HomeMy WebLinkAboutXR2023-1224 - PermitsaEWvoRr City of Newport Beach IIIIIIIIIII II IIIIII IIIIIIIII IIIII IIII III IIIIII II COMB Permit : XR2023-1224
Community Development Department- Building Division X R 2 0 2 3 1 2 2 4
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1080
> T Permit Counter Phone: (949) 718-1888 Issued Date : 05/11/2023
newportbeachce.gov/civic Inspection Area : 8
c94FOR� Combination Type - MFP
Work Class - Alteration
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 : 1950 16TH ST, BLDG M
Legal Desc
: P BK 15 PG 36 PAR 1
Description:
MFR (UNITS M210, M310) NEW WATERPROOFING SYSTEM
ON (E) DECKS/BALCONIES
Owner:
UDR NEWPORT BEACH NORTH LP
Contractor:
IMPERIAL CONTRACTING
Address :
1745 SHEA CENTER DR STE200
Address :
16573 N 92ND STREET #C125
HIGHLANDS RANCH, CO 80112-9
SCOTTSDALE, AZ 85260
Phone :
(720) 283-6120
Phone :
(480) 892-9157
Applicant: JIMSLIFFE
Address : 483 DURIAN ST
VISTA, CA 92083
Phone: (909)992-8803
Owner/Builder :
Address :
Phone
Con State Lie :
830273
Lie Expire :
12/31/2023
Bus Lie:
BT30080856
Bus Lie Expire :
03/31/2024
Workers' Compensation Insurance
Carrier: PROPERTY AND CASULTY INS
Policy No: 59WEAAD6WUO
W. C. Expire : 9/30/2023
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
53z—
PROCESSED BY:
SPECIAL CONDITIONS:
Architect :
ROMERO CESAR
Address :
17162 GOTHARD ST HUNTINGTON
BEACH, CA 92647
Phone:
(714)465-5200
State Lie
Engineer :
KATHURIA DEEPANSH
Address :
707 WILSHIRE BLVD STE 5100
LOS ANGELES, CA 90017
Phone:
(213)572-0671
Designer:
Address
Phone:
NO Construction Valuation : $15,000.00
NO Added/New/Ti sq. ft. Bldg : 0
105 Alteration sq. ft. Bldg :
3 Added/New sq, ft. Garage : 0
TOTAL sq. ft. : 0
VVVrI Gr[-6UrL VGrt VGV VnnI".,v,�
I hereby affirm under penally 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 t0 the applicable-item(s)
,Secl on 7031.5, Business end Professions Code: Any city or county that requires a permit to construct, alter. improve demolish, or repair any structure, poor 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 CGntractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
orofessions 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
Tot more than five hundred dollars ($500;. '..
I, 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
improvements 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).
71 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
P,ply 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),
E_I I am exempt from licensors under the Contractors' State License Law for the following reason: —
By my signature below I acknowledge that, except for my personal residence in which I most 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 builtas an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the: applicable lain, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site;hltp:liwww.leginfo.ca.gov/celaw.html.
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 Section 7 00) of Division 3 of the Business and P I s goda, a y nse is In full force
and effect. License Class License No Dat �/ Contractor Signatu -
WORKERS' COMPENSATION DECLARATION
WARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP To ONE HUNDRED THOUSAND OOL S 100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES A3 PROVIDED FOR IN SECTION OTOE OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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, forth
formance of the work for which this permit is issued. Policy No.
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' compensatiol
Insurance carrier and policy number are:
Policy Number
Date
ne of Agent ....
certify that, inthe perform of he work for h' h 4h s permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of COlifOmla, and ogre
t, if I should become su , tot workers' c n Ion provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions.
nature o1 Applicant Datry�
CtARATION REG ill NSTRUC 0. L 1NG AGENCY / ,,ff11
Heby affirm under penalty perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ci it 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 wiUr all applicable city and county ordinan es and state laws relating to building construction.
I authorize representatives of this city or county to el t s Bove-identi erty for inspection purposes.
DATE By IA DEN k ATION OF CONIP6ANCE W17H CODE OF FEDERAL I FOR OFFICE USE ONLY
V� REGULATIONS PART 61 OFTrFLE 40 AND AQMD RULE
1 1403
EXPIRED ?- i SUBM",TTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED l4t'MP /_
PERLUFFlNAL J4VJ NOT ATI N�15401
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