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Home My WebLink AboutXR2025-0019 - PermitsagWPOQr City of Newport Beach Community Development Department- Building Division X R 2 0 2 5 0 0 1 9 COMB Pert»it : XR2025-0019 r n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : XR2025-0019 u S Permit Counter Phone: (949) 718-1888 Issued Date : 01/2112025 newportbeachca.gov/civic Final Date: 0112912025 5�/F00.N� Combination Type - MFP ELEC MECH PLUM Permit Status: Final 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: 920IRVINE AVE, B 311 Description: MFR -INTERIOR ALTERATION 353 SF Owner: UDR NEWPORT BEACH NORTH LP Address: 1745 SHEA CENTER DR STE200 HIGHLANDS RANCH, CO 80129 Phone: Applicant: OLIVER LOPEZ Address : 619 S FREMONT AVE STE C ALHAMBRA, CA 91803 Phone : (310) 591-8198 Owner/Builder : Address : Phone Legal Desc : P BK 15 PG 36 PAR 1 Contractor: MATRIX CONSTRUCTION SERVICES Architect Address : 38810 SKY CANYON DR Address MURRIETA, CA 92563 Phone : (951) 493-0100 Phone Con State Lie : 878441 State Lie Lie Expire : 05/31/2026 Bus Lie : BT30084708 Engineer Bus Lie Expire : 07/31/2025 Address Workers' Compensation Insurance Phone: Carrier: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy No : UBOK2024362426G Designer: STEVE GROHNE W. C.�xpiie_: 2/22/20 _—Address -�__2309_ laEAIR_P_ARK_AV_E - LOS ANGELES, CA 90041 Phone: (310) 591-8198 Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : R-2 No of Units : Bldg Height : No of Stories Building Setbacks : Flood Zone : X Use Zone : PC - Oakwood Apartments - UP1370, UP 1405 PROCESSED BY: SPECIAL CONDITIONS: NO Construction Valuation : $25,000.00 NO Added/New/TI sq. ft. Bldg : 0 36 Alteration sq. ft. Bldg : 353 3 Add/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) 'Section 7031.5, Business and Professions Code: 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 .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 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 lot more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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). ❑ 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 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' 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 legally sell a structure that 1 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 sfte:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Dale LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 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. 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 in performance 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' rance carrier and policy number are: Policy Number Date re of Agent vnone R 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 to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant _ Date_ _ DECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lenders Address y my signature below, I certify to each of the following: I am the properly 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -Identified property for inspection purposes. lonature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION PERMIT EXPIRED PERMITCANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCVISSUED DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 SUBMITTED ASBESTOS NOTIFICATION TO U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION