HomeMy WebLinkAboutXR2023-0871 - Permits�aeWPogT City of Newport Beach II III III I IIII IIII III IIIIIIII III I II COMB Permit : XR2023-0871
0@ Community Development Department- Building Division X R 2 0 2 3 0 8 7 1
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0765
Permit Counter Phone: (949) 718-1888 Issued Date : 05/17/2023
newportbeachca.gov/civic Inspection Area : 8
gGrpppH� Combination Type -
Work Class - Other
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 : 880 IRVINE AVE
Description: MFR TRASH ENCLOSURE COVER
Owner: UDR NEWPORT BEACH NORTH LP
Address : 1745 SHEA CENTER DR STE200
HIGHLANDS RANCH, CO 80112-9
Phone: (720)283-6120
Applicant: TNT WELDING
Address : 7747 EDISON AVE
FONTANA, CA 92336
Phone: (909)356-4568
Owner/Builder :
Address :
Phone :
Legal Desc : P BK 15 PG 36 PAR 1
Contractor :
T N T WELDING
Address :
7747 EDISON AVE
FONTANA, CA 92336
Phone :
(909) 356-4568
Con State Lic:
794659
Lic Expire :
12/31/2023
Bus Lic:
BT30080555
Bus Lic Expire : 01/31/2024
Workers' Compensation Insurance
Carrier: FALLS LAKE
Policy No : FLA01598602
W. C. Expire : 1/1/2024
Architect
Address
Phone :
State Lic
Engineer:
Address
Phone
Designer: TROY TINNES
Address : 1864 PONDEROSA CIAS:,Li ;
CORONA, CA 92882
Phone: (951)712-8627
Code Edition :
2022 Fire Sprinklers :
NO
Construction Valuation : $8,500.00
Type of Construction :
V-B Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups :
U No of Units :
0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
0
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 are exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable itei l(s)
(Section 703t5, Business and Professions Cede: Any city or county that requires a permit to Construct, alter, improve, dernolisll, or repair any structure prior to Its issuance, also requires the applicant for
the permit to file a signed statemant 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 Businass and
Professions Code) or that he or she is exempt from Ilcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora 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 U 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).
❑ I, as owner of the property, 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 legal],
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 siteihttp:liwvnv.leginfo.ca.gov)calaw.html,
Signature of Property Owner or Authorized Agent �, Date
LICENSED COl`7rACTOR'S DECLARATION
I hereby affirm untie- r malty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession e, and license is In full force
and effec,. 1-cen1e Clnss License No Date Contractor Signature
WORKERS' Cl IMPPNSATION DECLARATION
WARNING. FAILURE TO FECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AN SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDR D THOUSAND DOLLARS t6 00,000), IN ADDITION TO THE
C6 ST Os ^CMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES_
I here by affirm u n J x fca-ilty of perjury one of the following declarations:
C I hu.e 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 th
pe-f-irr-cnco of the work for which this permit is issued. Policy No.
nave and will mrintain 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'
:F,.nJ- zarrIer and policy number are:
,a of Agent _
certify that, in iha pal formance of the
, if I should become subject to the wa
of Applicant
Policy Number
Date
is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and Sore
.ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date 5-/0/2-3
hereby affirm under penal4-erperjury that there Is a bi Atruction lending agency for the performance of the work for which this permit is issued (Section 3097
enders Name Lender's Address
ly my signature bellow, I certify to each of the following:
i am the property owner or authorized to act on the property owner's behalf.
1 have read this application andthe information I have provided is Correct.
I agree to comply with all applicable city and county ordinances a state taro relating to building construction.
I authorize representatives of this city or county to antert e-i n': r_op_ erV-f ."xoegtlon purposes.
lianature of Prooertv Owner or Authorized Aaent _ Print Property Owner's or Authorized Agents Name TiZofr
DATE I BY
PERMIT EXPIRED
PERMIT CANCELLED
PERNTIT EXTENDED
PER,4ll7 FfMAt
CERTIFICATE OF
OCCUPANCY 155UED
WLARATfON OF COMAI ri CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND Al RULE
j QS AYBE5T05
fI PROPOSED Of
SIGNATURE:
ASRFSTOS NOTIFICATION TO
Civil Code).
7-%/LINES Date