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Home My WebLink AboutXR2024-0319 - Permits��WPORr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XR2U24-0319 0 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0267 Permit Counter Phone: (949) 718-1888 Issued Date : 0210812024 u ate.. newportbeachca.gov/civic Final Date: CgCrFpRN�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 : 1950 16TH ST, L 125 Legal Desc : P BK 15 PG 36 PAR 1 Description: MFR ALT R/R DRYWALL AND INSULATION 10 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 : $500.00 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 : 10 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 affirm under penalty of perjury that 1. 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 IS 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 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_.) 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 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 built or improved for thepurpose of sale). 13 1, as owner of the property, am exclusively contracting with licensed Contractors to constructthe 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). El 1 am exempt from licensure order 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 legal) 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:llwww.leginto.ca.gov/calaw,html, Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that i am licensed under provisions of Chapter 9 (commencing with Section 700 f Divisidn 3 0! the Business and Professions 901 a is in full force and effect. License Class License No Date L Contractor Signature C� WORKERS' COMPENSATION DECLARATION WARNING: 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 t$100,0001, IN ADDITION TO THE COST OF COMPENSATION: DAMAGES As PROviren FOR IN SECTION 370S OF THE LABOR CODE, INTEREST, "a ATTORNEYS FEES. I hereby affirm underpenalty of perjuryone of the following declarations: 111 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 performance of the,v�r+ for which this permit is issued. Policy No. ❑I have and will ,rs:olain 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' compensation ins.ra.i_c carrier E:id p� cy number are: Carrier_ Policy Number Expiration Date Nana of Agent Phone # 0' codify that, in the peformance 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 agre that, if I snould beu,me subject to the worke�sadar provisions of Section 3700 or the Labor Code, I shall forthwith comply with those provisions. Siynaw,e of Applicant Daten Z L CE«L.4CATION REGAR G CONSTRUCTION LENDING AGENCY I heron+• 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). Lanoar s Name _ _ Lender's Address By my signature babes, i certify to each of the following: I am the propLr:y owner or authorized to act on the property owner's behalf. I have read this E.pp'ication and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state taws relating to building construction. I authorize representatives of this city or county to ter tba _wed I property for inspection purposes. 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