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 '~