HomeMy WebLinkAboutXR2024-0012 - PermitsaE�wvoR� City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U24-UU12
Community Development Department - Building Division x R 2 0 2 4 0 0 1 2
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0005
Permit Counter Phone: (949) 718-1888 Issued Date : 0110212024
.�.. newportbeachca.gov/civic .. , ._- ,�.. ...� �.. ,... r— Final Date:
CA�rFOPN�P Combination Type - MFP - - Permit Status: Issued
Work Class - Alteration - r' t 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 WORKbN SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 1945 SHERINGTON PL, G 108 Legal Desc : P BK 15 PG 36 PAR 1
Description: MFR ALT R/R DRYWALL AND INSULATION 32 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 : 05131/2024
Workers' Compensation Insurance P
Carrier: STARR INDEMNITY & LIABILITY COMPANY
Policy No : 1000002994 D
W. C. Expire : 10/16/2024 A
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: 1 7
SPECIAL CONDITIONS:
Lie:
LOVELACE MILES T
10509 VISTA SORRENTO PKWY, 4102
SAN DIEGO, CA 92121
(858) 535-9111
ner:
NO Construction
Valuation :
$1,100.00
NO Added/New/Ti
sq. ft. Bldg :
0
1 Alteration
sq. ft. Bldg :
32
3 Added/New sq, ft. Garage :
0
TOTAL sq. ft. :
0
All
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(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, after, improve, demolish,. or repair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statement thathe or she is licensed pursuant to the provisions of the Contractors' Slate 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 licansure 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 rive hundred dollars 1$500).
❑ I, 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 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 orimproves the property, provided that the
Improvements are not intended or offered for sale. If, however, the building or Improvement is sold within one yearof completion, the Owner -Builder will have Ilia burden of proving that it was not built or
Improved for the purpose of sale).
111, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, 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' State License Law for Via following reason:
By my signatu€e. 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 legalil
sell a structure that I have builtas 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/calaw.html.
Signature of Property Owner or Authorized) Agent-_-_ _ ._...._._��m__. 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 4 D" i n 3 of the Business and Profes rf Can license is in full force
and effect License Class License No Date Contractor Signature
iNORKERS' COMPENSATION DECLARATION
RARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU THOUSAND DOLLARS ($100,00G), IN ADDRION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANC ATTORNEY'e FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have end 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 permit is issued. Policy No.
and will maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers`
carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work for which this permit is issued, t shaii not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
if I should become subject to the 3659rs7cgmneasation provisions of Section 3700 of the Labor Code. I shall forthwith comoly with those provisions.
or
Date— &�9—, —
IECLARATION REGARDING CQNSTRUCTION CENDING AGENCY
hereby affirm under penal riury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
enders Name Lenders Address
y my signature below, I certify to each of Ilia following:
I am the property owner or authorized to acton the property owner's behalf.
I have read this application and the information I have provided is eorl
I agree to comply with all applicable city and county or 1 noes and state laws relating to building construction.
1 authorizes representatives of this city or county to e-'dentli' any for inspection purposes.
Onature of Property Owner or Authorized Agent Print PmDenv Owner's or Authorized Ananhq Name I) ✓r'L
ACTION DATE /FTY (( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
�� ( REG ULATIONS PART 61 OF TITLE 40 AND AQMD RU LE
1403
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY755UED
SUBMITTED
TO
Civil Code).
Date