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HomeMy WebLinkAboutX2022-0204 - Permits��tiW?oRr City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 't Permit Counter Phone: (949) 644-3288 �``•°q<F<"r Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement II II I I II II II COMB Permit : X2O22-0204 Plan Check No : 0188-2022 Issued Date: 10/14/2022 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: 2801 W COAST HWY Legal Desc : N TR 919 BLK LOT H.TR 919 LOT H SELY 118.10 FT NWLY 150 FT Description: COMM TI 360 SF (NEW DECK & WINDOW SYSTEM) Owner: 2751 & 2801 PCH LLC Address : PO BOX 4976 JACKSON, WY 83001 Phone: (714)403-9016 Applicant: 2751 & 2801 PCH LLC Address : PO BOX 4976 JACKSON, WY 83001 Phone: (714)403-9016 Owner/Builder : 2751 & 2801 PCH LLC Address: PO BOX 4976 JACKSON, WY 83001 Phone: (714)403-9016 Contractor Address : Phone: Con State Lie Lie Expire Bus Lie : Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Architect: BRANDON DEADMAN Address : 18004 SKY PARK CIRCLE, 200 IRVINE, CA 92614 Phone: (949)757-3240 State Lie : C-37432 ' Engineer: NELSON DAVID "" y Address : 43180 BUSINESS PARK DIi STE 206 TEMECULA, CA 92690>>> Phone: (951)695-7101 Designer Address Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 3 Added/New sq. ft. Garage: TOTAL sq. ft. Bldg Building Setbacks Flood Zone : AE, 8 FT; X; X Use Zone : MU-W1 - Mixed -Use Water PROCESSED BY: SPECIAL CONDITIONS: $15,000A 360 0 360 OWNER -BUILDER DECLARATION I hereby Minn under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below bythecheckmark(s) I have placed next tD the applicable item(s) ;Section 7031.5, Business and Professions Code: Arty city or county that requires a permit to construct, alley, 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 profasslons Code) or that he or she is exempt from liuensure 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 not 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 (_) 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 proffered for sale. II, 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 mprovad 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 Stale License Law does not apply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State Licanse Law), ® I am exempt from licensors under the Contractors' State License Law for the following reason: By my signature below i acknowledge that, except for my pe anal residence in which I must have resided for at least 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 he - retracted in its entirety by licensed contractors. ) understand that copy of theapplicable law, Section 7044 of the Business and Professions Code, is available upon request when. Lion is su I ted or at the following Web sire:http//wwvo.leginfo.ca..gaidcalaw.nimlSignature of Property Owner or Authorized Agent _..._ �,,, _,_,. Date Q 1,OL— LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pertury that I am licensed under tavisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature JORK£RS' COMPENSATION DECLARATION ARNING: FAILURE TV "F —WE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNOREU THOUSAND DOLLARS t,5700,000), IN ADDITION TO THE DST OF COMPENSATION OAAAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm undo) L. natty of perjury one of the following declarations: .I I have and will malntein a certificate of Consent to salt -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by SeciiDn 3700 of the Labor Code, for th wfoaiar,m of the work for which this permit is issued. Policy No. have and will, rT^i itYn 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" mica carrier and policy number are: 'e of Agent — :LC['if j J)at in the it I sh,)uld be:on r,f Policy Number Date 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 workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _Date C:TION Re gf34tMN't%ONSTRUCTION LENDING AGENCY treby 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 Ides 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 provided is correct. I agree to comply with all applicable city and c ancas and state laws relating to building construction. I authorize representatives of this city or county t he above -identified property for inspection purposes, �I ACTION PERMIT CANCELLED Pf3RN17TEkTENOED PEPoN7TWNAt�� CERTIFICATE OF OCCUPANCY6WED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AOMO RULE SIGNATURE:: NOTIFICATION TO IS NOT APPLICABLE TO FOR OFFICE USE ONLY Civil Code). City of Newport Beach ��EWPoRT D ep Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u } T Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °gtrronN'P newponbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement X 2 0 2 2 0 2 0 4II COMB Permit : X2022-0204 Plan Check No : 0188-2022 Issued Date : 10/14/2022 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: 2801 W COAST HWY Legal Desc : N TR 919 BLK LOTH TR 919 LOTH SELY 118.10 FT NWLY 150 FT Description: COMM TI 360 SF NEW DECK- REV2023-0030 Owner: 2751 & 2801 PCH LLC Address : PO BOX 4976 JACKSON, WY 83001 Phone: (714)403-9016 Applicant: 2751 & 2801 PCH LLC Address : PO BOX 4976 JACKSON, WY B3001 Phone: (714)403-9016 Owner/Builder: 2751 &2801 PCH LLC Address: PO BOX 4976 JACKSON, WY 83001 Phone: (714)403-9016 Contractor Address : Phone: Con State Lic Lic Expire Bus Lic: Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Code Edition : 2019 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : B No of Units : 0 Bldg Height: No of Stories : 3 Building Setbacks : Flood Zone : AE, 8 FT; X; X Use Zone : MU-W 1 - Mixed -Use Water PROCESSED BY: SPECIAL CONDITIONS: Architect: BRANDON DEADMAN Address : 18004 SKY PARK CIRCLE, 200 IRVINE, CA 92614 Phone: (949)757-3240 State Lic : C-37432 Engineer : NELSON DAVID Address : 43180 BUSINESS PARK�®RSTE 200 TEMECULA, CA 92590 .... , Phone: (951)695-7101 Designer Address Phone Construction Valuation : $15,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 360 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 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 Lamle) 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 ie permit toile 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 refessions 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 Dt more than five hundred dollars ($800), 11, 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 Contractors' State License Law does not apply to an owner of property who, through employeesor personal effort, builds or improves the property, provided that the nprovements ate not intended or offered for sale. If.. however, the building or improvement is sold within ono year of completion, the Owner -Builder will have the burden of proving that it was not built or n roved for the purpose Of sale). 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 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 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 legally oil a structure that I have bent as an owner -builder it it has of boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70114 of fro Business and rotesslons Code, is available upon request when this a ion submitted or at the following Web site:http:7fwww.teginfo.ca.govlcolaw.html, agnature of Property Owner or Authorized Agent Date ` / I ,�2�.-- .ICENSED CONTRACTOR'S DECLARATION Tc hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force nd effect. License Class License No Date Contractor Signature PORKERS' COINPENSATION DECLARATION 'ARNING: FAILURE TO SURE WORKERS' COMPENSATION COVERAGE 13 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS F6100A001,114 ADDITION TO THE Clr- IT CCMPENSATION, OAr4AOES AS PROVIDED FOR IN SECTION ties OF THE LABOR CODE, INTEREST, AND ATTORNEY'S Fees, hereby arfirm under penalty of perjury one of the following declarations: I I nave and will n,ointain 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 erformance of the ',vc-1- for which this permit la issued. Policy No. .N ha,,e and will mawiam workers' compensation insurance, as required by Section 3700 of the Labor Cade,. for the performance of the work for which this permit is issued. My workers' compensadol Isurance carrier al,c: t,clicy number am: Policy Number Date Ia of Agent -none a certify that, in. the ,)erormanco 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 4 1 ^,bould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Appbcant., Date , CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby 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). War's Name Lenders Address my signature below, I certify to each of Cite following: I am the property owner or authorized to act on the property owner's behalf, I have read this application and the information Ihave provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this cityor count to enter the abo ntified "for Inspection purposes. n /,-I�'{�7/I - -r o.,..�P , n..,, - .., n,.�i,h.� a—,,, y property P nnl Pen art, nwnar'c 6, A,ahohipri Anent'% Name M1 A r, a T( j- ? zol I Date I ACTION 1 DATE BY DF.CLARATI04blP'EOMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE �1403 PERAMT kXPNED I U i SUBMITTED ASBESTOS NOTIFICATION TO PER1AITEXTENOED -RPFL'AQMD _ _ PERMti FiNAi ASBESTOS NOTlF TION t$NOT APNLtCABLE TO CERAW T I T£ Of �I PROPOSED : t7GCUPANCyf55UED 1 %iS J�f SIGNATURE; /