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Home My WebLink AboutXC2023-0241 - PermitsCity of Newport Beach D4�E.wPoRr Community Development Department- Building Division t4• 100 Civic Center Drive, Newport Beach, CA 92660 tea.. = Permit Counter Phone: (949) 71B-1888 newportbeachca.gov/civic Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement COMB Permit : XC2023-0241 Plan Check No: PC2023-1578 Issued Date : 07/13/2023 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: 2800 COAST HWY W Legal Desc : N TR 919 BILK LOT F TR 919 LOT F SELY 129.15 FT SWLY 130 FT Description: COMM TI FOR (N) COOLER IN (E) STORAGE SPACE 100 SF Owner: YU MAU Address : 1100 KINGS RD NEWPORT BEACH, CA 92663 Phone: Applicant: MICHAELDOBSON Address: 4303 ROMA COURT MARINA DEL REY, CA 90292 Phone: (714)791-1745 Owner/Builder : Address : Phone: Contractor: MC LENDON CONSTRUCTION Address : 1811 7TH STREET, 11 SANTA MONICA, CA 90401 Phone: (310)392-7363 Con State Lic : 662103 Lic Expire : 12/31/2024 Bus Lic: BT30082129 Bus Lic Expire : 01/31/2024 Workers' Compensation Insurance Carrier: EXEMPT -NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Architect : RONALD EDWARDS HOWELL Address : P O BOX 661007 LOS ANGELES, CA 90066 Phone: (310)780-2782 State Lic : CO21122 Engineer Address Phone: Designer Address Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $7,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg: 0 Occupancy Groups : A-2,U No of Units : 0 Alteration sq. ft. Bldg: 100 Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks: - Flood Zone : X ' Use Zone: MU-MM - Mixed -Use Mariners' Mile PROCESSED BY SPECIAL CONDITIONS: LIQUEFACTION OWNER -BUILDER DECLARATION f 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 items) .(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 tire 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 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 not more than five hundred dollars ($500). 111, as owner of the property, or my 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, 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. IL however, the building or improvement is sold withinone 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 properly, 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). ❑ 1 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 legally sell 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 70" of the Business and Professions Cade, is available upon request when this application is submitted or at the following Web site:http:/Avww.teginfo.ca.gov/cslaw.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 (commenting with Section 7000) f DD;visi n of ha Business and Profes on my I on I o and effect. License Class License No Date onhactor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), iN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a cedifiC.ate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Corte, for IN performance of the work for which this permit is issued. Policy No, rl have and will maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for the performance of the Work for which this permit is issued. My workers' compensatior lsurance carrier and policy number are! 3arrier Policy Number Expiration Date ,4a(tna of Agent Phone N dP certify that, in the performer, f t for which this ermit s i ued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree hat, if I should become subject o t k pensatio provi ' s a e •lion 3700 of the Labor Code. I shall forthwith comply with those provisions. signature of Applicant Date )ECLARATION REGARDIN STRUCTION L ING AGENCY 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 (Section 3097. Civil Code). .enders Name Lender's Address _ 3y my signature oelow, I certify to each of the following: I am the property owner or authorized to acton the property owner's behall i have read'thiG application and the information t he provided is correct�li / ��^/�///�//l I aurae to repiey with all applicable ofthiscity yia and e if t r sand sea awn ing to building construction. slprucfon. h--�(�'f / authorize re. Iesenlalives of this ctt or count o e t r ve-iden ad r� p ctlon ur ones. /S� C/ Signature of PrODertv Owner or Authorized, ant rint Pro a Owner or Authorized ent's ame Date AC'I InN DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY S REGULATIONS PART 610E TITLE 40 AND AQMD RULE I. 1403 FThwm EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO FRMIT ANCEILFL) LJEPA _TENDED__ ___LLrtt--------IIIll"""'' PERMIT EX_ M D rERMIT FINAL ^ GS S9E5TO5 NOS/ CA I {JyQS NOT �APP CA E TO CERTIRCATEOF I [�1 ft POSED DEMQLIT,jfl��-r�/V ` OCCUPANCY ISSUED SIGNATURE: