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HomeMy WebLinkAboutXR2023-3336 - PermitsCity of Newport Beach 111111p11111111111p11111p111111111p111p111p111111ll 11COMB Permit : XR2O23-3336 %�",�Tr,` Community Development Department- Building Division X R 2 8 2 3 3 3 3 6100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2845 Permit Counter Phone: (949) 718-1886Issued Date : 11122/2023 newportbeachca.gov/civic Final Date: 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 : 885 SEA GULL LN, B 308 Legal Desc : P BK 15 PG 36 PAR 2 Description: MFR -WATER DAMAGE REPAIR IN KITCHEN 20 SF Owner: UDR NEWPORT BEACH NORTH LP Address : 1745 SHEA CENTER DR #200 HIGHLANDS RANCH„ CO 80129 Phone: (720)283-6120 Applicant: TIMWARREN Address: 7221 ORANGEWOOD AV GARDEN GROVE, CA 92841 Phone: (714)737-7082 Owner/Builder : Address: Contractor: SIGNAL RESTORATION SERVICES Address : 7221 ORANGEWOOD AVE GARDEN GROVE, CA 92841 Phone: (714)763-4153 Con State Lic : 986693 Lic Expire : 09/30/2025 Bus Lic: BT30071857 Bus Lic Expire : 05131/2024 Workers' Compensation Insurance Carrier: STARR INDEMNITY & LIABILITY COMPANY Policy No : 1000002994 W. C. Expire : 10/16/2024 Architect Address Phone : State Lic Engineer: Address Phone: Designer Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $1,000.00 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 : 0 Bldg Height: No of Stories : 3 Added/New sq. ft. Garage : TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X, Use Zone : PC - Oakwood Apartments - UP1370, UP 1405 PROCESSED BY: i! M SPECIAL CONDITIONS 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 applicableitem(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 )rofesslons Code) or that he or she is exempt from lcensure 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 ($500). 1, 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 or offered for sale (Section 7044, tusiness 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 mprovements 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 unproved for the purpose of sale). 1, 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 Ipply 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), 3 I am exempt from licensure under the Contractors' State License Law for the following reason: 3y my signature below f acknowledge that, except for my personal residence in Which I must have resltled for at Least one Year prior to completion of the improvements covered by this permit, I cannot log all ,oil 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 'rofesslons Code„ is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govlcalaw.html. >ignature of Property Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700gg ,E�eys 4� f the Business and Professions Co IGI-n1 ' Brie is In full force Ind effect. License Class License No Date a G / G Contractor Signature PORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML PINES UP To ONE HUNDRED TH AND DOLLARS f$100,000). IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES_ hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certffcate 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 prformance of the work for which this permit is issued. Policy No. 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' rance carrier and policy number are! is of Agent certify that, in the performance of the Work for if I should become subject to the workers' DOI Policy Number Date permit is issued'. I shall notemploy any person in any manner so as to become subject to the workers' Compensation laws of California., and rowsions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. ilgnature of. Applicant _ ,Da IECLARATION REGARDING CGNST UCTIO LE DING AGENCY hereby affirm under penalty of periu that t re is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 ender's Name Lender's Address ly 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 andthe information I have provided is correct. I agree to comply with all applicable city and county ordinan sand state taws relating to building construction. I authorize representatives of this city or county to enter va-Itfantihed r: for inspection purposes. signature of Property Owner or Authorized Agent _ Print Property Owner's or Authorized Aaeri Name DATE BY I�DECLARATION OF COVIPUANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART SS OF TITLE 40 AND AQNULE ID R PERMrT FXPIRED U i5I16MITTED ASBESTOS NOTIFICATION TO PERM7T EXTENDEC PERNRTFINA1 CERTIFICATE OF OCCUPANCY ISSUED 2092101101 NOTI 10 Civil Code). vlxt o eV[- a) Lo a0. O c a) es. O co Q) '�_ a) E EO h i 0. y a) ® m p a y> 6 p O U L 0 a) a) N Y fn m t p s a)U >, i vpi L O !� U _'O a) CO p E Q) rnm © 6 cC cx 0 s �°E ro te0Coa, a�m E ¢ ® s eP co Ma O cp a) = 3°ca° ps�a U o s a) O o f U — >_ U i a cx m ®' W a) a c � o co Q)0-pc y� ° rn c�EdN Ito® ®®E cc U m ° o w �. a c E ®av �� a) " r o° s o 9B�= �� xn' � c �6-® — ��' E ° 0 Aso® a_ "z as Mom. 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