HomeMy WebLinkAboutXR2024-0216 - Permits�EwaoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U24-U21 s
D4 @ Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0183
Permit Counter Phone: (949) 718-1888 Issued Date : D1/25/2024
.,a newportbeachca.gov/civic Final Date:
Cy<IFpRN�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 : 940 IRVINE AVE, A 110 Legal Dose: P BK 15 PG 36 PAR 1
Description: MFR ALT R/R DRYWALL AND INSULATION 12 SF
Owner: UDR NEWPORT BEACH NORTH LP Contractor :
Address: 1745 SHEA CENTER DR STE200
HIGHLANDS RANCH, CO 80112-9
Phone: (720)283-6120
Applicant: SIGNAL RESTORATION (NOW:
RESTORATION)
Address : 7221 ORANGEWOOD AV
GARDEN GROVE, CA 92841
Phone: (714)737-7082
Owner/Builder
Address :
Address :
Phone:
Con State Lie
Lie Expire
WESTROCK Bus Lie:
SIGNAL RESTORATION
WESTROCK RESTORATION)
7221 ORANGEWOOD AV
GARDEN GROVE, CA 92841
(714)737-7082
986693
09/30/2025
BT30071857
Bus Lie Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: STARR INDEMNITY & LIABILITY CO
Policy No: 1000067955231
W. C. Expire : 10/16/2024
(NOW: 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:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
U,R-2
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
3
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks
Flood Zone:
X
Use Zone :
PC - OakwoodApartments -
UP1370, UP 1405
PROCESSED BY:
'
a.
SPECIAL CONDITIONS:
$600.00
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 Rem(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
iha permit to file a signed statement that he or she is licensed pursuantio 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 licensors 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 1$500).
I, 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' 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 bunt or
improved for the purpose of sale).
13 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project {Section 7044, Business and Professions Code: The ContractorsStale License Law does net
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).
El 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 Has load For at lease one year prior to completion of the improvements covered by this permit, I cannot Iage[]
sell a structure that I have built as an owner -builder if it has 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 sits;http:/iwww.leginfo.ca.gov/calaw.ntmi.
Signature of Proporty Owner or Authorized Agent Date -
LICENSED CONTRACTOR'S DECLARATION �r�rr
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectionpr+�fyl3Fje Business and Proles ions Co , ul force.
and effect. License Class License No Date i �7Contractor Signature
NORKERS' COt,gOONSATION DECLARATION
NARNING: FAILURE Ti-F:'IRE WOR%ERV COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T O D DOLLARS 4100,000), 3N ADDITION TO THE
CLST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 170n OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
f,ereby Lifirm ur.13. rcrnfty of perjury one of the following declarations:
1 1 have 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
arfonniance of the work for which this permit is issued. Policy No.
11 1 @\.a and will r:3lntrin workars' 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' compensatiol
Isurance carrier,and policy number are:
:artier Policy Number Expiration Date
lame of Agent Phone th
.11 uertd, that, in the Da, formance 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 laws of California, and agree
iat, if I should becc:ne ru act to th co n lip rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ���111 ////// '
1gi-r're o(Applican• _ __ __ Cat
kECLARATION REuAra G C _ STRUCTION LENDING AGENCY
hereby affir perakLgWerjUry that there Is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
order's Na%915 Lender's Address
y my signatu Below, I certify to each of the following:
I am the properly owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided l correct.
I agree to comply with all applicable city and county ordinanc n Laws relating to building construction.
I authorize representatives of this city or county togrt repeliy for inspection purposes.
ACTION I DATE. 1 BY YOEG ULATIONS PART OPTITLE4p AND AQMD RULE ARATION OF CMPLIACE WITH CODE OF AL FOR OFFICE USE ONLY
I SUBMITTED ASBESTOS NOTIFICATION
PERMIT CANCELLED_ I LIEF
PERMIT RM
PERMIT FINAL /� ASBEST
CERTfFICATE OF r// PROPOSED
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