HomeMy WebLinkAboutXC2023-0307 - Permitse"�WPo�T City of Newport BeachCOMB Permit : XC2O23-0307
0
Community Development Department- Building Division x C 2 0 2 3 0 3 0 7
�100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 718-1888 Issued Date : 08/14/2023
.� newportbeachca.gov/civic Final Date:
C4(r FO0.N`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 : 21101 NEWPORT COAST DR Legal Desc : P BK 318 PG 27 PAR 2
Description: COMM (UNITS 21101-21185) REROOF TAKEOFF (E) TILE, SET ASIDE AND REPLACE UNDERLAYMENT, PUT SAME TILE BACK ON 1956 SOS
Owner: IRVINE COMPANY LLC
Contractor: TSP ROOF SYSTEMS INC
Architect
Address : 111 INNOVATION DR
Address : 34 MAUCHLY DRIVE UNIT A
Address
IRVINE, CA 92617
IRVINE, CA 92618
Phone: (949)720-3100
Phone: (949)379-3221
Phone:
Con State Lic : 971765
State Lic
Lic Expire : 04/30/2024
Applicant: TSP ROOF SYSTEMS INC
Bus Lic: BT30082362
Engineer
Address : 34 MAUCHLY DRIVE UNIT A
Bus Lic Expire : 08/31/2024
Address
IRVINE, CA 92618
Phone: (949) 379-3221
Workers' Compensation Insurance
Phone:
Carrier: INSURANCE CO OF THE WEST
Owner/Builder:
Policy No: WSD507068200
Designer:
Address :
W. C. Expire : 3/31/2024
Address
Phone:
Phone:
P
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$36,000.00
Type of Construction :
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups : B
No of Units : 0
Alteration sq. ft. Bldg :
No of Stories : 1
Added/New sq. ft. Garage :
0
Bldg Height :
TOTAL sq. ft.
0
Building Setbacks
Flood Zone : X
Use Zone: PC - Newport Ridge
PROCESSED BY:
SPECIAL CONDITIONS:
4
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 itemts)
(Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any Structure, prior to its issuance, also requires the applicant for
the 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
1, as ovvner of the property, or my employees with wages as their sole compensation, will do (_) all of oT (_) Portions of the work, and the structure Is not intended proffered for sale (Section 7044,
Business 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
improved for the purpose of sale).
El 1, as owner of the properly, 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).
I am exempt from licenaure under the Contractors' State License Law for the following reason
By my signature below: 4 acknowledge that, except for my personal residence in which I must have resided for at toast one year prior to completion of the improvements covered by this permit, I cannot legall}
sell a structure that I 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 site:http:liwv,2v.leginfo.ca,gov/calaw.html.
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION/�_
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 Di ision 3 of the Business and Prof 6ions Co r, nd m r � nse is in full force
and effect. License Class License No Date Contractor Signature
NORKERS' 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 HUNG. O HOUSAND DOLLARS t$100,000). IN ADDITION To THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
�
hereby affirm under penalty of perjury one of the following declarations:
-1 1 have and will maintain a certificate. or consent to selfAnsure for workers' compensation. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th'
)pgformance of the work for which this permit is issued. Policy No.
and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier and policy number are:
Policy Number Expiration Date
of Agent
I 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 agre
1, if I should becorl e s pocl to workers' compensaton provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
'nature of Applicant ,_ Date 77 1 N' �- 7
CLARATIQN REGA STRUC ON LENDING AGENCY
�reby affirm under p nalty of perjury that thare is a construction lending agency for the performance o€the work for which this permit is issued (Section 3097, vil Code).
rider's Name Lender's Address
my signaturealow,I ceriffy m each o(tha (ollowny:
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 with all applicable city and county/ordinances and slate laws relating to building construction.
I authorize representatives of this city or coon to rater 6 ratified property for inspection purposes. h'p(�\ ,7�/t /I I % ,f
nature of Property Owner or Authorized Agent _ _ Print Property Owner's or Authorized Acent's Name'/ Nkovi5 O p CIE 2 r drr✓ d 1W �23
ACTION I GATE
PERMIT EXPRED
PEAINTCANCF.LlED
PERI,dT EXTENDED
PERMrrPIuaL S-t/-Zj S!.
CERTIFICATE OF
OCCUPANCY 15SUED t7
BY 1/1`', 'CLARATION. OF COMPLIANCE W17H CODE OF FEDERAL
F REGULATIONS PART 51 OF TITLE 40 AND AONID RULE
ASBESTOS NOTIFICATION TO
APPLICABLE tO
FOR OFFICE USE ONLY