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Home My WebLink AboutXR2024-0009 - Permits0", City of Newport Beach Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic CCombination Type - MFP Work Class -Alteration �1111 111111111111111111111111111111111111111111111111111 11111COMB Permit : XR2024-0009 Plan Check No : PC2024-0004 Issued Date : 01/02/2024 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 : 1955 SHERINGTON PL, J 106 Legal Desc : P BK 15 PG 36 PAR 1 Description: MFR ALT R/R DRYWALL AND INSULATION 53 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 : NO Fire Hazard Zone : NO No of Units : 1 No of Stories : 3 Building Setbacks : Flood Zone : X Use Zone: PC - Oakwood Apartments - UP1370, UP 1405 PROCESSED BY: 133 SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: LOVELACE MILES T Address: 10509 VISTA SORRENTO PKWY, SAN DIEGO, CA 92121 Phone : (858) 535-9111 Designer: Address : Phone: Construction Valuation : $1,300.00 Added/Now/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 53 Added/New sq. ft. Garage : 0 TOTAL sq. ft.: 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that P am exempt from the Contractors' State License Law for the reasons) 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 :he permit to file a signed statement that ho 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 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 rot more than five hundred dollars (£500). I, 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 ' Tionvements 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 rm�roved for the purpose of sale). ILJ 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). ❑ l am exempt from licensure under the Contractors' State 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 legally sell a structure that I have built as an owner -builder If ithas not been constructed in its entirely 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 she:http://Www.leginfo-ca.govicalaw.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 7000h is' U/the Business and Professions e. R license is in full force and effect. License Class License No Date l Contractor Signature WORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to seif•insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 370D of the Labor Code, for armance 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 workers' compensa. ranee, carrier and policy number are: Policy Number Date ame of Agent -Fnone IF I certify that, in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation lays of California,. and agre rat, if I should become subject t h ark ' ornpensaboo provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant _,,,,,_�_ _ Date_ IECLARATION REGAR G NSTRUCTION LENDING AGENCY hereby affirm under p ally : perjury that there is a construction fending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). enders Name Lender's Address y my signature below. I certify to each of the 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 correct, acna uth of Proopre Owner s Authorized Aeen 9 inspection n purposes. I agree to Complywith all applicable cityand county d Ras and state laws relating to building / ure authorize representatives of this city or county nfif Openly far inspection purposes. e-. t �/ /2 Print Property Owner's or Authorized Agent's Name I I � ` 00,rfr K Date fff ACTION fYYtREO CANCELLED PERMIT FINAL CERTIFICATE OF OCCUPANC775SUED DECLARATION OF COMPLIANCE WITH CODE. OF FEDERAL ( FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND Al RULE NOTIFICATION TO DS NOTIFICATION BS N PUCABLE TO DEMOLITION