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Home My WebLink AboutXR2023-2250 - Permits��EWPp�T City of Newport Beach D A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic c9GrF00.N�P Combination Type - MFP Work Class - Alteration 11111111111111111111111111111111111�111111111111111111COMB Permit : XR2O23-2250 Plan Check No: PC2023-1979 Issued Date : 08/1612023 Final Date: Permit Status: Issued 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 : 835 SEA GULL LN, C 210 Legal Desc : P BK 15 PG 36 PAR 2 Description: MFR ALT R/R DRYWALL AND INSULATION FROM WATER DAMAGE.15 SF Owner: UDR NEWPORT BEACH NORTH LP Address : 1745 SHEA CENTER DR STE200 HIGHLANDS RANCH, CO 80112-9 Phone: (720)283-6120 Applicant: TIM WARREN Address : 7221 ORANGEWOOD AV GARDEN GROVE, CA 92841 Phone: (714)737-7082 Owner/Builder : Address : Phone: Contractor : Signal Restoration Address : 7221 ORANGEWOOD AVE GARDEN GROVE, CA 92841 Phone: (714)763-4153 Con State Lid: 986693 Lic Expire : 09/30/2025 Bus Lic: BT30071857 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: STARR INDEMNITY & LIABILITY COMPANY Policy No: 1000002994 W. C. Expire : 10/16/2023 Architect Address Phone: State Lid Engineer: LOVELACE MILES T Address: 10509 VISTA SORRENTO PKWY, #102 SAN DIEGO, CA 92121 Phone: (858)535-9111 Designer: Address 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 : 15 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: "' I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for flip 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 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 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or 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 OwneT-Builder will have the burden of proving that it was not built or Improved for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale. 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 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 resldod for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have (will 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://www.leginfo.ca.gov/caiaw.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 7 of�ijv' to 3 off Business and Profes,t license is in full force and affect_ License Class License No Data 0/ Detractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG THOUSANO DOLLARS RIOOAOO1,114 AOOMON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: I 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 'Ormance of the work for which this parmit is issued. Policy No. 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' compensa uance carrier and policy number are: Policy Number of Agent Date certify that,. in the performance of the work for which this permit 13 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre if I should become subject t *ers ompensa0on provisions of Section 3700 or the Labor Code, I shall forthwith comply with those provisions. lalure of Applicant .. __.. _... Date CLARATION REGARDIN NSTRUC4;9 ENMN.G AGENCY Ireby affirm +Indl7f pnDaftr of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097 ,der^Name _ Lenders Address my signature Jefa.v, I certify to each of the following. I Am the properly owner or authorized to act. on the property owner's behalf- 1 have read IhR application and the Information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives Of this city or county to enter�tified property for inspection purposes. '�'�• PERM; r BXPIREC PERM,T CANCCLdED PERMIT EXTENLEO or Authorized A enl Print Hro ern DATE BY CLARATION OF COMPLIANCE WITI4 CODE OF FEDERAL I REGULATIONS PART 61 OF TITLE 40 AND AQMD RU LF SUBMITTED ASB ESTO5 NOTI FICATION TO PERMfTFINAL 11 TJ 73 /4t/i I, APSBESF OSNOTIFICATIO ISNO A LIC.ABLE TO CERTlFICATFOF ( ` //.��L./74 (PROPOSED DEh10LITION �jb//`./•f_ OCCUPANCY ISSUED OW if )�'YI SIGNATURE: FOR OFFICE USE ONLY Name Civil Code). Wig rr-e