HomeMy WebLinkAboutXR2024-1033 - PermitsaEwPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2024-1033
D� e Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 718-1888 Issued Date: 04/17/2024
ems. S newportbeachca.gov/civic Final Date:
CqC/s'e RN�P Combination Type - MFP Permit Status: Issued
Work Class - Alteration Inspection Area : a
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 : 1985 SHERINGTON PL, E 102 Legal Desc : P BK 15 PG 36 PAR 1
Description; MFR REPLACE DRYWALL AND INSULATION 16 SF
Owner: UDR NEWPORT BEACH NORTH LP
Address : 1745 SHEA CENTER DR STE200
HIGHLANDS RANCH, CO 80112-9
Phone: (720)283-6120
Applicant:
PABLO SAUCEDO
Address:
7221 ORANGEWOOD AVE
GARDEN GROVE, CA 92841
Phone:
(714)737-7089
Owner/Builder :
Address :
Contractor:
WESTROCK RESTORATION
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
Architect
Address
Phone:
State Lic
Engineer: LOVELACE MILES T
Address: 10509 VISTA SORRENTO PKWY, #102
SAN DIEGO, CA 92121
Phone: (858)535-9111
Designer:
Address :
Phone:
Phone:
Code Edition :
2022 Fire Sprinklers :
NO
Construction Valuation :
$600.03,
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
I hereby affirm under penalty of perjury that 1 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 iterrt(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
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
Professions Code) or that he or she is exempt from I'vcensure 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 five hundred dollars ($500). '..
❑ 1, 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,
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).
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
ff Py 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 taw),
LJ I am exempt from Itcensure under the Contractors' Stale License Law for the following reasurn _
By my signature below I acknowledge that, except for my personal residence in which I must have resided total 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 owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable 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://www.leginfo.ca.gov)calaw.html.
(Signature of Property Owner or Authorized Agent Date
(LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) of Division 3 of the Business and Pr s i. v license is in full force
and effect. License Class License. No Date Ll' 17 - Contractor Signatur —'�—
WORKERS' COMPENSATION DECLARATION
WARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS l$100,000f, IN ADDnION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ I 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 the
P rformance 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 permitis issued. My workers'
carrier and policy number are:
Policy Number
to of Agent _
Date
It certify that. in the performance of th k for which this permit is issued. I shall not employ any person in any manner so as t0 become subject to the workers' compensation laws of California, and agree
iat, if I should becD bjec.l
mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
,ignature of Appli09nt ' Date, 1 Z Ll
rECLARATIGN RFGJlAiU1 STRUCTION LENDING AGENCY'
kareby a firm 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, COde).
ender s NPme Lender's Address
iy my signature below, I certify to each of the following:
I an, the property owner or authorized to act on the property owner's behalf.
I have read this: nppli� Edon and the information I have provided is correct.
I agrea to comply witl, all applicable city and c u ty ordinances and state taws relating to building construction.
1 authorize reuresooh.tives of this city or coon n e identified property for inspection purposes. //��� L ^ I
rionature of Proo s iv Owner or Authorized Aaen Print Prooerty Owner's or Authorized Anent's Name / /\ Dsf o 's G U l y -)-11
A(Tlnfi DATE ( BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL { FOR OFFICE USE ONLY
REGULATION5 PART 61 of TITLE 40 AND AGLMD RULE
PERVWi':PIRED
PERMIT EXTENDED
PERMI F FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
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