HomeMy WebLinkAboutXC2023-0192 - PermitsCity of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone. (949) 718-1888
newportbeachca.gov/civic
Combination Type -
Work Class - Other
COMB Permit : XC2023-0192
Plan Check No : PC2023-1347
Issued Date : 1012512023
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 : 500-550 NEWPORT CENTER DR
Description: COMM - R/R TRUNCATED DOMES 262 SF
Owner: IRVINE CO
Address : 111 INNOVATION
IRVINE, CA 92618
Phone : (949) 720-3100
Applicant: BEU CHAT BRADLEY CHARLES
Address: 38 TECHNOLOGY DRIVE STE 100
IRVINE, CA 92618
Phone: (949)923-6257
Owner/Builder :
Address :
Legal Desc : P BK 387 PG 41 PAR 2
Contractor: CASCO CONTRACTORS INC
Address : 9850 IRVINE CENTER DR
IRVINE, CA 92618
Phone :
(949) 679-6880
Con State Lie
: 790706
Lie Expire :
01 /31 /2025
Bus Lie :
BT30041027
Bus Lie Expire : 10/31/2023
Workers' Compensation Insurance
Carrier: ZURICH AMERICAN INSURANCE COMPANY
Policy No : WC452503200
W. C. Expire : 1/1/2024
Architect
Address
Phone :
State Lie:
Engineer: BEU CHAT BRADLEY CHARLES
Address: 38 TECHNOLOGY DRIVE STE 100
IRVINE, CA 92618
Phone : (949) 923-6257
Designer
Address
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
$10,00.CC
Type of Construction :
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups :
U
No of Units :
0
Alteration sq. ft. Bldg :
262
Bldg Height:
No of Stories :
0
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks
Flood Zone :
X
Use Zone :
PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS:
I hereby afllrm under penalty of perjury III at'I am exempt from the Contractors' State License Law I'or the reasons) indica led below by the checknlark (s) I have placed next to the applicable items)
(Section 7031.5. Business ar)d 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 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
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
not more than five hundred dollars ($500).
❑ I, as owner of the property, army employees with wages as their sole compensation, will do L_) 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 or offered for sale. If, however, the building or improvement is sold within one yearof completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
I;❑ 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
!;❑ I am exempd from icensure 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 legalfl
ISell a structure that I have built as an owner-buildor If it has not been constructad In its entirety, by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code„ is available upon request when this application is submitted or at the following Web site:http:/Iv 'v.leginto.ca,govicalaw.html.
Signature of Property Owner or Authorized Agent _ Date
(LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Of D"svisfon 3 of the Business and Professions Code, and nitlicenseis In full force
and effect. License Class License No Date I('J ��� 73 Contractor Signature
!WORKERS' COMPENSATION DECLARATION
!WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), iN ADDITION TO THE
,COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES..
hereby affirm under penalty of perjury one of the following declarations,
I have and will maintain 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
�ance of the work for which this permit is issued. Policy No.
have and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers` compensa
trance carrier and policy number are:
Policy Number
of Agent
Date
certify 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 workers' compensation laws of Calffornia, and
, if I should become subject to the workers' compensation provisions c(S L^n-3700 of the Labor Code, I shall forthwith comply with those provisions.
of
hereby affirm under pe Laity 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).
enders Lame Lender's Address
y my sig.lalure It CA, I -.edify to each of the following:
I on, the property owner or authorG.ad to act on the property owner's behalf.
1 h3r:e read this application and the information I have provided Is correct.
I ague to comply wtl, all appbcable city and county ordinances and state laws relating to building construction.
I av'horize representatives of this city or county to enter the above -identified property for inspection purposes. _ -('A .1.
5'gn;a u-e of Prorart v Owner or Authorized
A:,'IJ;J' DATE
PE7'A'T CA IVCFt 1J,0
(—_......_.._.
PERA9IT EA7ENOED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGMA I"IONS PART 61 OF TITLF,10 AND AQNID RU .F
NOT (FICA i[ON 15 NOTAPPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY
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