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Home My WebLink AboutXC2023-0447 - PermitsSEW Pp�T City of Newport Beach comb Permit XC2023-0447 6 Community Development Department -Building Division x C 2 9 2 3 0 4 4 7 A y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2673 Permit Counter Phone: (949) 718-18BB Issued Date : 12/1912023 u o- newportbeachca.gov/civic 0 p Final Date: c9G/FO H"�P Combination Type - ELEC MECH PLUM �' "" �"'^-`*^ .^�, Permit Status: Issued Work Class - Tenant Improvement k 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: 221 NEWPORT CENTER DR Description : COMM TI FOR "VINCE." 2,317 SF Owner: IRVINE COMPANY Address : 110 INNOVATION DRIVE IRVINE, CA 92617 Phone : (949) 720-2000 Applicant: CARRIE WRIGHT Address : 17800 MITCHELL N IRVINE, CA 92614 Phone : (949) 683-3984 Owner/Builder : Address : Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 POR OF PAR Contractor: SERVCO INC Address : 18009 SKY PARK #E IRVINE, CA 92614 Phone : (949) 955-2300 Con State Lie : 937164 Lie Expire : 08/31/2025 Bus Lie: BT30059160 Bus Lie Expire : 07/31/2024 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No : WSA506802601 W. C. Expire : 10/20/2024 Architect : TRICARICO NICHOLAS Address : 500 VALLEY RD WAYNE, NJ 07470 Phone : (973) 692-0222 State Lie: C015102 Engineer Address Phone: Designer: Address : Phone: Phone Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $200,000.00 Type of Construction : III-B Fire Hazard Zone : NO Added/NewITI sq. ft. Bldg: 0 Occupancy Groups : M No of Units : 0 Alteration sq. ft. Bldg : 2,317 Bldg Height: No of Stories: 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: R!S SPECIAL CONDITIONS: HAULER: ROBERT'S WASTE OWNER -BUILDER DECLARATION l hereby affirm under penalty of perjury that I am exempt from the Contractors' State License. Law for the reason(s) indicated below by the checkreark(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 io As issuance, also requires the applicant for :he 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 orofessions Code) or that he or she is exempt from licensers. 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, 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, 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 not built or improved for the purpose of sale). 0 I, as ownar 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from licensure under the Contractors' Stale License Law for the following reason By my signaILI no below I acknowledge that, except for my persanat residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I.cannoI leg a lit Coll a structure that I have builtas an owner -builder if it has not been constructed in its entirely by licensDif contractors, I understandthat 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://www.leginfo.ce.govJcalaw,b,ml 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 70 f at 3 of the Business and Pr s Co Icons ' n full force and effect. License Class License No Date Contractor Signalu WORKERS' COMPENSATION DECLARATION NARNING: 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 16100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: :3 1 have and will maintain a cedilicate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th perfol;mr ce of the work for which [his 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' ranee carrier and policy number are: Policy Number Date me of Agent _ Phone H 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 California, and afire t, if I should C. o vs. erisahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions c nature of Ap II Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby 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). ider's Name _ _ Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to sot 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 city and county ordin cos and ws relating to building construction. ^ / 1 y I authorize-epresentatives of this city' or er the a�ov ifled pro rty for inspection purposes. 1 > 11 1 .�1 ��\ �G nature of PIODerty Owner or Authorized AGent. Print Property Owner's or Authorized ADN ent's ame \ Date 14 ACTION DATE BY DECLARATION OF COMPLIANCE WIT14 CODE OF FEDERAL FOR OFFICE USE ONLY {[ REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERfGT EXPIRED I SUBMITTED ASBEST05 Noil FICATION TO F RMt TCA6CECCED [PA PERrvf, r EXTENDS: D PrFINIf FINAL 3�21•%� 8E51OS N; 15 NOT APPLICABLE to ,1fth ,GATE Of PROPO ITION �CCLFArJCY ISSUE4 SROPO UR