HomeMy WebLinkAboutXC2023-0489 - Permits�EWPO?T City of Newport Beach
p� @ Community Development Department- Building Division X C 2 0 2 3 0 4 6 9 COMB Permit : XC2023-0489
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No :
! = Permit Counter Phone: (949) 718-1888 Issued Date : 12/05/2023
newportbeachca.gov/civic Final Date:
°9trcoRN�P Combination Type - Permit Status: Issued
Work Class - Other Inspection Area : 7
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 : 1020 IRVINE AVE Legal Desc : N TR 4824 BLK LOT 14 TR 4824 LOT 14 AND FOR OF LOT
Description: COMM PARTIAL REROOF- INSTL 60-MIL FELT BACK PVC ROOF OVER EXISTING BUILT UP LAYER (1). 60 SOS
Owner: WESTCLIFF PLAZA RETAIL LLC
Address : PO BOX 2450
NEWPORT BEACH, CA 92658
Phone:
Applicant:
TSP ROOF SYSTEMS INC
Address:
34 MAUCHLY DRIVE UNIT A
IRVINE, CA 92618
Phone:
(949)379-3221
Owner/Builder :
Address :
Phone:
Contractor:
TSP ROOF SYSTEMS INC
Architect
Address :
34 MAUCHLY DRIVE UNIT A
Address
IRVINE, CA 92618
Phone:
(949)379-3221
Phone:
Con State Lic
: 971765
State Lic
Lic Expire :
04/30/2024
Bus Lic:
BT30082362
Engineer:
Bus Lic Expire : 08/31/2024
Address
Workers' Compensation
Insurance
Phone:
Carrier: INSURANCE CO OF THE WEST
Policy No:
WSD507068200
Designer
W. C. Expire :
3/31/2024
Address
Phone:
Code Edition :
2022
Fire Sprinklers :
Type of Construction :
II-B
Fire Hazard Zone
Occupancy Groups :
B
No of Units :
Bldg Height:
No of Stories
Building Setbacks
Flood Zone :
X
Use Zone :
CN - Commercial
Neighborhood
PROCESSED BY:
! t.
SPECIAL CONDITIONS:
NO Construction Valuation : $19,980.00
NO Added/New/Ti sq. ft. Bldg : 0
0 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
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 checkmark(s) I have placed nexi to the applicableitem(s)
section 7031.5, Business and Professions Code: Any city or county that Fequires a permit to construct. alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for
iD 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
rofesslons Code) or that he or she is exempt from liceasure 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do U ail of or (_) 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).
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
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).
I am exempt from licensure under the Contractors' State License Law for the following reason:-
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
oil a structure that I have built as an owner -builder if it has not been constructed in Its anhroty by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web silo:htip:liwww.leginfo.ca.govicalaw,htmL
signature of Property Owner or Authorized Agent Data
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 1' Division 3 of the Business and Professions Code, andmy license is In full force
nd effect. License Class License No Date 23 Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN AUDITION 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 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
� eidormance of the work for which this permit is issued. Policy No.
lxl. 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' compensatio
carrier and policy number are:
Policy Number
fell
to of Agent II—— '
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 agree.
if I should become subject the wo rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3
lalureofApplicanL,.._ Date
)EGt_ARA.TFON KLUAKU1NW ULIN31KLII t VN F. ^WINV MVGIi I
hereby affirm under penalty of perjury thatthers is a construction lending agency for the performance of the work for Mitch this permit is issued (Sectlon 3097, Civil Code).
.endor's Name Lender's Address
3y my signature below, I certify to each of the following:
I am Ole 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 ordi nces a d state laws relating to building construction.
I authorize representatives of this city or county to ov -Identified property for inspection purposes.
ii nature. of Pro.. art Owner or Authorized Agent Print Pro any Owner's or Authorized A ent's Name 4 l✓ CC.'.Date J
ACTION DATE. j BY CLARATIONOFCONIPLI4NCEWIT1{CODEOFFEOERAL FOR OFFICE USE ONLY
I ( l REGI)LATION5 PART 51 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED
PERI'>?17 CANCELLED
SUP. MfITTED ASBESTOS
PER1btIT FINAL �) , i j A5BfsT'OS NOf IFICAItONIS NOT APPLICA8LE TO
CERTIFICATE Of U 1 PROPOSEDDE �jJfv��
OCCUPANCY ISSUED ! SIG'IA'URE