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Home My WebLink AboutXR2023-2254 - PermitsaEWPoRr City of Newport Beach A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic C9��FU 0.N�P Combination Type - MFP Work Class - Alteration iiiiiiiii4 II COMB Permit : XR2023-2254 Plan Check No : PC2023-1979 Issued Date : 08/16/2023 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 : 1935 SHERINGTON PL, F 202 Legal Desc : P BK 15 PG 36 PAR 1 Description: MFR ALT R/R DRYWALL AND INSULATION FROM WATER DAMAGE. 26 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 Architect Address : 7221 ORANGEWOOD AVE Address GARDEN GROVE, CA 92841 Phone: (714)763-4153 Phone: Con State Lic : 986693 State Lic Lic Expire: 09/30/2025 Bus Lic : BT30071857 Engineer : LOVELACE MILES T Bus Lic Expire : 05/31/2024 Address : 10509 VISTA SORRENTO PKWY, #102 Workers' Compensation Insurance Phone: SAN DIEGO, CA 92121 (858) 535-9111 Carrier: STARR INDEMNITY & LIABILITY COMPANY Policy No: 1000002994 Designer: W. C. Expire : 10/16/2023 Address : Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-2 No of Units : 1 Bldg Height: No of Stories : 3 Building Setbacks Flood Zone : X Use Zone : PC - Oakwood Apartments - UP1370, UP 1405 R� PROCESSED BY: SPECIAL CONDITIONS: Phone: Construction Valuation: $1,000.0,0,,, Added/New/TI sq. ft. Bldg : 0 Alteration sq, ft. Bldg : 26 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury the t t am exempt from the the requiresContraca Ipe mil or constse ruct, uct,rafterf eimprove, .ldemol demolish, ororepair tany structure prior to its issuance, also requires lthe applicant for (Section 7031.5, Business and Professions Code: Any city or county the. permit to file a signed statement that. he or she is licensed pursuant to the provisions of the Cc ntracors' Stele License Law (Chapter 9 (commencing with Seaton 7000) of Division 3 of the Busiest an Professions Code.) Or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7D31.5 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 L) ail of property f_) portions of the work, s' o the structure is not intendimproves theed or offered for sale (Section 7 044. Btpro,ss and are not intended offered tractors. tale Livens he w d'IldhgIs aortmppriovemenan ls solder fwith nacre year of cwn ompletiolnve ¢Owner -Builder wersonal ill haute the eds rburden of provingproperty, that itpwas not built ore Improved for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed Contractors to Construct tile project (Section 7044, Business and Professions Code'. The Contractors' State License Law does no applyto aproperty builds Improveshereon. and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Low). n owner of ❑ I am exempt (tDm Imure under the Contractors, Stake 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 improvers law, Section 7044to1 the Buhis siness ssnaotdl¢gall 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http,l/www.leginfo.ca.gov/calaw.html.— Signature of Property Owner or Authorizers Agent —! -- — LICENSED CONTRACTOR'S DECLARATION of i to I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec7 Date_�./� CDetractorsSignatures and fess od LAR3 IS400p00)my license is in full force and effect License Class License No WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRELI THOUSAND DOL, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37DG OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a Certificate of consent toself-insure for workers' compensation, issuedby the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the erformance of the work for which this permit 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 workerscompensatior in urance carrier and policy number are! Expiration Date Carrier Policy Number Phone M Name of Agent Dy ally person ❑I reality that, In the performance of the work for hich this permit is sa visionsofSection 1not 3700goflhe Labor Code DECLARATION shalt forthwith comply with hose provisonsn any manner so as to become subject to e workers' compensation laws of California, and ogre that, !(I should become subject to the workers' ' k2 Signature of Apgiicant . _ _....-----_'-- DECLARATION REGARDING CON TR S70N LENDING AGENCY I hereby affirm ur.Ju, penalty of perju at there is a construction fending agency for the performance Address of the work for which this permit is issued (Section 3097, Civil Code). Lender'Lendar's Name 3; ?'y rgnature helnw, c¢rtkfy to each of the following: I am the properly owner or authorized to act on the properly owner's behalf. I hive read this application and the information I have provided is correct, I agree to comply with all applicable city and county ordir sand state laws relating to inspectbuildingion n purposes, I, r, f�� I aothorize'r�pr :.e.ntatives of this city or county t tified properly for inspection purposes. 1 v l Date jSignaiure of Proo_e_rty Owner or Aulhorzed Agent Print Pro art Ovrner's or Authorized Agent's Name $ ACTIOP' DATE BY DECLARATION OF COMPLIANCE WITI9 CODE OF FEDERAL. FOR OFFICE USE ONLY ' REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMt(EXPIRfO I ISUBDAITTED ASBESTOS NOTIFICATION TO PERMIr CANCRtED PERMITEXTENOfU — ,y� Z,�-IAQMD RE —WIT —FINAL SBEST05 NOTIFICATION IS NOT APP (CABLE 10 CERTIFICATE OF I l ry� If <! PROPOSED DEMOLITION OCCUPANCYISSUED ^^,,qq Wf I SIGNATURE: —. .. _._-.----------- '— —" ,_sJ,l.1....,.._.___.i.___ .....-__._._. ._