HomeMy WebLinkAboutXR2024-5256 - Permits�EWPr,�T City of Newport Beach 1111111111111111111111111111111111111111111111111111111 g COMB Permit : XR2024-5256
o e Community Development Department- Building Division X R 2 0 2 4 5 2 5 6
F n. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: XR2024-5237
Permit Counter Phone: (949) 718-1888 Issued Date: 05/30/2024
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: 2120 16TH ST, R101 Legal Desc : P BK 15 PG 36 PAR 1
Description: MFR -REPLACE DRYWALL AND INSULATION (28 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 :
Contractor:
WESTROCK RESTORATION
Address :
7221 ORANGEWOOD AV
GARDEN GROVE, CA 92841
Phone :
(714) 737-7082
Con State Lie
: 986693
Lie Expire :
09/30/2025
Bus Lie:
BT30071857
Bus Lie Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: STARR INDEMNITY & LIABILITY COMPANY
Policy No: 10000055410
W. C. Expire : 10/16/2024
Architect
Address
Phone:
State Lie
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 :
$560.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups :
R-2
No of Units :
3
Alteration sq. ft. Bldg :
28
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�UP113700,, UP 1405
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
€ 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 item(s)
ieclion 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
to 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 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
of more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) ail of or L) 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
nprovements 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
nproved for the purpose of sale).
11, 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
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 licensure under the Contractors' State License Law for the following reason:T—
,y 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
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 orat the following Web site:httpJiwawv.leginfo.ca.govlcalaw.html.
signature of Property Owner or Authorized Agent v_, Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 of Divisior�3 of the Business and Profe D it nse is in full force
nd effect. License Class License No Date Contractor Signature-
JORKERS' COM'.PENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 thi
erformance of the work for which this permit is issued. Policy No.
);:heve 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` compensation
Isurance, carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of 1. 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
I, if I should becom subject WO112Mcoopensatiom provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,,--
nature of Applica 145 - M—Z�
CLARATION REG R INSTRUCTION LENDING AGENCY' /� �`
!mby 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, Civil 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 ordinance a laws relating to building construction..
I authorize representatives of this city or county t ita a property for inspection purposes.
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
ID