HomeMy WebLinkAboutXR2023-2930 - Permits�gWPORT City of Newport Beach II IIIII II II IIII IIII IIIII IIIIIIIIII III II COMB Permit : XR2023-2930
D4 e Community Development Department -Building Division X R 2 0 2 3 2 9 3 0
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2498
S Permit Counter Phone: (949) 718-1888 Issued Date : 1011712023
newportbeachce.gov/civic Final Date:
C9</FORN�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
or
3
Job Address : 1950 16TH ST, L 122
Legal Desc : P BK 15 PG 36 PAR 1
"
Description: MFR DRYWALL REPAIR (13103 & R105)
Owner: UDR NEWPORT BEACH NORTH LP
Contractor; SIGNAL 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: SIGNAL RESTORATION
Bus Lie: BT30071857
Engineer : LOVELACE MILES T
Address : 7221 ORANGEWOOD AV
Bus Lie Expire : 05/31/2024
Address : 10509 VISTA SORRENTO PKWY, #102' '
GARDEN GROVE, CA 92841
SAN DIEGO, CA 92121 . ' - ,
Phone : (714) 737-7082
Workers' Compensation Insurance
Phone: (858) 535-9111
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 : $1,727.90
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 :
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
E hereby affirm under penally 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 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 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
'rofesstons Code) or that he or she is exempt from Iicensure, 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
tot more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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 saleif, however, the building or improvementis sold within one year of completion, the Owner -Builder will have the burden of proving that it was not buill or
mproved 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
ply 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).
sD I am exempt from licensure under the Contractors' State License Law for the following reason _
3y 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
soli a structure that I have builtas an owmor-builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable low, Section 7044 of the Business and
°rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ce.govicalaw.html.
Signature of Property Owner or Authorized Agent u„ ��.,.,.,,�,____�,...... __� Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 )�f y}s.}Qn � Bus€n s and Profession y license is In full force
and effect. License Class License No D CJ LlJ ontrac r Signatura
)PORKERS' COMPENSATION DECLARATION
NARNING: FAILURE . C CE_'J^E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE NUNOR SAND VOLARS I$iDD,000i, IN ADDmON TO THE
COST OF MMPENSATION, DAdIAGES AS PROVIDED FOR IN SECTION 3706. OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
^'hereby affirm unda, NLnalty of perjury one of the following declarations:
t
l 1 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 Ih
pnrforreance of the work for which this permit Is issued. Policy No.
e and wil ma:ntcin 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'
�e carrier and poucy number are:
,e of Agent
^ertlfy that, in the performance of the
if I should_;ecor.tdruublect to the wo
or APd1XanL
Policy Number
Date
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
DDRRAzitior provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
=.reby affirm under penalty oY3t_eLtN that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30f
ider's Name _ Lenders Address
my signature below, I certify to each of the following:
1 am InD property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable ally and county ordinancesprid state laps relating to building construction.
I authorize representatives of this city or county to ante nspection purposes.
(nature of Prooertv Owner or Authorized Aga+ _ Phirl Property Owner's or Authorized X ent's Name
PERMIT EXPIRED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY I55UED
DATE. '6Y \ DC14PATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ON
RFGUI.ATIONS PART 61 OF TITLE 40 AND AQrAD RULE
TO
In
Civil Code).
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