HomeMy WebLinkAboutF2023-0321 - Permits�EWPp?T
City of Newport Beach
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II COMB Permit: F2023-0321
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Community Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No : PC2023-1560
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Permit Counter Phone ' (949) 71B-1888
Issued Dale : OBNO/2023
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newportbeachca.gov/civic
Final Date:
Combination Type -
Permit Status: Issued
Work Class - Tenant Improvement
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 : 660 NEWPORT CENTER DR, 2ND FL Legal Desc : P BK 295 P 3 PA 6 P.M. 295-33 PAR 6 POR OF PAR
Description: COMM FIRE ALARM TI WITH 3 DEVICES AT 2ND FLOOR LOBBY C 3-0238)
Owner:
THE IRVINE CO
Contractor:
ESPLANADE BUILDERS INC
Architect
Address :
500 NEWPORT CENTER DR
Address :
23820 HAWTHORNE BLVD
Address
NEWPORT BEACH, CA 92658
TORRANCE, CA 90505
Phone :
(949) 720-2400
Phone :
(310) 783-7664
Phone
Con State Lic
: 831964
State Lic
Lic Expire :
02/29/2024
Applicant:
MARK YAM
Bus Lic :
BT30045862
Engineer
Address :
392 N N LEMAY CT
Bus Lic Expire: 01/31/2024
Address
ORANGE, CA 92867
Phone : (626) 757-2320
Owner/Builder :
Address :
Phone
Workers' Compensation Insurance
Carrier: ZURICH AMERICAN INS CO
Policy No : WC38046700
W. C. Expire: 1/1/2024
Code Edition : 2022
Fire Sprinklers :
YES
Type of Construction : I -A
Fire Hazard Zone :
NO
Occupancy Groups : B
No of Units :
0
Bldg Height :
No of Stories :
16
Building Setbacks :
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY: cl
&1VjX9 F_1198Zi1� I a] 11111[QP R3
Phone:
Designer: BUILDING ELECTRONI CONTROLS' ,
Address: 2246 LINDSAY WAY
GLENDORA, CA 91740'
Phone : (909) 305-1600
Construction Valuation : $2,061.00—
Added/New/Ti sq. ft. Bldg : 0 ,
Alteration sq. ft. Bldg
Added/New sq. ft, Garage: 0
TOTAL sq. ft. : 0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt freer the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
(Section 70315. 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
the permit to file a signed statement that 110 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
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 703L5 by any applicant fora 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 U portions of the work; and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: the ContractorsState 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 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
improved 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
apply 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),
El I am exempt from licensure under the Contractors' State License Law for the following reason
By 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 legall
sell a structure that I have built as an owmor-builder if It has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable I Section 7044 of the Businoss and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govJcalaw.html,
Signature of Property Owner or Authorized Agent'._.—_.��.,.-- ____ Date _
;LICENSED CONTRACTOR'S DECLARATION
iI hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se 'on 0) 9 Ip io 3 of the Buslnes rid Pr a Si L ,Code, nd m tic§ a is In f 11 farce
and effect. License Class License No �{ Contractor Ig to
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNORED H Section
DOLLARS ($100,0001. tN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37069E THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES_
I hereby affirm under penalty of perjury one of the following declarations:
I have and cbdl manri ain 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
urf rmaoce of the work for which this permit is issued. Policy No.
,a and will ma -am 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
I nee carrier and policy number are:
ter Policy Number Expiration Date
N Iran or Agent Phone ft
IS certify that, in Lw p� ormance of the work to w1y,'i h this permit is issued.. shall not. employ any person in any manner so as to become subject to the workers' ompensation laws of California, and agre
that if I s'•ould b :rrsubject to the workers' c mp t sahon pr is ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
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I hereby affirm undo p r,. try 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).
j Lrnder s "Jame _ _� Lenders Address
By my signature Plow, I certify to each of the following:
I am the property owner or authorized to act on to property oi behalf.
I have read this application and the information ave provided' c rrecl.
I agree to comply with all applicable ciity and only ordinances anQ late laws relating to building. construction. .�
I authorize representatives of this city or nt. o enter fhe ab vBfl ntifed: roperrh to inspection purposes.
Si nature of Propen Owner or Authorize nl LA i Pro ert Owner's or Authorized nI'S Nar ) e
ACTION DATE f BY I DECLARATION OF COMPLIANCE. WITH CODF.Or FEDERAL FOR OFFICE USE ONLY
REG'LI ATIONS PART 61 OF TITLE: 40 AND AQMD RULE
1403
PERMIT EXPIRED
I
I '1 LJ I SUBMITTED ASBESTOS NOTIFICATION TO
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PEAM(T CANCELLED
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FERMIT EXTENDED
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