HomeMy WebLinkAboutXR2024-0322 - Permits�gWPORT City of Newport Beach II III I IIII IIII I III III II II I III I II COMB Permit : XR2024-0322
Community Development Department -Building Division X R 2 0 2 4 0 3 2 2
�y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0267
u i Permit Counter Phone: (949) 718-1888 Issued Date : 02/08/2024
.a. newportbeachca.gov/civic Final Date:
cq<rroaN`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 : 850 IRVINE, LAUNDRY
Legal Desc : P BK 15 PG 36 PAR 1
Description: MFR ALT R/R DRYWALL AND INSULATION
34 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:
Can State Lic : 986693
State Lic:
' • '
Lic Expire : 09/30/2025
• ' ,
Applicant: WESTROCK RESTORATION
Bus Lic: BT30071857
Engineer:
Address : 7221 ORANGEWOOD AV
Bus Lic 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 :
$800.00
Type of Construction : V-B
Fire Hazard Zone : NO
AddedlNew/TI sq. ft. Bldg:
0
Occupancy Groups : R-2
No of Units : 1
Alteration sq. ft. Bldg:
34
Bldg Height :
No of Stories : 3
AddedlNew 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 I am exempt from the Contractors Slate 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 I,he applicant for
the permit to file a signed statement that he or she is licensed pursuant to the previsions 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 vie{ation of Section 7031.5 by any applicant fora 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 U portions of the work, and: the structure is not intended orcffered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Low 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 the purpose of sale).
❑ 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
❑ I am exempt from licensere under the Contractors' State License Law for the fallowing 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 Iegali)
soli a structure that I have built as an ownor-buildor it it has not been constructed in Its enhroDy by licensed contractors. I understand that a copy of theapplicable 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.leginfo.ea,govlcalaw,titml,
Signature of Property Owner or Authorized Agent Date
LICENSED CCN:TRAI�TOR'S DECLARATION
I hereby -rf5rm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Di 'sioD 3 of the Business and Professions C ense.is In full force
and a,feet. Leeni Cass License No Date Contractor Signature
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 15100,000), IN ADDITION TO THE
COST OF COMPENSA'Inp, 9AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hernby affirm unriFr penalty of perjury one of the following declarations:
U I have and will n,uintaln 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, forth
performance of the wn-k for which this permit is issued. Policy No.
JI hn,,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' compensatiol
su,nri carrier and Felicy number are:
:airier _ Policy Plumber Expiration Date
emP of Agent _ Phone #
]I certify that, in the performance of the wprk ar 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
fat, if I should become subject to t very onsaaon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
�Ignalure of Applicant_ _ Date( L-. 0 Z LI
areby 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)
Idler's Name Lenders Address
my signature below, I certify to each of the following:
I am ilia 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 ordinances anrl1ate laws relating to building construction.
I authorize representatives of this city or county to ter - m1fied property for inspection purposes. 7_
nature of ProDartV Owner or Authorized Ac i / _ Print Property Owner % 's or Authorized Agent's Name I, �G� I U is cede 0a '
BY DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1
PERMITEXPIRED I I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERM T EXTENDED yyyy l 1JA D
PER,vHi FINAL /1 / HES11 NU HCAIION_Jaa NOT APPLICABLE TO
CERTIFICAM OF �T PROPO11
OCCUPANCYlSSUED SIGNATUR D