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HomeMy WebLinkAboutXR2023-1223 - Permits¢��W PoRT City of Newport Beach II IIII I IIII IIII IIIIIII IIII III IIIIIII II COMB Permit : XR2O23-1223 0_ @ Community Development Department- Building Division X R 2 0 2 3 1 2 2 3 r �y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1080 2. Permit Counter Phone: (949) 718-1888 Issued Date : 05/11/2023 newportbeachca.gov/civic Inspection Area : 8 9CI FORH'� 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 : 1945 SHERINGTON PL, BLDG G Legal Desc : P BK 15 PG 36 PAR 1 Description: MFR (UNITS G202, G203) NEW WATERPROOFING SYSTEM ON (E) DECKS/BALCONIES Owner: UDR NEWPORT BEACH NORTH LP Address : 1745 SHEA CENTER DR STE200 HIGHLANDS RANCH, CO 80112-9 Phone : (720) 283-6120 Applicant: JIM SLIFFE Address: 483 DURIAN ST VISTA, CA 92083 Phone : (909) 992-8803 Owner/Builder : Address : Phone : Contractor: IMPERIAL CONTRACTING Address : 16573 N 92ND STREET #C125 SCOTTSDALE, AZ 85260 Phone : (480) 892-9157 , Con State Lic : 830273 Lic Expire : 12/31/2023 Bus Lic: BT30080856 Bus Lic 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 - UPI 370, UP 1405 PROCESSED BY: SPECIAL CONDITIONS: Architect: ROMERO CESAR Address: 17162 GOTHARD ST HUNTINGTON BEACH, CA 92647 Phone: (714)465-5200 State Lic : 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 18 Alteration sq. ft. Bldg: 3 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 iz ft OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I. am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) ;Sec{ion 7031.5, Business and Professions Code: Any city or County Brat requires a permit to construct, alter, 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 �rofessions Code) or that he or she is exempt from ficensure and the basis fortha 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 (S500), 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is 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 employeesor personal effort, builds or improves the properly, 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 Improvedfor the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to constructthe 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), El I am exempt from licensure 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 must have resided for at least one year prior to completion of the improvements covered by this permit, I.cannot legall7 soil a structure that I have built as an owner -builder if it has not boon 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 http://wwvv.leginfo.ca,gov)calaw.titml, Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION i hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of Diyl',sion 3 of the Business and Prof b. S Code, an y rise is in full force and effect. License Class License No Dat .J //' 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 HUNDRE. THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: -11 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 th ormance 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 nsurance carrier and policy number are: Policy Number Expiration Date is of Agent _ 11 certify that, in the portor nc of the work for which fhi permit is issued., shall not. employ any person in any manner so as to become subject to the workers' compensa?inn laws of California, and ogre tat, if I should becom s b ct the workers' c an n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Apptican Dat �J� ' ,�1G2 3 rECLARATION RES DIN 4 ONSTRU N L ING AGENCY hereby affirm under penal of perjury that there i a construction lending agency for the performance of the work for which this permit is issued (Section 3097, livil Code). ender's Name Lenders Address ly my signature below, I Certify to each of the following: I ant the property owner or authorized to act on the property owner's behalf. I have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and county ordi ces and state laws relating to building construction. I authorize representatives of this city or county i/d an r a above id Qf property for inspection purposes. ',t �/ / �� lonature of Procerty Owner or Authorized Arrant IV — Print Property Owner's or Authorized AGent's Namev__J L 612-%r/—� 9Dail ACTION I DATE.' 9Y v ULATIONS PAR?r OF TITLE 40PLIANCE TH CODE OF AND AgMD RU LEFEDERAL j FOR OFFICE USE ONLY PERMiTEXPIRED PERMIT• CANCELLED P€RA41T EXTENDED C, PERMIT FINACr-'Z5.�3 5yyy777NOTIFI ATI. N IS NtlT APP C H TO CERTIFICANAL EO OLITON OCCUPANCY ISSUED BGNAeUR '~