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Home My WebLink AboutXR2024-5276 - PermitsEWPO T City of Newport Beach 111 IIIIIIII 1111111111111111111111111111 11111111�1 1111111111 COMB Permit : XR2024-5276 4 ak 11 Community Development Department- Building Division x R 2 0 2 a 5 2 7 6 �i 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: XR2024-5237 Permit Counter Phone: (949) 718-1888 Issued Date : 0513012024 newportbeachca.gov/civic Final Date: cggaoaN�r Combination Type - MFP Permit Status: Issued Work Class - ADDITION/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: 1985 SHERINGTON PL, E 105 Legal Desc : P BK 15 PG 36 PAR 1 Description: MFR -REPLACE DRYWALL AND INSULATION (40 SF) Owner: UDR NEWPORT BEACH NORTH LP Address : 1745 SHEA CENTER DR #200 HIGHLANDS RANCH„ CO 80129 Phone: (720)283-6120 Applicant: WESTROCK RESTORATION Address: 7221 ORANGEWOOD AV GARDEN GROVE, CA 92841 Phone: (714)737-7082 Owner/Builder : Address : Phone Contractor: WESTROCK RESTORATION Address : 7221 ORANGEWOOD AV GARDEN GROVE, CA 92841 Phone : (714) 737-7082 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: 10000055410 W. C. Expire: 10/16/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-2 No of Units : 3 Bldg Height: No of Stories : 3 Building Setbacks : Flood Zone : X Use Zone: PC - Oakwood Apartments - UP1370, UP 1405 PROCESSED BY: C� SPECIAL CONDITIONS: 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: Construction Valuation : $800.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg: 40 Add/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 reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(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 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 not more than five hundred dollars ($500). ❑ I, 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 proffered 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 properly, am exclusively contracting With licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). t am exempt from licensure 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 aMner-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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:llw . eginfo.ca.govlcalaw.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 )of Division 3of the Business and Profe 'ieH. a an a is in full force .and effect. License Class License. No Date 3b- L{ Contractor Signature ((WORKERS' COMPENSATION DECLARATION L (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 ($IW000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR M SECTION �706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 th, performance 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 Date ne of Agent -rnone IT certify that, in the performance of the wor r which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and t, if I should beco lliubject to the Eke ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply Alth those provisions. nature of Applicant _ ___ Caty CLARATION REG GONSTRUc-nON LENDING AGENCY ?reby 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 3097, Ci it Code). Ider's Name Lender's 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 city and county ordinances and s relating to building construction. I authorize representatives of this city or county toe er bbve-I. e operty for inspection purposes. nature of Property Owner or Authorized Agaht _ Print Pro eFly Owner's or Authorized Agent's Name \U 2,Cjte 5'3 TION DATE BY ZECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART 61 DF TITLE. 40 ANp AQMD RULE EXPIRED PERlNIT EMENDED PERMIT FINAL CERRRCATE Of OCCUPANCY ISSUED TO TO