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Home My WebLink AboutXR2024-0006 - Permits;FWPORr City of Newport Beach IIIIIII IIII IIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2024-0006 ,D Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0004 Permit Counter Phone: (949) 718-1888 Issued Date : 01/02/2024 newportbeachca.gov/civic - --• . - - - - Final Date: 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 : 835 SEA GULL LN, C 210 Legal Desc : P BK 15 PG 36 PAR 2 Description: MFR ALT R/R DRYWALL AND INSULATION 64 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: Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U,R-2 Bldg Height : Contractor: WESTROCK RESTORATION Address : 7221 ORANGEWOOD AVE GARDEN GROVE, CA 92841 Phone: (714)763-4153 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 COMPANY Policy No : 1000002994 W. C. Expire : 10/16/2024 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Building Setbacks : Flood Zone : X Use Zone : PC - Oakwood Apartments - UP1370, UP 1405 PROCESSED BY: B SPECIAL CONDITIONS: Architect Address Phone: St to Lie Engineer: Address Phone Designer: Address Phone: LOVELACE MILES T 10509 VISTA SORRENTO PKWY, #102 SAN DIEGO, CA 92121 (858) 535-9111 NO Construction Valuation : $1,500,00 NO Added/New/TI sq. ft. Bldg : D 1 Alteration sq. ft. Bldg : 3 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION' I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the chsckmark(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 10 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 licensors 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intendedor 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 withinone 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 properly, 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 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 resided for at least one year prior to completion of the improvements covered by this permit, I cannot legallt 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 requestwhen this application is submitted or at the following Web site:http://www.leginfo.oa.gov/calaw.html. Signature of Property Owner or Authorized Agent Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70�0 i or�r of the Business and Professio o. icense, is in full force and effect License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION MASHING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOR(THOUSAND DOLLARS (II100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TO6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -Insure for workers' Compensation, issuedby the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, aWormence of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 370D of the Labor Code, for the performance of the work for which this permit is issued. My workers' ranee carrier and policy number are. to of Agent certify thatin the performance of , if I should become subject tol2rt of Policy Number Date 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 California, and agre over"tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date— I ZIli </ - 4111 IUN Kli ilVia SJwJ I K U I.: II UN LIaNU€NVAGCPIS:T )i affirm under anal f perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097 rders Name Lender's Address 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 f 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 ante above-i1de-nl�ified roperty, for inspection purposes. nature of Property Owner or Authorized Agent —� (lrf� V11 __ ��''— Print Prooertv Owner's or Authorized Aoent'- ame ACTION DATE AY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE AD AND AQMD RULE 1403 PERMlFEXFIREO SUAMIT'FED ASBESTOS NOTIFICATION TO PERMIT CANCELLED i;oe. PERMIT ATE /,,,fffeV 56EST D5 NOTIFICATION IS OCCUPCATEOE /!Ov/ P OPOSED DEMOLITION i OCCUPANCYISSUED / SIGNATURE: Z/L Civil Code). 00rrPPc, Date 1 �2