HomeMy WebLinkAboutXR2024-0616 - Permits�wpoRTCity of Newport Beach II II -0616
C-Building DX R 2 0 2 4 e s 1 6 OMB Permit:
Community Development Department C
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0498
Permit Counter Phone: (949) 718-1888 Issued Date : 04/02/2024
newportbeachca.gov/civic Final Date:
°9<iFoar`P Combination Type - MIFF 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 : 1985 SHERINGTON PL, E 203 Legal Desc : P BK 15 PG 36 PAR 1
Description: MFR R/R INSULATION AND DRYWALL 45 SF
Owner: UDR NEWPORT BEACH NORTH LP
Address: 1745 SHEA CENTER DR STE200
HIGHLANDS RANCH, CO 80112-9
Phone : (720) 283-6120
Applicant:
PABLO SAUCEDO
Address:
7221 ORANGEWOOD AVE
GARDEN GROVE, CA 92841
Phone :
(714) 737-7089
Owner/Builder
:
Address :
Contractor:
WESTROCK RESTORATION
Address :
7221 ORANGEWOOD AV
GARDEN GROVE, CA 92841
Phone :
(714) 737-7082
Con State Lic
: 986693
Lic Expire :
09/30/2025
Bus Lic :
BT30071857
Bus Lic Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: STARR INDEMNITY & LIABILITY COMPANY
Policy No : 10000055410
W. C. Expire : 10/16/2024
Architect
Address
Phone:
State Lic
Engineer: LOVELACE MILES T
Address: 10509 VISTA SORRENTO PKWY, #102
SAN DIEGO, CA 92121
Phone: (858) 535-9111
Designer:
Address :
Phone:
Phone:
Code Edition :
2022 Fire Sprinklers :
NO
Construction Valuation:
$650.00
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 :
45
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
'
9od
PROCESSED BY:
,
SPECIAL CONDITIONS:
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
he 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
'rofessions 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 fora permit subjects the applicant to a civil penalty of
lot more than five hundred dollars (S500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) Portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
Tlprovements 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
Tlproved for the purpose of sale),
11, 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
Oply 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).
J I am exempt from Ifcensure under the Contractors' State License Law for the following reason: _._____,_,
Sy my Signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to DompleIion of the improvements covered by this permiL I cannot legally
all 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
'rafessions Code, is available upon request when this application is submitted or at the following Web site:http:tj' w .leginfo.ca.gov/calaw.html.
Signature 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 7000 of Division 3 of the Business and Profe�sien Ry license is in full force
Ind effect. License Class License No Date 1 Contractor Signature
YORKERS' COMPENSATION DECLARATION
DARNING: 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 RON,000), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the fallowing declarations:
I I 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 the
performance of the work for which this permit is issued. Policy No.
11 have 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
isurance carrier and policy number are:
Policy Number Expiration Date
of Agent
certify that, in the performance 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
if I should become subject to MT woorr cers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date- I-" , L4
hereby 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).
endar's Name Lenders Address
ly my signature below, I certify to each of the following:
I am the pruj.e,tv owner or authorized to act on the property owner's behalf.
I have read B,L; application and the information I have provided is correct.
' agree to cnr ply with all applicable city and county ordinances and state laws relating to building construction,
I authorize-ea�esentatives of this city or county toenter the a eve- nfified property for inspection purposes. ('
;ionatllre of Preoerly Owner or Authorized Agent % - Print Pronertv Owner's or Authorized Ancnt's Name A I i.a
BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ( FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
bdlT EMEN,DFP'
LIAQMD
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PCRIvrIT FINAL
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ASBESTOS NOTIFICATION IS 0T7PPtt ABLE TO
C ;lF7CATE OF
i PROPOSEDDEMOW+
Cs UPANCY ISSUED
j SIGNATURE: .�