HomeMy WebLinkAboutXR2024-5264 - Permits�,EWPo City of Newport Beach
DR .ei CommunityDevelopment Department Division COMB Permit: XR2024-5264
P P 9 X R 2 0 2 4 5 2 6 4
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:
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, E111
Legal Desc : P BK 15 PG 36PAR 1
Description:
MFR -REPLACE DRYWALL AND INSULATION
(70 SF)
Owner:
UDR NEWPORT BEACH NORTH LP
Contractor:
WESTROCK RESTORATION
Address:
1745 SHEA CENTER DR #200
Address :
7221 ORANGEWOOD AV
HIGHLANDS RANCH„ CO 80129
GARDEN GROVE, CA 92841
Phone :
(720) 283-6120
Phone :
(714) 737-7082
Applicant:
WESTROCK RESTORATION
Address:
7221 ORANGEWOOD AV
GARDEN GROVE, CA 92841
Phone :
(714) 737-7082
Owner/Builder
:
Address :
Phone
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:
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 :
Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Add/New sq. ft. Garage:
TOTAL sq. ft. :
$1,400.00
0
70
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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, dernelish, or repair any structure, prior to its issuance, also requires the applicant for
.he 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
professioris 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 fora permit subjects the applicant to a Civil penalty of
iot 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
mproved 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
apply to an owner of property who builds of improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under the Contractors' Slate License Law for the following
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 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 site:http://www.ieginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0) of Division 3 of the Business and Prate iG ense is in full Eorce
and effect. License Class License No is Contractor Signature
WORKERS' COMPENSATION DECLARATION
✓YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED OUSANO DOLLARS (E100,000), IN AUCTION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
111 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
arformance 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 Lataor Code, for the performance of the work for which this permit is Issued. My workers` compensatior
surance carrier and policy number are:
Policy Number
of Agent
Date
3 certify that, inthe performance of the Aul 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
Tat. if I should become u act pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. +'1
Signature of Applicant Cat')ECLARATION REGA ING C TRUCTION LENDING AGENCYhereby 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,ode).
.enders Name Lender's 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 andthe information I have provided is correct.
I agree to comply with ails of this
city
city slid ouno state laws relating to building n purposes.
I authorize representatives of this dty or c y to ntified property for inspection purposes n
Signature of Property Owner or Authorized Aq „1---•—� Print Property Owners or Authorized Agents No i" GfJ� 0 5Ca Lo CR P Ito 3 S ) h
ACTION T DATE. By '� m ECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGOLATION5 PART 61 OF TITLE 40 AND AOMO RULE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL Ixi.38EST0 NO'T_ CATION I' ABLE '1'0
CERTIFICATE OF ,fV. Zy ! PROPOSE00 M Ll A
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