HomeMy WebLinkAboutXR2024-0323 - Permits4aEvuaoRr City of Newport Beach II IIIII I I IIIII IIII III III IIIII II III II jj COMB Permit: XR2024-0323
D � Community Development Department- Building Division X R 2 0 2 4 0 3 2 3
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0267
Permit Counter Phone: (949) 718-1888 Issued Date
u i newportbeachca.gov/civic Final Date:
Combination Type - MFP Permit Status: Applied
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 : 2125 SHERINGTON PL, C 108
Legal Desc : P BK 15 PG 36 PAR 1
Description: MFR ALT R/R DRYWALL AND INSULATION
250 SF
Owner: UDR NEWPORT BEACH NORTH LP
Contractor: WESTROCK RESTORATION
Architect
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 Lie : 986693
State Lie
Lie Expire : 09/30/2025
Applicant : WESTROCK RESTORATION
Bus Lie : BT30071857
Engineer
Address : 7221 ORANGEWOOD AV
Bus Lie Expire : 05/31/2024
Address
GARDEN GROVE, CA 92841
,
Phone: (714) 737-7082
Workers' Compensation Insurance
Phone:
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 : $2,900.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : R-2
No of Units : 1
Alteration sq. ft. Bldg : 250
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:
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 nextto the applicable rem(s)
iection 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
IB 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 end the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fore permit subjects the applicant io a civil penalty of
of more than five hundred dollars (S500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do L)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
nprovements 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
nproved for the purpose of sale).
1 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
pply to an owner of property who builds or improvesthereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law)..
1 I am exempt ffom licensure under the Contractors' State License Law for the following reason:
y 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
ell a structure that I have bull as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site: http:liwww.leginfo.ca.gow0calaw,h ri
.ignature of Property Owner or Authorized Agent _ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Di*risilin 3 of the Business. and Professions Cods.and.i>u'iiicerise is In full force
nd erful t. License Gass License. No Date Contractor Signature
VORMERS' COMPENSATION DECLARATION
'ARNINf:: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP' TO ONE HUNDRED THOUSAND DOLLARS ($1D0,000), IN ADDITION TO THE
DST OF COMPEHSA Int', nAMAGFS AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I
ereby affirm undrr penalty of perjury one of the following declarations:
J I have and WO ribintain 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
erfomranco of tha work for which this permit is issued. Policy No.
It hri-P 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' compensatior
Isueance carrier'nnd policy number are!
Policy Number
ni Agent
Date
certify that, in the performance of the work for which thispermit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and
if I should become subject to tha�rnk TS'rei 1pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant
Date Z
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued' (Section 3097, Civil Code).
Ideis Name Lender's Address
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 etty and county ordinances and state laws relating to building construction.
authorize representatives of this city or courraa``ty�enter ntfied property for inspection purposes. // ��rr c'r �f
nature of Propeny Owner or Authorized AgentT - Print Property Owner's or Authorized Aoent's NamaL/ YOk'I0 3C, Lt U l0 Date --
PFRNfrF r4JVCFLLED
P€RAfiT EA7EN0ED
PCRMiT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
REGULATIONS PART 61 OF TITLE 40 AND AQMD RLIIE
NOT'I FICA7ION i5 NOT�AZELL�Al TO
FOR OFFICE USE ONLY