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Home My WebLink AboutXR2024-5474 - PermitscEwPORT City of Newport Beach II III III I II I I II IIII I II II II II COMB Permit : XR2024-5474 O br Community Development Department- Building Division X R 2 0 2 4 5 4 7 4 100 Civic Center Drive, Newpo,t Beach, CA 92630 Plan Check No: XR2024-5471 Permit Counter Phone: (949) 718-1882 Issued Date : 06/20/2024 newportbeachca.gov/civic Final Date: Combination Type - MFP YP Permit Status: Issued Work Class - ADDITION/ALTERATION Inspection Area : 8 PERMITS EXPIRE 180 DPY5 R.FTER 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 : 1890 16TH ST, K 203 Legal Desc : P BK 15 PG 36 PAR 2 Description: MFR R/R DRYWALL AND INSULATION 113 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 AV GARDEN GROVE, CA 92841 Phone: (714) 737-7082 Con State Lic : 986693 Lic Expire : 09/30/2025 Bus Lic : BT30071857 Bus Lic Expire : 06/30/2025 Workers' Compensation Insurance Carrier: STARR INDEMNITY & LIABILITY COMPANY Policy No: 10000055410 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 : $1,000.00 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 : 113 Bldg Height : No of Stories : 3 Add/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: DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated belowby.the cliecymark4s) I Slave 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, derr ish or moai, any stiuctum, pnol;to its issuance, also requires the applicant for LIFE, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Ohaptar i (cammcnc�aq 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 U portions of the'vork. and the struch+re is nM intent!ed 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 Pmplovees' or personrl effort, builds r r approves 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 comp:e:ion. C.e Own. r-Duildar will have the birden of proving that it was not built or improved for the purpose of sale) - Ell, 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 apply 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 am exempt from licensure under the Contractors Stale 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 legall, sell 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 Professions Code, is available upon request when this application is submitted or at the following Web she:http://www.leginfo.m.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 70t16) ,Qivi io Po licen e Business and Professio e y se is in full force and effect. License Class License No Date ((�Q L contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHA J_ SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN R THOUSAND DOLLARS ISI DO,000L IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 Jrmance of the work for which this permit is issued. Policy No. have 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' compensa rance carrier and policy number are: Policy Number of Agent Date certify that,. in the performance f 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 agrE if I should become subject to mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / iature of Applicant _ Dale_ e—c Z �_ ]ECLARATION REG IN NSTRUCTION LENDING AGENCY hereby affirm under en 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). -enders Name Lenders Address 3y 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 or antes and state laws relating to building construction. I authorize representatives of this city or county to a entified property for inspection purposes. signature of Property Owner or Authorized Age Print Property Owner's or Authored A ent's Name IN ACTION DATE a DECLARATION OF COMPLIANCE WITH. CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED I SUBMITTED DEMOLITION NOT TO 20 ��