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Home My WebLink AboutXR2024-5475 - PermitsR> City of Newport Beach ' Community Development Department - 91 �.i'ding Division Oe+ ® Y 100 Civic Center Drive, Newport Beach, CA 92660 ) Permit Counter Phone: (949) 718-1888 U >+� newportbeachca.gov/civic - °....... Combination Type - MFP Work Class - ADDITION/ALTERATION 111111111111111111111111111111111111111111111111111111 JillCOMB Permit : XR2024-5475 Plan Check No: XR2024-5471 Issued Date : 06/20/2024 Final Date: Permit Status: Issued Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER IS31lANCE OR Lt,ST 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 : 1935 SHERINGTON PL, F 106 Description: MFR R/R DRYWALL AND INSULATION 48 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 : Phone : Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone: Legal Desc : P BK 15 PG 36 PAR 1 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 2022 Fire Sprinklers : V-B Fire Hazard Zone R-2 No of Units : No of Stories X 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: NO Construction Valuation : $500.00 NO Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 48 3 Add/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 7) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reascn(s) indicated below ty the theckmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Cade: Any city or county That requires a permit to Construct, alter, improvP, demolish, or repair any stricture, 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 _ic. nse Law (Cnapte, 9 Icommencing 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 70315 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 L) all of or ( j portinns of the work, and the structure i;, not intended 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 empInyess'-or person: l sffnn, 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 yea. cf co.nDletia., tl le Owner -Builder will nave the burden of proving that it was not built or mproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70", Business and Professions Code: The Contractors' State License Law does not 7 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 Iegalt! ;ell a structure that I have built as an owner-bulder 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html. signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION Date hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) f the Business and Professio Ind effect. License Class License No DatI ense is in full force e Contractor Signature PORKERS' COMPENSATION DECLARATION INNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NUN RED USANO DOLLARS 1$100.0001, IN ADDITION TO THE �OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 the erformance of the work for which this permit is issued. Policy No. ..n 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: r of Agent Policy Number Expiration Date _. certify that, in the performance of 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 if I should become subject t0 the or mpensation provisions of Section 3700 of the Labor Code, I shall forthwith COITION With those omvisioos of Date_ �/ 2 Q lz y :reby affirm under 6enakG 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)_ rders Name \/ Lenders 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 coun or ces and state laws relating to building construction. ,p I authorize representatives of this city or county t�dentified property for inspection purposes. N Print Pro a Owner's or Authorized Agent's Name Q i7I�� L ACTION DATE Y DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED PERMIT CANCELLED ASBESTOS NOTIFICATION TO PERMIT FINAL J/(�, l//fit/ ///'}� ASBESTOS NOTIFICATIO NOT LE TO CERTIFICATE /9 /q 7 r fVll1/'/ PROPOSED DEMOLM OCCUPANCY ISSUED ..........�. 6j��-�)