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HomeMy WebLinkAboutXR2022-1947 - Permitsr E o?T City of Newport Beach II III I I I II I II II IIII III II II II COMB Permit : XR2022-1947 p4 p Community Development Department - Building Division dF. iAs 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO : PC2022-1792 Permit Counter Phone: (949) 718-1886 5 newportbeachca.gov/civic Issued Date : 05/30/2023 Combination Type - ELEC PLUM Inspection Area : 6 W 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 : 2800 PACIFIC VIEW DR Legal Desc : P BK 149 PG 25 PAR 1 Description: COMM - INTERIOR ALTERATION AT SEAVIEW PLAZA SR HOUSING (82 KITCHENS, 6 MOBILITY KITCHENS) Owner: SEAVIEW PLAZA Contractor : HARPCO CONST. AND DEVELOPMENT Architect : DIRAN DEPANIAN SERVICES INC Address : 2800 PACIFIC VIEW DR Address : 332 FOREST AVE, 24 Address : 3663 LOS FELIZ BLVD # 5 LOS ANGELES, NEWPORT BEACH, CA 92660 LAGUNA BEACH, CA 92651 CA 90027 Phone : Phone : (949) 245-8261 Phone : (323) 254-9200 Con State Lie : 1033453 State Lie : C016812 Lie Expire : 11/30/2023 Applicant : HARPCO CONST. AND DEVELOPMENT Bus Lie : BT30081389 Engineer SERVICES INC Address : 332 FOREST AVE, 24 Bus Lie Expire : 04/30/2024 Address LAGUNA BEACH, CA 92651 Phone: (949) 245-8261 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No: 9337400 Designer Address : W. C. Expire : 4/20/2024 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $750,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 100 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 3 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks: ; Flood Zone : X Use Zone : RM - Multiple Residential PROCESSED BY: SPECIAL CONDITIONS: t hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the cheekmark(s) I have placed next to the applicable item(s) 3ection 7031.6, 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 ie permit to file a signedstatement 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 rofasawns Code)or that he or she is exempt from llbensure 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). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work; and the structure Is not Intended oroHered 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 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 riproved for the purpose of sale). .I I, 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 ly 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 ficensure under the Contractors' State License Law for the following reason: m. signature below I acknowledge that, except form 'X y g g P my residence in which I must have resided for at one year prior to Completion of the Improvements Covered by this permit, I cannot legallp ell a structure that I have built as an owner -builder if it has not been constructed in its ontiroty by licensed contractors. I understand that a copy of the applicable low, Section 7044 of the. Business and "rdiessions Code, is available upon request when this application is submitted orat the following Web site:http;llwww.tsginfD.ce.govicaiaw.html. ,limature of Property Owner or Authorized Agent Date ,10ENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70QO) f Divi on3of the Business and Professf , and n ) cis In full force nd. effect. License Class License No Date S 2 Contractor Signatu€e PORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE la UNLAWFUL. AND SNALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS N1100.000), IN ADDITION TO THE Oaf OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3T03 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of tha following declarations: 3 1 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+ eriormance of the work for which this permit is issued. Policy No. _ yokbave andwill 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' compensator nsurance canter and policy number are: varrier Policy Number Expiration Dale "me of Agent Phone # �11 certify that, in the performance of the wor ar which this ��]yytAnit is issued, I shelf not employ any person in any manner so as to become subject to the workers' compensation laws of California, and Agra+ .hat, if I should become cubleet tope wor : s' compensa i! prnv sIons of Section 3700 of the Labor Code, I shall forthwith comply with (hose provisions. S+,pwm ire of Applcvht CON UC_ Date ';- 2 .� D4CLARATiON 8EVARJINGe TION ING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code), Lender'^ Name Lender's' Address By my signature haiow,`i,cedify to each of the following: I am me property owner or authorized to act on the property owner's behalf. I have read thie applfnatlon and the information I frays provided is tract. I agrea to comply wdh all applicable city and county ordmanc state la ting to building construction. I authorize representatives of this city or county to a � IT ved d property for inspection purposes. i Si,inulure ofi Prope t Omter or Authorized A ant Print Property Owners or Authorized Agent's Name o 1 !tom pate _ L ArTinN DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TrrIE 40 AND ACK RULE PERMITFINAL E5105 NOTIFICATION CERTIFICATEOF �%'Z''�� ��� PROPOSED DEMO �i OCCUPANCYISSUEO I SIGNATURE: /�/