HomeMy WebLinkAboutXC2022-1965 - Permits�EwaoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XC2U22-� 9s5
0� d Community Development Department -Building Division X C 2 0 2 2 1 9 6 5
F a 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2352
Permit Counter Phone: (949) 718-1888 Issued Date : 05/17/2023
c « r newportbeachca.gov/civic Inspection Area : 7
Combination Type - ELEC PLUM
Work Class - Tenant Improvement
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DAT
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AR
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Job Address
: 201 COAST HWY E Legal Desc :
Description:
COMM- SITE IMPROVEMENTS TO PROVIDE PEDESTRIAN ACCESS TO PROPOSED PUBLIC DOCKS
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Owner:
IRVINE COMPANY LLC Contractor: CUESTA CONSTRUCTION CO Architect
Address :
111 INNOVATION DR Address : 3195A AIRPORT LOOP DR Address
IRVINE, CA 92617
Phone: (949)720-3100
Applicant:
BEUCHAT BRADLEY CHARLES
Address:
38 TECHNOLOGY DRIVE STE 100
IRVINE, CA 92618
Phone:
(949)923-6257
Owner/Builder
:
Address :
Phone
COSTA MESA, CA 92626
Phone:
(714)557-5877
Con State Lic
: 568466
Lic Expire :
05/31/2025
Bus Lic :
BT20012806
Bus Lic Expire : 12/31/2023
Workers' Compensation Insurance
Carrier: INS CO OF THE WEST
Policy No : WVE503883004
W. C. Expire : 12/31/2023
Code Edition :
2019 Fire Sprinklers :
Type of Construction :
Fire Hazard Zone
Occupancy Groups :
U No of Units :
Bldg Height:
No of Stories
Building Setbacks
Flood Zone :
AE, 8 FT; X; X
Use Zone:
CM - Commercial Recreational and Marine
PROCESSED BY
SPECIAL CONDITIONS:
Phone:
State Lic
Engineer: BEUCHAT BRADLEY CHARLES
Address: 38 TECHNOLOGY DRIVE STE 100
IRVINE, CA 92618
Phone: (949)923-6257
Designer
Address
Phone:
NO Construction Valuation :
NO Added/New/Ti sq. ft. Bldg
0 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. :
OWNER -BUILDER DECLARATION
t hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Rem(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 oppltcunt for
the permit to file a signed statement that ho 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 end
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 fora permit subjects the applicant to 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 (_) 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 year of completion. the Owner -Builder will have the burden of proving that It was no( buiil 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
rapply 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),
L�J 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 legal];
sell a structure [hat I have built as an ownor-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
Professions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginto.ca.gov/calaw.titml.
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 7 0 j Divi on 3 of the Business and Prof ode, and my license is In full force
and effect. License Class License No Date 1� Contrador Signature'
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES AND CIVIL FINES UP TO ONE HUNDRED T ANO DOLLARS (St D0,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TO6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
❑We
yq�a,, abd will malntam a cdrlilieake df consent to self -insure for workers' compenselicn, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih
drlce of the work for which This parrnit Is issued. Policy No.
land 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' compensatiol
insurance carrier and policy number are:
Policy Number
of Agent
Date
11 Certify that, in the performance of L fk 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 California, and agre
tat, if I should become bject tot�RON
ensation provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions.
ignalure of Applican Cat
ECLARATION RED pl ON NDING AGENCY
hereby affirm under p3�alty of pe ; ry that there is a construction lending agency for the performance of the work for which this penult is issued (Section 3097,' Iv Code).
enr pf'-, Fame Lender's Address
y my signature below,. I certify to each of the following:
am the property owner or authorized to act on the property owner's behalf.
I li vo read this application and the information I have provided is correct.
, agree to cen,ph .4Ll, all applicable city and cour)ty ordinances and state laws relating to building construction. r
I aLt lofize representatives of this city or couptty }roe er above -identified property for inspection purposes. /y �%) q In j'�� I I, / I I�
Iona,Lu,. of PTOpurh Owner or Authorized Aoen � Print Property Owner's or Authorized Agent's Name X I (�, i (1 f li( ate
ALliuN DATE BY Dr ffRA7EON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RFGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1 1403
PER.L:7-C;: PIRfD ( ISUBMITTEDASRFSTOSNOTIFICATIONTO
PERMIT EXTENDED
PERNRTFINAL �" IAIASBESTQQ5 ��OTIFI ONISNOTAPPUCA8LE TO
CERTIFICATE OF �5 1 pROPO5E0�IgFyMO t PI
OCCUPANCY ISSUED SIGNATUR ,•