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Home My WebLink AboutXC2022-2012 - Permits�EWPORT City of Newport Beach IIIIIII IIIIIIIIIIIIIIIIIIIIIIIII II Dk Community Development Department- Building Division X C 2 9 2 2 2 a 1 2 100 Civic Center Drive, Newport Beach, CA 02660 ,= Permit Counter Phone: (949) 644-3288 ar Inspection Requests Phone: (949) 644-3255 �G�cO pN�P newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement COMB Permit XC2U22-2U12 Plan Check No: PC2022-2553 Issued Date : 12/19/2022 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: 401 NEWPORT CENTER DR, A224A Legal Desc : P BK 221 PG 30 PAR 2 PM 221-30 PAR 2 (LLA 09-0150477 PAR 2 P OR OF Description : COMM TI - SPEC SUITE 15982 SF Owner: IRVINE COMPANY LLC Contractor: ALTA CONTRACTING Architect : AMY BAGLEY Address : 111 INNOVATION DR Address : 369 E. BLAINE STREET Address : 17800 MITCHELL NORTH IRVINE, CA IRVINE, CA 92617 CORONA, CA 92879 92614 Phone: (949)720-3100 Phone: (951)393-6950 Phone: (714)299-5957 Con State Lic : 742360 State Lic Lic Expire : 11/30/2023 Applicant: CARRIE WRIGHT Bus Lic: BT01020983 Engineer: Address : 17800 Mitchell N Bus Lic Expire : 01/31/2023 Address Irvine, CA 92614 Phone: (949) 683-3984 Workers' Compensation Insurance Phone: Carrier: CYPRESS INS. CO Owner/Builder : Policy No: ALWC347983 Designer: Address : W. C. Expire: 6/24/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $100,000.00 Type of Construction : III -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : M No of Units : 0 Alteration sq. ft. Bldg : 15,982 Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X °-A !r'— T S Use Zone : PC - North Newport Center 1 lip �. l PROCESSED BY: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby affirm under penally 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, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is 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 licensers and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500), 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work; and the structure is not Intended or offered for sale (Section 7044, lUSiness 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 -Builder will have the burden of proving that It was not buitt or nproved for the purpose of sale). 3 1, 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), 3 1 am exempt from licensure under the Contractors' State License Law for the following reason: _ ly 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 legall, all a structure that I have built as an ownar-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 'rofesectis Code., is available upon request when this application is submitted or at the following IA+eb site:http:llw .leginfo.ca.,gov/calav+.html, lignature of Property Owner or Authorized Agent Date _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) o Di ision 3of the Business and Profs Ions Code, and my license is In full force nd effect. License Class License.No Dat L I 1L Contractor Signs, � VORKERS' COMPENSATION DECLARATION v 1 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 ISID0,0001, IN ADDITION TO THE GIST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of per}ury one of the following declarations: 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 Code, for ormance of the work for which this permit is issued. Policy No. 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' carder and policy number are: Policy Number of Agent Date It 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 agre rat, if I should become subject to the work ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignafure of Applicant _1�1 s �D e 11.-� I q IECLARATION REGAROI G ONSTRUCTION LENDING AGENCY der hereby affirm unpens of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 'vil Code). enders Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act 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 ordinances and state caws relating to building. construction. I authorize representatives of this city or county ty anter the above -identified property for inspection purposes, ionature of Prooer v Owner or Authorized Aaentl,/ Print Prooeriv Owner's or AUtherizad Anent's Nam. O'L+ nata 12I ACTION I DATE I BY / REGULATIONS PARTDECLARATION OF 0MPLIANCE WITH CODE OF 6,1 OF TITLE 40 AND AQMD RULE AL FOR OFFICE USE ONLY I SUBMITTED ASBESTOS NOTIFICATION PERMITCANCELLE(t l_--rU-IEPA _ PERMiFEXI'£NOEO — I LJAQMO PENb1fT FINAL � L - r'I-Z ,,—j1 7 4 `BESTOS NOTIFICATION IS NOT APPLICABLE TO CER7fTiCATF OF I PROPOSEODEMOLMONN OCCUPANCY I,SUCD SIGNATURET ii +�i