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Home My WebLink AboutXC2023-0478 - Permits"�WPoRr City of Newport Beach IIIIIIIIIIIII II IIII IIII IIIIIIIII III III III II COMB Permit: XC2023-0478 D @ Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2865 G Nam, S Permit Counter Phone: (949) 718-1888 Issued Date : 1211912023 a. newportbeachca.gov/civic Final Date: Cq�IFOFN�P Combination Type - ELEC MECH PLUM Permit Status: Issued Work Class - Tenant Improvement 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: 1101 QUAIL ST. C Legal Desc : P BK 156 PG 50 PAR 1 UN 1 P M 156-50 PAR 1 UNIT 1 Description: COMM Ti - "GILLIS + PANICHAPAN ARCHITECTS, INC" 2100 SF Owner: PANICHAPAN CAPITAL LLC Address : 5 STARLIGHT IRVINE, CA 92603 Phone Applicant: ROBERTMAGNANO Address : 23525 CAVANAUGH RD LAKE FOREST, CA 92630 Phone: (949)394-0569 Owner/Builder Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups: B Bldg Height : Building Setbacks Flood Zone : X Use Zone : PC- Newpor Place PROCESSED BY SPECIAL CONDITIONS: Contractor: ROBERT E MAGNANO INCORPORATED Architect: LONGKAVACH PANICHAPAN Address : 23525 CAVANAUGH Address : 2900 BRISTOL ST, G-205 COSTA LAKE FOREST, CA 92630 CA 92626 Phone: (949)581-6374 Phone: (714)668-4260 Con State Lic : 590032 State Lic : CO29344 Lic Expire: 02/29/2024 Bus Lic : BT30083230 Engineer Bus Lic Expire : 12/31/2024 Address Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 1657099 Designer: W. C. Expire : 9/1/2024 Address Phone: Fire Sprinklers : NO Construction Valuation : $92,000,d0 , ' Fire Hazard Zone : NO Added/New/Tl sq. ft. Bldg : 0 No of Units : 1 Alteration sq. ft. Bldg : No of Stories : 2 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 reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) 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 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 rrofessions Code) or that he or she is exempt from licensure and the basis for the alieged 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), 3 1, 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 or offered for sale (Section 7044, IUSInP.SS 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 mproved for the purpose of sale). D 1, 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 -'77poly 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). _.t I am exempt from licensure under the Coefractor9' Stale License Law for the following reason: ly 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 legal]) all a structure that I have built as an owner -builder if it has not been constructed in its ontirety by licomsod contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessiuns Code., is available upon request when this application is submitted or at lire following VVeb site:http:liww�a'.leginfo.ca.govlcalaw.html. signature of Property Owner or Authorized Agent _ Date JCENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec n 0 f Division 3 of the Business an ofessigrv,9 C ee. gd.i � e is In full force ,rid effect. License Class License D e Contractor Si na VORKERS' COMPENSATION DECLARATION Al FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UNDRED THOUSAND DOLLARS IS100.00N.IN ADDITION TO THE DST OF CDMPENS. JION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I have and will me,l 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 nrformance of ti rb work for which this permit is issued. Policy No. 14cve 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' compeo rance ca Ter and policy number are: a, lye Policy Number /&�_5%G �/r Expiration Date •s of Agent Phone # uehify that, in the performance 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 works compensation laws of California, and is I should become Jet t io the °wR ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Aoh i - t /.r vS1D/ /%/.�1`�I i� !.i( h4l q Ivlaoy affirm an jer osnaity of perjury that the1� is a construction lending agency for the performance of the work for which this permit Is issued (Section 3847, Civil Code). indar's Name Lender's Address I my signature below, I certify to each of the following: I am the property owner or authorized to Rot 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 crry and county ordinances and state laws relating to building. construction. I authorize representatives of this all or co y to ¢ or is sniffled property for inspection purposes. �/ anature of Prooery Owner or Authorize aril. / i ple 1��liP� Print Pronartv Owner's or Authnn> ent'c Name 0/ 6 l./_ DATE �� WY ; DECLARATION OF CKIPLIANCE WITH CODE OF FEDERAL { FOR OFFICE USE ONLY 3 REGULATIONS PART 6t OF TIT. P 40 AND AQNID RULE PERMIT EXPIRED i t—I I SUBMITTED ASBESTOS NOTIFICATION TO .._...............__ AM,EE.....—._._._ PERMIT CAh'CEtLED Wy��.._PAA__._...�__« UT PERMIT EXTENDED QMD PERW7TRNAL W~ Z-S-Z4 ! ; 5 ESTOSNOTIF.ICA(IONISNDIAPPLICABL£ 10 CERTIFICATE Of ' PR SED DEM I N OCCUPANCYISSUED SIGN E: I./'////i.4A A.. n