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Home My WebLink AboutXR2023-3328 - Permits2EWPC City of Newport Beach 11111111i III 1111111111111111111111111111111I111 IIIII 111 jj COMB Permit : XR2O23-3328 D� Community Development Department- Building Division X R 2 0 2 3 3 3 2 8 y ; ,•` 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2841 u = Permit Counter Phone: (949) 71 3-1888 Issued Date : 11/22/2023 .�. newportbeachca.gov/civic Final Date: C9ClFn RN\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 : 1815 SHERINGTON PL, V 110 Legal Desc : P BK 15 PG 36 PAR 2 Description: MFR - WATER DAMAGE REPAIR IN KITCHEN 45 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 Architect Address : 7221 ORANGEWOOD AVE Address GARDEN GROVE, CA 92841 Phone : (714) 763-4153 Phone Con State Lic : 986693 State Lic Lic Expire : 09/30/2025 Bus Lic: BT30071857 Engineer Bus Lic Expire : 05/31/2024 Address Workers' Compensation Insurance Phone: Carrier: STARR INDEMNITY & LIABILITY COMPANY Policy No : 1000002994 Designer W. C. Expire : 10/16/2024 Address Phone: Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U,R-2 No of Units : Bldg Height: No of Stories Building Setbacks : Flood Zone : X Use Zone : PC - Oakwood Apartments - UP1370, UP 1405 PROCESSED BY: JeA it SPECIAL CONDITIONS: NO Construction Valuation : $1,000.00 NO Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 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) 3eclion 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 IS permit to file a signed statement that lie 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 Irofessiohs 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 for a permit subjects the applicant to a civil penalty of at more than five hundred dollars ($500), *1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ,usmess and Professions Code: The Contmnors' 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 nprovements 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 nproved for the purpose of sale). 1 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 poly 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), D I am exempt from licensure under the Contractors' Slate License Law tar the following reason: ry 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 all a structure that I have built as an owner-buildor 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 Yofessions Code, is available upon request when this application is submitted crat the following Web site:http:hWww.leginfo.ca.gov/ca law.hlml, signal 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 70 1 i of the Business and .Profesions y license is In full force nd effect. License Class License No 9r1fl� Contractor Signature - _ VORKERS' COMPENSATION DECLARATION '"'-� o rARNING: 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 ($100,000). IN ADDITION To THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0TOS OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. �hIereby affirm under penalty of perjury one of the following declarations: _I I have and wit{ 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 IT erformance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date 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 tDkhEwio"s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Of Date_ 1 1 1 2 7 CLARATION REGIN CONSTRUCTION LENDING AGENCY =reby affirm under n 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 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 comply with all applicable ehy and county ordinances and state laws relating to building construction. I authorize representatives of this city or county tc-se e-identified property for inspection purposes, T_ ��w ,/' maturR of PronertV Owner Or Authorized Aaaa Print Property Owner's or Authorized Agent's Name _! 1 ' ".1_ 1 V `A ACTION DATE. BY E DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 610F TtTLE 40 AND A(Di RULE 1403 PERMIT EXPIRED I I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCFUED ~— EPA PERMrTFINAL 5� .y �////r KASBESrO$NOTiFICAio 1PPLICABLE 10 CERT(FCAYE OF J - Y� j PROPOSED DEMOLITIOPI OCCUPANCY ISSUED i I"LIGaATURE: Date of (z Cb DO o o o U o o i 0 o UCN [7 mZL- ®®_ M Q ® a c co �a) ® u r U �g z 3 P 0 p � 7 a�o 0 d co RM u U o o � �GP.E jy W, cc 0 O cn R N -O .N t6 ll, o-+ o y . a '0 O = f0® y v E "' y ,,,, o 6 f6 00 C O U A� v0! d 0 °� v ro m Ca o - E_ m= J• 'o O OS-O n c O 0 ' my 0o x = Y cc0-a 0). ct0i ®�� 0 M O E cf6i — iU L c yoga a®'ea m �c U C vi O O.O. °- p) E y 'O C �i y o w� C y J -0 ° o E '6 c 'O CO d 5& U ° o o a� — 5 .o U -O 0 m o j -0 lL6 7,o-0, �� Xy r U U @3 ® C o c to Ea o�Eo �w m 0 3 o E 6 c ° o y.� C M o i ° c CD � � ° m y Mega � m p y C C d CD> N N'O a)a m c=i fY y c p CDO b- U rn °° [g-sAg ° m w Q o -0 ® Q O C U i C N i a� UYco M � ��da �v «�ayca r O O) eA ®1 ¢ U1 Qt B y O Q OQ f3 ran a� C 7 31 3 '6 ° -�-0 0 O N 0 7 c c "a oa E o y �( o C t6 C (�'> CO O'er.. 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