HomeMy WebLinkAboutXC2023-0092 - 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) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - ELEC MECH PLUM
Work Class - Other
COMB Permit: XC2023-0092
X C 2 0 2 3 0����������������� II
Plan Check No : 1036-2022
Issued Date : 03/27/2023
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: 1501 WESTCLIFF DR Legal Desc : N TR 4225 BILK LOT 8 TR 4225 LOT 8 POR OF LOT (PAR 1 OF 7529/ 474 O.R.)
Description: COMM TI - CHG IN USE -OFFICE TO RESTAURANT 3584 SF (INTERIOR) 1184 SF (PATIO)'JULIETTE' *CHANGE OF CONTRACTOR*
Owner: WESTCLIFF PROPERTIES LLC
Address : 1600 DOVE ST STE480
NEWPORT BEACH, CA 92660
Phone
Applicant : Irene Perez
Address : 3195 Airport Loop Drive, B
Costa Mesa, CA 92626
Phone : (714) 261-5094
Owner/Builder :
Address :
Phone
Contractor: CHESTER H WARD
Address : 17795 SKY PARK CIR, STE A
IRVINE, CA 92614
Phone : (949) 290-2033
Con State Lic :
683325
Lic Expire :
12131/2024
Bus Lic:
BT30081086
Bus Lic Expire :
03/31/2024
Workers' Compensation Insurance
Carrier: NO EMPLOYEES
Policy No : EXEMPT
W. C. Expire:
Code Edition : 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: MU-DW - Mixed -Use Dover/Westcliff
PROCESSED BY:
SPECIAL CONDITIONS: REPLACES X2022-1130
Architect :
ROBINSON MICHAEL D
Address :
3195-B AIRPORT LOOP DR COSTA
CA 92626
Phone :
(714) 825-8888
State Lic:
Engineer
Address
Phone:
Designer
Address
Phone :
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg : 0
0 Alteration sq. ft. Bldg :
Added/Newsq. 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 reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
'Section 7051-5, 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
Ie 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 licensure 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 ($500).
3 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044,
rusiness 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-Builderwill have the burden of proving that it was not built or
nproved for the purpose of sale).
7 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
pply 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 licensors 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 to completion of the improvements covered by this permit, I cannot legalll
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, isavailable upon request when this applicationis submitted or at the following Web site:http:/iww'w.teginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty that I am licensed under provisionsf fa 8.�(.;pp e g wdh Section 7000 Divis n f the Business and Professi e,. y Ice fs uIl farce
nd effect. License Class f' License No
Z Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
ARNING 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 ($100,0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR 7N SECTION 370E OF THE tASON CODE. INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
3 1 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 in
erformance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by $action 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers'
Fence carrier and policy number are:
Policy Number
of Agent
Date
ertify that, in the performance of the work for w h this permit Is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
, if I should become sub- he work s' compnen ion provlsl of Section 3700 of the Labor Code, I shall forthwith comply w1th those provisions,
ignature of Applicant `/ Data
ECLARATSON RI:G O NG CONSTRUCTION LENDING AGENCYc=��
hereby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit Is issued QSection 3097, Civil Cade).
ender's Name Lender's Address
y my signature below, I certify to each of the following: 1
I am the property owner or authorized to act on the properly owner's behalf. ( \Q I have read this application and the
he Information I have provided is correct.
I agree to comply with all applicable city and county ordinances a ilti,,state law relating to building construction.
I authorize representatives of this city or county tpspt lr the atIciviii-id6titifled pery, for inspection purposes.
Signature of Property Owner or Authorized Agent \1` V�rl '-L`. Pnnt Property Owner's or Authorized Agent's Name O Daten I
ACTION DATE: By ( DECLARATlONOF COMPLIANC WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART SS OFTFTLE40 AND AQMD RULE
11403
PERMIT EXP7RE [ SUBMITTED A513E5TO5 NOTIFICATION TO
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P€Ri✓r7J FX TENUEG QMD
PC TiFICANAI 7.z L G 8E5T05 NOT !CATION NOT P ABLE TO
OCCUPANCY
PROPOSED T N
OCCUPANCYISSUEF _ �_ _ SIGNATURE