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Home My WebLink AboutXR2024-0215 - Permits�EWPO,gT City of Newport Beach IIIIIII'llllllllllllllllulll II COMB Permit XR2U24-o215 0� e Community Development Department- Building Division X R 2 0 2 4 0 2 1 5 y y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0183 yn. Permit Counter Phone: (949) 718-1888 Issued Date : 01/25/2024 .a, newportbeachca.gov/civic Final Date: CgC�FOR��P 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 : 2110 16TH ST, Q 113 Legal Desc : P BK 15 PG 36 PAR 1 Description: MFR ALT R/R DRYWALL AND INSULATION 64 SF Owner: UDR NEWPORT BEACH NORTH LP Contractor: SIGNAL RESTORATION (NOW: Architect WESTROCK RESTORATION) Address: 1745 SHEA CENTER DR STE200 Address : 7221 ORANGEWOOD AV Address: - HIGHLANDS RANCH, CO 80112-9 GARDEN GROVE, CA 92841 Phone : (720) 283-6120 Phone : (714) 737-7082 Phone: Con State Lic : 986693 State Lic Lic Expire : 09/30/2025 Applicant: SIGNAL RESTORATION (NOW: WESTROCK Bus Lic: BT30071857 Engineer : LOVELACE MILES T RESTORATION) Address : 7221 ORANGEWOOD AV Bus Lic Expire : 05/31/2024 Address : 10509 VISTA SORRENTQ P}<,1yY, #10 GARDEN GROVE, CA 92841 SAN DIEGO, CA 92121 Phone: (714) 737-7082 Workers' Compensation Insurance Phone: (858) 535-9111 Carrier: STARR INDEMNITY & LIABILITY CO Owner/Builder : Policy No : 1000067955231 Designer Address : W. C. Expire : 10/16/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $1,300.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-2 No of Units : 1 Alteration sq. ft. Bldg: Bldg Height : No of Stories : 3 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: OWNER -BUILDER DECLARATION I hereby aNinn under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(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 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 licensers 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). 0 1,, as owner 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 sale (Section 7044, Business and Professions Code: The Contractors' Slate 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 oat builtor improved for the purpose of sale). 0 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 0 I 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 legall, 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 is submitted or at the following Web site:http:IiWwW.leginfo.ca.gov/calow.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 7A00. f ' " g3rdf the Business andPions senscis In full force and effect. License Class License No Date Y `7 Contractor Signatar WORKERS' COMFLNSATION DECLARATION 'WARNING: FAILURE TJ B<LOR£ WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO' ONE HUNOR T USAND DOLLARS ($10g0001, IN ADDITION TO THE Cn^T eF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm unaer penally of perjury one of the following declarations: O t have and will manta€n 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 performance of the work for which this permit is issued. Policy No. nave 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' Compensate urance carrier and policy number are: rrier_ Policy Number Expiration Date me of Agent Phone # I cedity that, in the peKormahoe of work for hick 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 t. if Fhould became subject to nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant _ CLARATION REG DIN ONSTRUCTION LENDING AGENCY treby affirm u ; er e of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 , Civil Code). rider's Name Lender's Address IVY signature b ow, 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 ordinan n state ws relating to building construction. I authorize representatives of this city or county to t he o ro any for inspection purposes. ' ,, `/ y nature of PropertyBari Owner or Authorized A Print Property Owner's or Authorized Agent's Name I wl ""� r,/C�— Date TION DATE. BY j ECLA A 11ON:OP COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU IONS PART 61 OF TITr F io AND ACl RULE PERMIT EXTENDED PER,N]T FINA( CERTiFlCATE Of OCCUPANCY ISSUED SIGNATURE:. ASBESTOS NOTIFICATION TO NO'TIFIICATION IS NOT APPLICABLE '10