HomeMy WebLinkAboutXR2024-1027 - Permits�E.wuo� City of Newport Beach
pe e Community Development Department- Building Division
i n too Civic Center Drive, Newport Beach, CA 92660
� a =. Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
Combination Type - MFP
Work Class - Alteration
COMB Permit : XR2024-1027
X R 2 0 2 4 1 0 2 7
Plan Check No :
Issued Date : 0411712024
Final Date:
Permit Status: Issued
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 : 835 SEA GULL LN, C 113
Legal Desc : P BK 15 PG 36 PAR 1
MFR REPLACE DRYWALL AND INSULATION 22 SF
Description:
Contractor: WESTROCK RESTORATION
Architect
Owner: UDR NEWPORT BEACH NORTH LP
Address : 7221 ORANGEWOOD AVE
Address
Address : 1745 SHEA CENTER DR STE200
DEN GROVE, CA 92641
GARDENGROVE,
HIGHLANDS RANCH, CO 80112-9
Phone : 76
Phone:
Phone : (720) 283-6120
Con State Lie: 986693
State Lie
Lie Expire : 09/30/2025
Engineer: LOVELACE MILES T
PABLO SAUCEDO
Bus Lie; BT30071657
Address : 10509 VISTA SORRENTO PKWY, #102
Applicant:
7221 ORANGEWOOD AVE
Eire : 05/31/2024
Bus Licxp
SAN DIEGO, CA 92121
Address :
GARDEN GROVE, CA 92841
Workers' Compensation Insurance
Phone: (858) 535-9111
Phone: (714) 737-7089
Carrier: STARR INDEMNITY &LIABILITY COMPANY
Policy No: 1000002994
Designer
Address
OwnerlBuilder :
W. C. Expire : 10/16/2024
Address:
Phone:
Phone:
Construction Valuation : $750.00
2022
Fire Sprinklers : NO
Added/New/Ti sq. ft. Bldg : 0
Code Edition :
V-B
:
Fire Hazard Zone NO
Alteration sq. ft. Bldg :
Type of Construction :
R-2
No of Units : 1
Added/New sq. ft. Garage: 0
Occupancy Groups :
No of Stories : 3
TOTAL sq. ft. : 0
Bldg Height:
Building Setbacks
Flood Zone : X
PC - Oakwood Apartments - UP1370,
UP 1405
Use Zone:
PROCESSED BY:
SPECIAL CONDITIONS:
! 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 Cade: Any city or county that requires a permit to construct. after. 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).
❑Les owner the property, or employees with swages as their sale compensation, will do
Business and Professions Code: Thehe Contractors' State License Law does not apply to an owner r_) all Of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
improvements are not intended or offered for sale. of property who, through employees' or personal effort, builds or improves the properly, provided that the
improved for the purpose of sale). f, 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
I, 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
11 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:
By my signature below 6 acknowledge that, except for my personal residence in which I most have res dee for at least one year prior to completion of the improvements covered by this permit, i cannot legal]
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:httpliwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _
LICENSED CONTRACTOR'S DECLARATION_ //_ Date
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section O) of Division 3 of the Business and Prof %sr n Eade-�rtUT14ij n'�lse. is In full force
and effect. License Class License No Date ' I i'
WORKERS' COMPENSATION DECLARATION Contractor Signatur
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TC ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to S INnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
Ormance of the work for which this permit is issued. Policy No.
ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers" compensation
insurance carrier and policy number are:
Carrier Policy Number
Name of Agent Expiration Date
I Certify that, in the performance of the work for which this permit is issued. I shall not employ an Phone #
that, if I should becom s bjeet to the worts gnsation provisions of Section 3700 0# he Labor Code, shelf forthwith comply bwith those ecome subject
the workers' compensation laws of CalifoliLlfle
Signature of Applicant.
DECLARATION REG DUNG CONSTRUCTION LENDING AGENCY OR LI—I]' ZLp
(LendI hereby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code).
er's Name Lender's Address
By my signature below, 1 Certify Io each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided Is correct.
I agree to con.p} cflh all applicable city and county rd1nances an t6 laws rolattYag to building construction.
I authorize repzF aitabves of this city or county
ti 'ed property for inspection purposes.
5 S t3^t'�r¢ of Pro;cY.y Owner or Authorized Agent - Print Pro arty Owner's or Authorized Agent's Name ,p
ACTION DATE BY Jir Q U CeU 61 to L
AT$CN OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AgMD RULE
14U3
PEA^A1T fYPIRED ( tSURMITTED ASRF.STO$NOTIFICATION TO
PERMIT CANCEtf.Cl3
PERM7TEXTFNOEJ
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