HomeMy WebLinkAboutX2022-1438 - Permits"WPo,?
City of Newport Beach II III I II
I II I III I IIII I I II COMB Permit:X2022-1438
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Community Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No: 1320-2022
Permit Counter Phone: (949) 644-3288
Issued Date : 07I20/2022
Inspection Requests Phone: (949) 644-3255
Inspection Area : 7
newportbeachca.gov/inspections
Combination Type - ELEC MECH PLUM
Work Class - Tenant Improvement
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 : 545 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 1
Description: COMM TI "LUGANO DIAMONDS" 3628 SF PHASE 1
Owner: IRVINE COMPANY
Contractor: J HAGE CONSTRUCTION
Address : 3871 KINMOUNT ST NEWPORT BEACH, CA
Address : 20560 LANGFORD WAY JORDAN, MN
92660
55352
Phone:
Phone: (612)927-0602
Con State Lic: 915696
Applicant: TODD J STEEBER
Lic Expire : 05/31/2024
Address : 20560 LANGFORD WAY JORDAN, MN 55352
Bus Lic: BT30078897
Phone: (612) 927-0602
Bus Lic Expire : 06/30/2023
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Code Edition : 2019
Fire Sprinklers : NO
Type of Construction : III-B
Fire Hazard Zone : Y
Occupancy Groups : M
No of Units : 1
Bldg Height:
No of Stories : 1
Building Setbacks:
Flood Zone: X
Use Zone : PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS:
i
Architect : ROBINSON MICHAEL D
Address : 3195-B AIRPORT LOOP DR COSTA
MESA, CA 92626
Phone: (714)825-8888
State Lic
Engineer:
Address
Phone:
Designer
Address
Phone:
Construction Valuation : $200,000.00
Added/New/TI sq. ft. Bldg : 0
Added/New sq. ft. Garage: 0
OWNER -BUILDER
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) 1 have placed next to the applicable Taints)
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
io 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 licensure 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 (_) all of or U 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 properly, 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).
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
pply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
7 1 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 legal
e11 a structure that I have built as an owner -builder if it has n9f been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when t is app1 'pn i r i d o at t e f Ito e ' e:http://www.leginfb.ca.gov/Galaw.htmi.
ignature of Property Owner or Authorized Agent L— t
.ICENSED CONTRACTOR'S DECLARATI N
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70 f Qjtrisi o h Business and Pr f s n a djy is mf11:1f1T11
nd effect. license Class License No Dat _ oniractor Signatur
CCMPEN'SATION DECLARATION
VI.RNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5/00.0001, IN ADDITION TO THE
:03. Jr �UMPENSAfION, LA GES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm unJer penalty of perjury one of the following declarations:
I hn'-e and ill 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
orma of the work .or 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
carrier nno popsy number are:
Policy Number
if /.gent
Date
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
;1; „ l,ould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, i shall forthwith comply with those provisions.
nature of Applic3it Date_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this pemlit is issued (Section 3097, Civil Code).
Ider's Name Lenders Address
my signature below, I certify to each of the following:
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 ovided is correct.
1 agree to comply with all applicable city and county rdi a sad ate I elating to building construction. /
1 authorize representatives of this city or coun o n, by e-i % oses.
nature of Prooertv Owner or Authodzed ADen Print Property Owner's or Authorized Agent's Nam
ACTION WITH CODE OF FEDE
I DATE I BY f [-DECLARATION OF CI REGULATIONS PART0MPLIANCE 61 OF TITLE 40 AND AQMD RU ESL
PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED 13EPA
PERMIT EXTENDED QMD
PERMITFINAL N- '"(Old SBESTOSN TIFI TI ISN T PL E TO
CERTIFICATE OF PROPOSED OU
OCCUPANCY ISSUED SIGNATUR
FOR OFFICE USE ONLY
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.