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Home My WebLink AboutXC2023-0104 - PermitsaEWP�z , City of Newport Beach p A 9+ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 F ? Permit Counter Phone: (949) 718-1888 ca".oaN`'r newportbeachca.gov/civic Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement X C 2 0 2 3 0 1 0 4II COMB Permit : XC2023-0104 Plan Check No : PC2023-0772 Issued Date : 09/06/2023 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 : 1220 BISON AVE, A5/A6 Legal Desc : N TR 12309 BLK LOT 6 Description : COMM TI 'PILATES PLUS OC" CHANGE OF USE 2400 SF Owner: IRVINE CO Contractor: CULVER B J CONSTRUCTION INC Address: 111 INNOVATION Address : 9461 HUGHES DR IRVINE, CA 92618 CORONA, CA 92883 Phone: (949)720-3100 Phone: (714)225-7866 Con State Lic : 755479 Lic Expire : 07/31/2024 Applicant: RAND KRUSE Bus Lic : BT30063517 Address : 3419 Via Lido Suite 225, Suite 225 Bus Lic Expire : 06/30/2024 Newport Beach, CA 92663 Phone: (949) 500-9416 Workers' Compensation Insurance Carrier: STATE COMP Owner/Builder : Policy No : 3000156 Address : W. C. Expire : 2/1/2024 Architect: BELAIR SCOTT Address: 505 S OHIO ST ANAHEIM, CA 92805 Phone: (714)774-5605 State Lic Engineer Address Phone: Designer Address Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $150,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 - Occupancy Groups : M,B No of Units : 0 Alteration sq. ft. Bldg : 2,400 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 Ford PROCESSED BY SPECIAL CONDITIONS: UVVNtK-IdLu LLIGK UmI iIH11i rvn I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkrnark(s) I have placed next to the applicable items secllon 7031.5. Business and Professions Code: Any city or county that requires a permit to conslaict, alter, improve, demolish, or repair any structure, prior to its 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 professions Cade) 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 licit more than five hundred dollars ($500). J I, as owner of the property, or my 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, P. 3usiness and Professions Code: The ContractorsSinte License Law does not apply to an owner of property who, through employees' or personal effort. builds or improves the property, provided that th mprovements are not Intended or offered for sale. If, however, the building orimprovement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or reproved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, 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 Her exernpl from licensure under the uw traclofS' Stale License Law for the following reason ....__ ..... _____. .._........._ — .... —___ -- --------'---'-- sy my signatuna 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 ;ell a structure that I have built as an owner -builder if it hat, 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:tiwww.leginfo.ca.govlcalaw.html Signature of Property Owner or Authorized AgentDate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing With Section 0 Oj f lvi ion 3 of the Business and P fessions Co and my license is in full force and effect. License Class License No Date Contractor Signatu WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS uNLAwruL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDFIfitTHOUSAND DOLLARS 1$100.0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV's FEES_ I hereby affirm under penalty of perjury one of the following declarations_ El 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 Cade, for th rgq�oo(rj ormance of the work for which this permit is issued. Policy No. l.(�I`heva and 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 '.MMsuoance carrier and policy number are: Policy Number Date ne of Agent 1V16 Certify I should becomperformance subAct t titof he win work forwhich this permit m de salion provisions of Sections issued, I not Ithe Labor Code,loy any person ln any manner so as to become l hall forthwith comply with hose plod tD the workers' co ensa{ion laws of California, and afire Pyo Cam✓ ` P P revisions. nature of Applicant _ Date �� --.._.____ DLARAT€ON REGAR I C STRUCTION LENDING AGENCY ireby affirm under penalty pelpury that there Is a Construction lending agency for the performance of the wok for which this permit is issued (Section 3097, Ci 'Code). Kier's Name _ Lender's Address my signature below, I certify to each of the following: I ern the property owner or authorized to act on tire properly owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applCabe wily and county prdinances and state laws relating to building construction. I authorize representatives of this city or county its-th-i ocv identified property for inspection purposes. Z ( Date /it /�c� jjyj/ z nature of Property Owner or Authohzed Agent 11 l Print Property Owner's or Authorized Agent's Name I✓ J ✓ ! —' i---- ----- DATE BY RATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY '.. RFGUrATIONS PART 61 OF TITI.E 40 AND ADN10 RULE PERMIT EXPIRED l €'I S'.JBNIITTED ASBESTOS NOTIFICATION TO ..._. .-.-. .�_ a ........ :... __....... ..__. — ,... PEAM(T CANCELLED_. L EPA „ -_..... . _.. tit ...._ ._.._ .... .._ ..-... P€R1Y11T EXTENDED I r� 'r Io4M ... .....� __ I yy ....__._._ ._.__. .__ FCRM17 FfNA1 ��{J ASBEST tIHCArION 15N APPUCAHLE i0 CERTIFICATE Of , PRO OSF.D D ✓�01 IT OCCUPANCY I5SOCO I SIGNATURE; o�?FWPORT� City of Newport Beach II IIII I I II I III II III I (I II II Permit: XC2023-0104 :1Civic S Newport Reacher Drive, Plan Check: PC2023-0772 -- Certificate of Occupancy THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING CONSTRUCTION OR USE. Owner: IRVINE CO Code Year Edition: 2022 Address: 1220 BISON AVE, A5/A6, NEWPORT BEACH, CA 92660 Number of Stories: 1 Tenant: Construction Type: V-B Use Zone: PC - North Ford Occupancy: B Description of Work: COMM TI "PILATES PLUS OC" CHANGE OF USE 2400 SF Total Occupant Load: 48 Special Conditions: Fire Sprinklered: YES Chief Building Official: Tonee Thai, PE, CASp, CBO Signaturey'0620;�---Z--� Date: 3/29/2024