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Home My WebLink AboutX2022-1516 - PermitsCity of Newport Beach F'£WPoRr Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 �gc,FeaN�P newportbeachca.govlinspections Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement COMB Permit : X2O22-1516 Plan Check No : 1392-2022 Issued Date : 08/09/2022 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 : 1111 BAYSIDE DR, 150 Description : COMM TI "SPEC SUITE" 5120 SF Owner: BAYSIDE SQUARE INVESTMENTS LLC Address: 220 NEWPORT CENTER DR #11-557 NEWPORT BEACH, CA 92660 Phone: Applicant: Niko Babic Address : 5301 California Ave. Phone: (949)701-4050 Owner/Builder : Address Phone: 100 Irvine, CA 92617 Legal Desc : P BK 171 PG 40 PAR 1 Contractor: PDC INC Address : 1010 S HATHAWAY ST UNIT C SANTA ANA, CA 92705 Phone: (714)664-0477 Con State Lie : 988559 Lie Expire: 11/30/2023 Bus Lie: BT30055261 Bus Lie Expire : 05/31/2023 Workers' Compensation Insurance Carrier: EVEREST PREMIER INSURANCE COMPANY Policy No : 7600020452211 W. C. Expire: 5/29/2023 Architect: WIRICKJAMES Address: 5161 CALIFORNIA AVE #100 IRVINE. CA 92612 Phone: (949)261-1001 State Lie Engineer: �I�.ir-a�..,y,`,. —, Address: k `,e (" � � go Phone : Designer: Address Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $445,000.00 Type of Construction : V-B Fire Hazard Zone : No Added/New/Ti sq. ft. Bldg : 5,120 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : 5,120 Bldg Height: No of Stories : 3 Added/New sq. ft. Garage: 0 - - - Building Setbacks Flood Zone : X ° Use Zone: CM - Commercial Recreational and Marine ° . - °°° PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penally 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 items) (Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, after. 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 licensure and the basis for the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more Than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do ( ) 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 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 Ism -}proved for the purpose of safe). [J 1, 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 a 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 Ilcensure under the Contractors' Slate 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 legal sell 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 cribs Business and Professions Code, Is available upon request when this application Is submitted or at the following Web slle:http:/twww.leginfo.ca.goviGalaw.html. Signature of Property Owner or Authorized Agent _ KDate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0) of Division 3 of the Business and Pr Ions D le, and my license Is In full force and effect. License Class License No Dat Contractor Signatur 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 COST 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: t$100,000I, IN ADDITION TO THE 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 mance of the work for which this permit is issued. Policy No. 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' FRase carrier and policy number are: Policy Number of Agent Date 'II certify that, in the erformINOS tha work for nch 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, Red agree tat., If I should be on subjeworkers' cct ensation pr/ovis�'ons-af Section 3700 of the Labor Code. I shall forthwith comply With those provisions. ;Ignature of Applln / --- D ��/ IECLARATION RE A TRUCTION LENDING AGENCY hereby affirm on penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , ivil Code). enders Name Lender's Address ly my signature La,cA, i certify to each of the following: I the powner or authorized to act on the property owner's behalf. have I have readd U tl,:s s ,.hpllcation and the information t have provided is correct ..JJ.. I agcae to corn, ly with all applicable city and coonLv ordinances and stale fetus relating to building construction, N I authorize rex ;cnlalives of this city or county t Liter lh��bove-identified prepo for inspection purposes. ^ / I \ 1nl.alura of Pmn Trt Owner or Authorized Anent I\/ I\ Print Prooertv Owner's or Authorized Actent's Namel \ , t jate ACTION DATE BY V I-B5CLARA"NtlNFETF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ?F('MIT fXPfRED I 1 SUBMITTED ASRESTOS NOTIFICATION TO PERMITCANcfLLED All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall _i EPA - - PfRMiT.XT£NDEG be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the hfeofthe pooE, AqMD PERMIT FINAL-- q— ASHESIFI 0 SNOT 'ABLE 70 APP �5 CERTIFICATE OF / "" PR POSE�OLITION OCCUPANCY155UEO SIGNATU