HomeMy WebLinkAboutXC2023-0088 - PermitsaEwroRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIII IIII IIIIIII II COMB Permit: XC2023-0088
0� Community Development Department -Building Division X C 2 0 2 3 0 0 8 8
ty" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0652
= Permit Counter Phone: (949) 718-1888 Issued Date : 06108/2023
.a `P newportbeachca.gov/civic Inspection Area : 7
c"��FonN 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: 2919 COAST HWY E, A
Description: COMM TI "THE FILE GROUP" 1342 SF
Owner: GARY SAUTER
Address : 735 CAMEO HIGHLANDS DR
CORONA DEL MAR. CA 92625
Phone
Applicant: KRISTIN DREWS GAUDIO
Address: 5255E APPIAN WAY
LONG BEACH, CA 90803
Phone : (949) 689-1373
Owner/Builder :
Address:
Phone
Code Edition:
Type of Construction
Occupancy Groups: B
Bldg Height:
Building Setbacks:
Flood Zone:
Use Zone :
PROCESSED BY
Legal Desc : P BK 57 PG 20 PAR 2
Contractor: HOBSON HOMES
Address : 6462 ACACIA LN
YORBA LINDA, CA 92886
Phone: (714) 225-6365
Con State Lic: 930528
Lic Expire: 10/31/2024
Bus Lie: BT30045866
Bus Lic Expire : 01/31/2024
Workers' Compensation Insurance
Carrier: INSURANCE COMPANY OF THE WEST
Policy No: WSD505598802
W. C. Expire : 6/14/2023
AVv C Fire Sprinklers :
Qf�vaPire Hazard Zone
No of Units :
No of'Stories :
f
X/c/�,
CC - Commercial Corridor
Architect :
KRISTIN DREWS GAUDIO
Address :
5255 E APPIAN WAY LONG BEACH, CA
90803
Phone :
(949) 689-1373
State Lic :
C035634
Engineer:
Address
Phone:
Designer:
Address
Phone:
NO Construction Valuation : $65,000.00
NO Added/New/TI sq. ft. Bldg : 0
0 Alteration sq. ft. Bldg :
1 Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
No", k=
SPECIAL CONDITIONS: o
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 hems)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prim toits issuance, also requires the applicant for
is 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 Ave hundred dollars ($500).
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,
iusiness 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 H was not built or
nproved 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
ly to an owner of property who builds or Improvesthereon, 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:
iy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior Io completion of the improvements coveted by this permit, I. cannot legally
ell 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 the applicable 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:thv".teginfo.ca.govlcalaw.html.
signature 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&(Cornrnencing wRh Section 7000)of 3, the IS and Profs fo -ode, and my license is in full force
nd effect. License Class License No Date. ? Contractor Signal
PORKERS' COMPENSATION DECLARATION
EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROMOED FOR IN SECTION 3706 OF THE LABOR COOS, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
�1
J I have and will maintain a certificate of consent to sell insure for workers' Compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
911krmance of the work for 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 and policy number are:
Policy Number
Tie of Agent Phone #
Date
certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
t, If I should become subject to the ,woo(ens/comp- aitan provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p
nature of Applicant Do O __
CLARATION REGARDIRGI b�NS�' 6FUCTION LENDING AGENCY
Ireby affirm under penaltyof perjurlgfthat them is a construction lending agency for the performance of the work for which this permit 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 provided is correct.
I agree to Comply with all applicable city and county ordinances and slate laws relating to building construction.
I authorize representatives of this city or county o epy7i�ri,'e above -identified property for inspection purposes. 1 L
nature of Property Owner or Authorized Aaenv ? V / Print ProoeM Owner's or Authorized Agent's Name . V li C ql V Data
PERMIT EXTENDED
CERTIFICATE OF
OCCUPANCYISSUED
OF TITLE 40 AND AQMD RULE
DEMOLITION
APPLICABLE TO
FOR OFFICE USE ONLY