HomeMy WebLinkAboutF2022-0648 - Permits��EWPORT City of Newport Beach
o @ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
C9�IFORN�P newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
F 2 0 2 2 0 6 4 8COMB Permit : F2022-0648
Plan Check No: PC2022-3228
Issued Date : 02/17/2023
Inspection Area : FIRE
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 : 610 NEWPORT CENTER DR, 950 Legal Desc : P BK 295 PG 33 PAR 4
Description: COMM FIRE ALARM TI - 10 DEVICES (X2022-2130)
Owner: 610 NEWPORT CENTER DR LLC
Contractor: ESPLANADE BUILDERS INC
Architect :
Address : 610 NEWPORT CENTER DR STE890
Address : 23820 HAWTHORNE BLVD
Address
NEWPORT BEACH, CA 92660
TORRANCE, CA 90505
Phone: (949) 720-2400
Phone : (310) 783-7664
Phone
Con State Lie : 831964
State Lie :
Lie Expire: 02/29/2024
Applicant: MARK YAM
Bus Lie: BT30045862
Engineer :
Address : 392 N LEMAY CT
Bus Lie Expire : 01/31/2024
Address
ORANGE, CA 92867
Phone: (626) 757-2320
Workers' Compensation Insurance
Phone:
Carrier: ZURICH AMERICAN INS CO
Owner/Builder :
Policy No: WC38046700
Designer: BUILDING ELECTRONIC CONTROLS
Address :
W. C. Expire : 1/1/2024
Address: 2246 LINDSAY WAY
GLENDORA, CA 91740
Phone:
Phone: (909) 305-1600
Code Edition : 2019
Fire Sprinklers : YES
Construction Valuation : $5,447.00
Type of Construction : I -A
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : B
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 18
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks
Flood Zone : X
Use Zone: PC - North Newport Center
X
PROCESSED BY:
SPECIAL CONDITIONS:
3
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 ftem(s)
3eclion 7031.5, Business and Professions Cade: An city or count that requires permit to Constrtict,�al r, improve, demolish, or repair an structure, prior to its issuance, also requires the applicant for
Y Y Y 9-� l€ P y P q PP
10 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 licensors 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).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044,
,usiness and Professions Code: The Contmctors' 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
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 1, as Owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
poly to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law).
3 1 am exempt from licensore under the Contractors' State License Law for the fallowing 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
oil 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 theapplicable law, Section 7044 of the Business and
'rofessions Code., is available upon request when this application is submitted or at the following Web site:http://www.leginto.a.gov/calavv.html.
;lgnature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700M of lion n is i
of the Business and P $to s Cc e, nd c n full arce
ad effect. License Class License,No Date Contractor Signaall
VORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDREM7,HOUSANa DOLLARS ($1D0,000), IN ADDITION TO THE
COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 07DS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I 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 IN
bIrInce
mance of the work for which this permit is issued. Policy No.
ave 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' compensatio carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone iE
I certify that, in the perfo ante of the work f w ich 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
that, if I should become s act to the workers' o nsatioon ovlsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �'}
Signature of Applicant - Deter.-,�.
DECLARATION REG UCTION of G. Cy
h
I hereby affirm under Pena ty perjury that !hare is a construction lending agency for the performance of the Work for which this permit Is issued (Section 3097, Ci II Cade).
Lenders Name Lander's Address
By my. signature below, 1 certify to each of the following:
I am the property owner or authorized to act on t property owner's behalf.
have read this application and the informatJconly
ave provided' 0 act.
I agree to comply with all applicable city and ordinancesan tale fa s relating to building construction.I authorize representatives of this city or coenter the ab ve-i tifo roperty for inspection purposes.
Si nature of Pra erty Owner or Authorized Ag Print Property Owner's or Authorized Agent's Nam , Date
ACTION DATE BY DECLARATION 6rCOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 DFTITLE AO ANDAQMD RULE
1403
PERMITEXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO
PER,YRTEXTENDED LIAQMD
PERMITFINAL t{ 02,3 j'�54W U ASBESTOS NOTIFICATION Is NOTAPPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: