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HomeMy WebLinkAboutXR2024-0013 - Permitso�aEWPo', City of Newport Beach d Community Development Department- Building Division b" 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 'a. S newportbeachca.gov/civic Cq�rFp 0.N`p Combination Type - MFP Work Class -Alteration �1111 111111111111111111111111111111111111111111111111111 11111COMB Permit : XR2024-0013 Plan Check No : PC2024-0005 Issued Date : 0110212024 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 : 1755 SHERINGTON PL, W 113 Legal Desc : P BK 15 PG 36 PAR 2 Description: MFR ALT R/R DRYWALL AND INSULATION 316 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: 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 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-2 No of Units : 3 Bldg Height : No of Stories : 3 Building Setbacks : Flood Zone : X Use Zone : PC - Oakwood Apartments - UP1370, UP 1405 PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: LOVELACE MILES T Address : 10509 VISTA SORRENTO PKWY, #1 SAN DIEGO, CA 92121 Phone: (858)535-9111 Designer Address Phone : Construction Valuation : $4,200.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq, ft. Bldg : 316 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION' 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 item(s) (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 to 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 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 not more then five hundred dollars ($500). ❑ I, asowner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sate (Section 7044, Business and Professions Cade: 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 intendedor offered for sale. If, however, the bul€ding or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not bulft 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). ❑ l 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 legally 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 request when this application fs submitted or at the following Web site:http:llwww.leginfo.ca.govlcalavehtml. 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 740) f Mn 3 of the Business and Professio a I license is in full force and effect. License Class License No DaFe II Contractor Signature tNORKERS' COMPENSATION DECLARATION RARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN RED DURAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self- insure for workers' compensation, Issued by the OIITector of Industrial Relations as provided for by Section 3700 of the Labor Code, for th crmance 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' compensatiO Trance carrier and policy number are: ner Policy Number Expiration Date ne of Agent Phone # certify thatin the performance of the wo for which this permit is Issued, l shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre d I should become subject to the wor Lion provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. / nature of Applicant _.. _.___ Date hereby affirm under penalty perju that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code), Lenders Name Lenders Address 3y 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 I have provided is correct. I agree to comply with all applicable city and county Ord a ces and state laws relating to building construction. I authorize representatives of this city or county to e entitled property for inspection purposes. �� J Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent s Name 1M Q ACTION DATE CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFG ULATIONS PART 61 OF TITLE 44 AND AOMO RULE PERMIT EXPIRED L._11 SUBMITTED ASPE5TO5 NOT] HCATION TO PERMITCANCEU EL7 OEPA PERMIT EXTENDED of OM D PERMIT FINAL f3ESTOS NOTIFICATION IS N(7 PPUCA LE TO CERTIFICATE OF 4 PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: i o V Z O a m a Z Z W m� 00 E E 9z0 omIx z��v QQ� W 5z> u—— Oaz�U QWa r� dor 0 Q, F ADd n F-JZ HU a) W V O > Y e O O O Ally W) 0 U c 0 U a m N c a) U J M N Q O co a) -O @ E E Y W O .0 Q N E O C� a) w O N E E m m d_O tm/) 7 0 O _@ L R N O N N N�M = O a) U T '- N a) O m N @ 3 N N'�—x N 3 N Q M d'06 a) W C O@@ O o_ O T co C c E 'K O m O O _° X OC C@ O a) 0- N a) > U X O Lr- Oy ELC C Cl) O O =. 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