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Home My WebLink AboutXR2023-3337 - Permits�EWPpRT COMB Permit : XR2U23-3337 City of Newport Beach IIII��II��IIIIII��I�IIIII��III��IIII�� II p4 1' A Community Development Department - Building Division X R 2 0 2 3 3 3 3 7 y q 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2845 O i Permit Counter Phone: (949) 718-1888 t+i► Issued Date : 11/22/2023 newportbeachca.gov/civic c r Final Date: FOftN\ 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 212 Legal Desc : P BK 15 PG 36 PAR 2 Description: MFR -WATER DAMAGE REPAIR IN KITCHEN & LIVING ROOM 96 SF Owner: UDR NEWPORT BEACH NORTH LP Address : 1745 SHEA CENTER DR #200 HIGHLANDS RANCH„ CO 80129 Phone : (720) 283-6120 Applicant: TIM WARREN Address: 7221 ORANGEWOOD AV GARDEN GROVE, CA 92841 Phone : (714) 737-7082 Owner/Builder : Address : Phone 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 : 05/31/2024 Workers' Compensation Insurance Carrier: STARR INDEMNITY & LIABILITY COMPANY Policy No: 1000002994 W. C. Expire: 10/16/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-2 No of Units : 1 Bldg Height: No of Stories : 3 Building Setbacks Flood Zone : X Use Zone : PC - Oakwood Apartments - UP1370, UP 1405 PROCESSED BY: �to SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: Address Phone: Designer: Address Phone: Construction Valuation : Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : $2,100.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I. am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (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 far the permit to file a signed statement that he or she is licensed pursuant to the provisions of the ContractorsState 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 ticensure 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 Fve hundred dollars ($500). El 1, 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 the purpose of sale). El 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 Ia��prply 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). aI am exempt from Itcensure under 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 legally sell a structure that I have built as an ewnor-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 Professions Code„ is available upon request when this application issubmittedor at the following Web site'.http:liwwror.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ �_ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) o ' d. 'ran f the Business and Professions ny licenseis In toll Force :and effect. License Class License No -,Date. L - Contractor Signature " WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND Cli FINES UP To. ONE HUNG USANO DOLLARS ISIOO,DOO}, 1N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR W SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEYS FEES. 11 hereby affirm under penalty of perjury one of the following declarations: !0 I have arid 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, perfor..a nee of the work for which this permit is issued- Policy No. - t"italic. end will maintain workers' compensation insurance, as required by Section 3700 of the. Labor Code, for the performance of the work far which this permit is Issued. My workers` compensatiol surance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑t certify that. in the performance of the work f WIT 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 should become subject to the wor ion provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions. _ Signature of Applicant .Date / 2 7+// Z3 I hereby affirm under panel ty ofper}[Iry that there is a construction lending agency for the performance of the work for which this permit is issued'. (Section 3097, Civil Code). Lenders Name Lender's Address By my signature UBIOw, I certify to each of tha 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 campy with all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or county to enter the a; cry for'mspecuon purposes. ! V i"A \ u,u:, tr"t�.e'> l q I ? 7 r Signature of Proper Owner or Authorized Agent �� Print Pro e Owner s or Authorized Agent's Name Date f ACTION QATE. BY ECLAR IONOF COMPLIANCE WIN CODE OF FEDERAL FOR OFFICE USE ONLY tION5 PART 61 OF TITLE 40 AND AQNID RULE 14-03 PERA4tT EXPIRED I I SUBN h7rEO ASBESTOS NOTIFICATION TO PERMIFCAMCELLED ( j IJEPA PERNHT FJNAL �_%j/�� 5/ef S ASBESTOS NOTIFICATION t. NOT APPLICABLE rO CERTIFICATE OF (Pri SFO DEMOLITION! OCCUPANCY i55UED = 57SNATURE: _