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Home My WebLink AboutXR2024-1028 - PermitsQ ��WPOaT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIII II COMB Permit: XR2024-� 02$ C @ 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 u fie.. T newportbeachca.gov/civic Final Date: Cq��F00.N�� 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 : 855 SEA GULL LN, A 206 Legal Desc : P BK 15 PG 36 PAR 1 Description: MFR REPLACE DRYWALL AND INSULATION 14 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 : $600.00 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 AddedlNew 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: 5 5 T, 7ITT-W FiM € hereby affirm under penalty of perjury that I. am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Code: Arty 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 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 'rofessions Code) or that he or she is exempt from licensors 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 of more than five hundred dollars ($500). 11, 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, usiness 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 uprovements 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 nprovod for the purpose of sale). I I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply 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). I i am exempt from licensore under the Contractors' Stale License Law for the following reason' iy my signature below 1 acknowledge that, except for my personal residence in which I most have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:l/wvnv.leginfo.ca.govicalaw.html, signature of Property Owner or Authorized Agent W Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 00) of Division 3 of the Business and Prof i Genes, is in full force nd effect. License Class License No Date Lf- Il -Ld Contractor Signature _ YORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUe3ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000L IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYG FEES. hereby affirm underpenalty of perjuryone of the following declarations: 7 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 th1 grformance 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 lssued. My workers' carder and policy number are: Policy Number Expiratfc of Agent Phone N Date 31 certify that. in the p,a or nee of She wa a.�yhich this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Callfomia, and agree tat, if I should become u ect to thew omperealion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant.,,.,, __—DaC y-1l'ZLI IECLARATION REGAR NG C NSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 C i1 Code). enders Name Lender's Address 'ry my signature below, I certify to each of Ilia following: I am the propar , owner or authorized to act on the property owner's behalf. I hay., read this application and the information I have provided is correct. I agree to comply with all applicable city an comity ordinances and state Yaws relating to building construction. I authorize representatives of this city or cot(% to ent fled- operty for inspection purposes. ////t/� t,anatj: a of Prooertv Owner or Authorized AaerilL Print Promerta Owner's or Authorized Anent's Name / `l?�i :' 7 ((� -� a U C�G't7 Its LL-1 i -N ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY Y I REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 ,P0,VI' EXPIRED Ot SUBMITTED ASBESTOS NOTIFICATION TO [A,L:17-CANCELLED 1 OEPA 0 :.........fit r ERM77L1N—AD Q4q D �LRMIr tNLL `BEST OT9FICA'rION I.�NOT.AEESICA9Lf TO CLht,f,CAT£OF �'� PROPOSED EM NTt OCCUPANCYISSUED IDSIGNATU