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Home My WebLink AboutXC2023-0374 - PermitseWPORT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u =. Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic CgCIFp PH�P Combination Type - ELEC MECH Work Class - Other X C 2 0 2 3 0 3 7 4COMB Permit: XC2023-0374 Plan Check No : PC2023-2283 Issued Date : 09/1812023 Final Date: Permit Status: Issued 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 : 240 NEWPORT CENTER DR Legal Desc : P BK 36 PG 35 PAR 5 Description: COMM- R/R ROOF -TOP HVAC FAN & CONDENSER. R/R 2 100 AMP SUBPANELS Owner: 240 NEWPORT CENTER DRIVE ASSOC LP Address: 1100 NEWPORT CENTER DR STE200 NEWPORT BEACH, CA 92660 Phone: (949)760-9150 Applicant: PDC INC Address: 1010 S HATHAWAY ST UNIT C SANTA ANA, CA 92705 Phone: (714)664-0477 Owner/Builder : Address : Phone Contractor : PDC INC Address : 1010 S HATHAWAY ST UNIT C SANTA ANA, CA 92705 Phone: (714)664-0477 Con State Lic : 988559 Lic Expire : 11/30/2023 Bus Lic: BT30055261 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy No: UB7W351857 W. C. Expire: 5/29/2024 Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : B No of Units : Bldg Height : No of Stories Building Setbacks Flood Zone : X Use Zone: OR - Office —Regional PROCESSED PROCESSED BY: - ♦ J \ SPECIAL CONDITIONS Architect Address Phone: State Lic Engineer: TUAN VU Address: 15141 WOODLAWN AV TUSTIN, CA 92780 Phone: (657)231-6247 Designer Address Phone: NO Construction Valuation : NO Added/New/Ti sq. ft. Bldg 0 Alteration sq. ft. Bldg : 2 Added/New sq. ft. Garage TOTAL sq. ft. : $30,000.00 0 0 0 OWNER -BUILDER D I hereby afiim) under penally of perjury that I are exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ftere(s) iection 7031.5, Business and Professions Code: Arty 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 to permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and professions Code) or that he or she is exempt from ficensure 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 (S500). 1, as owner of the property, army employees with wages as their sole compensation, will do L all of or L) 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 ovmer 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 ContractorsState License Law does not poly 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 I am exempt from lwensure under the Contractors• Stele License Law for the following reason _ __— _..__ ......... ,y my signature below I acknowledge that, except for my personal residence in which I must have raslded for at least one year prior to completion of the Improvements covered by this permit, I cannot legal, ell a structure that I have hunt as an owner-buildor if it has not been constructed in its antiroty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and rofesslons Code., is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. .ignitum of Property Owner or Authorized Agent,, ............ — Date .ICENSED CONTRACTOR'S DECLARATION g - hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00)a Di vision 3 of the Business and P o , a my ease is In full force rid effect. License Class License No Date1 Contractor Signal VORKERS' COM..PENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (E100; 000), IN ADC RION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations, have and will maintain a certificate of consent. to self -insure for workers' compensation, issued by the UnGer of Industrial Relations as provided for by Section 3700 of the Labor Code, forth e rmance 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: is of Agent _ certify that, inthe perform if I should become su lalure of Applicant Policy Number Date for which thispermit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation taws of California, and agre Came 71111rovtsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. — --- — ----- — Via 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). Idler's Name _ Lender's 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, have read this application and the information I have provi corr�eotQ I agree to comply with all applicable city and coup Inanca • st laws relating building construction. I authorize representatives of this city or county t „enter t eve ed prporty for Inspection purposes. ACTION DATE 1 BY 1z `OFICIARATtON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED 'PI LJ I SUBMITTED ASBESTOS NOTIFICATION TO FFR�MiT CANCFCLF.D -.-. .-.._ FERivtiT EMENDED .�....... t ..._ i. LJAr�� QMD --. '-..... FERNP(T FIPIAL Z .....� .._._ .. _ ._. .._. __ ... ...... ........ 1_f A50E5/05 NOl INLFlTIUN IS NUl APPLICABLE 't0 CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED t SIGNATURE: