HomeMy WebLinkAboutXC2023-0090 - PermitstWP�gT
City of Newport Beach
Community Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: 949 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - MECH
Work Class - Other
IIIIIII��IIIIIIIIIII�IIIIIIIII II COMB Permit : XC2023-0090
Plan Check No : PC2022-2553
Issued Date : 03/24/2023
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, A150 Legal Desc : P BK 221 PG 30 PAR 2 PM 221-30 PAR 2 (LLA 09-0150477 PAR 2 P OR OF
Description : DELTA 5 AND 6 TO INCLUDE RELOCATION OF TYPE 1 GREASE EXHAUST DUCT *ADDITIONAL SCOPE* RER11OUTE DUCTS FOR EXISTING GREASE
EXHAUST ON FIRST FLOOR (REV2023-0462)
Owner: IRVINE COMPANY LLC
Address : 111 INNOVATION DR
IRVINE, CA 92617
Phone : (949) 720-3100
Applicant: CARRIEWRIGHT
Address: 17800 Mitchell N
Irvine, CA 92614
Phone : (949) 683-3984
Owner/Builder :
Address :
Contractor : Alta Contracting
Address : 369 E. BLAINE STREET
CORONA, CA 92879
Phone:
(714) 380-9233
Con State Lic
: 742360
Lic Expire :
11/30/2023
Bus Lic :
BT01020983
Bus Lic Expire : 01/31/2024
Workers' Compensation Insurance
Carrier: CYPRESS INS. CO
Policy No : ALWC347983
W. C. Expire : 6/24/2023
Architect :
AMY BAGLEY
Address :
17800 MITCHELL NORTH IRVINE, CA
92614
Phone :
(714) 299-5957
State Lic
Engineer: SCHROEDERMARK
Address: 16969 VON KARMAN #240
IRVINE, CA 92606
Phone: (949) 474-0502
Designer
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers :
YES
Construction Valuation : $10,000.00
Type of Construction : III -A
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : M,B
No of Units :
0
Alteration sq. ft. Bldg :
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: a"s
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the COTIFI ClOrS' 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
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or C_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Justness 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 arenot 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
n roved 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
ply to an owner of property who builds or Improves thereon, and who contracts for the p€ojectswith a licensed Contractor pursuant to the Contractors' Stale License Law).
I am exempt from licensors under the Contractors' Slate License Law for the following reason: _____,_„__,_.,,,�__
y my signature below Iacknowledge 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 legal1)
ell a structure that I have builtas an owner -builder if it has not been constructed In its entirety by licensed contractors. I understand that a copy of the applicable law, $action 7044 of the Business and
'rofessions Code, is available upon request when this application issubmitted or at the following Web site:http:/Iw .leginfo.ca.gov/calaw.html.
ignature of Properly 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 700Q] of Divr24�f the Business and Professions Code, and my license is in full force
ad effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PONES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the fallowing declarations:
] I have and will maintain a certificate 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
erformance of the workfor which this permit's 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'
carrier and policy number are:
Policy Number
of Agent Phone N
Date
certify that. in the performance of the work for which this permit is issued, I she not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
if I shouldbecome subject to the workers' compens4lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of Applicant - Date_(
UL Huk I IUN HtUANUIINU LuLi I NUU I IUN LCNUING AUCINGY
?reby 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).
lder's Name Lender's Address
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 :o comD,y with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county - (
to�enter rtthe above -identified property for inspection purposes. �
,eture of Prupert{ Owner or Authorized Agent //� Print Property Owner's or Authorized Agent's Name —1rr-CL6 i� 7,f?
ACTION —� DATE. BY f DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
i REGULATIONS PART BI OFTITLE40AND AQMD RULE
_ 1403
°ERh:IJEXPIREO jLJ I SURIAMFDASaFSTOS NOTIFICATION TO
PERK 1T EXTENDED_ _ QAQM.D
PERMITFINAC o/' $ ASBEST05 NOTIFICATION IS NOTAPPUCABLE TO
CERTGI NCYISS j PROPOSED DEMOl1Tl0?
OCCUPANCYISSJEO SIGNATURE:
3