ISSUED r 7!•' SIGN RE. 105