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Home My WebLink AboutXC2022-2095 - PermitsCity of Newport Beach ��eWpoRr 0 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic cq�/F00.N�P Combination Type - ELEC MECH Work Class - Other t" r 111111111111111111111111111111111111111111111111111111111JillCOMB Permit: XC2022-2095 Plan Check No : PC2022-3055 Issued Date : 06/06/2023 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 Description: COOLING TOWER REPLACEMENT Owner: IRVINE COMPANY LLC Address : 111 INNOVATION DR IRVINE, CA 92617 Phone : (949) 720-3100 Applicant: JAMES BRECK Address: 3187 AIRWAY AVE., C COSTA MESA, CA 92626 Phone : (949) 368-3003 Owner/Builder : Address : Phone Legal Desc : P BK 221 PG 30 PAR 2 PM 221-30 PAR 2 (LLA 09-0150477 PAR 2 P OR OF Contractor: RACE COOLING Address : 12871 WESTERN AVE, E GARDEN GROVE, CA 92841 Phone: (714) 895-3488 Con State Lic : 1074577 Lic Expire: 04/30/2025 Bus Lic: BT30079936 Bus Lic Expire : 10/31/2023 Workers' Compensation Insurance Carrier: AMERICAN CASUALTY COMPANY OF READING PA Policy No : 7036504171 W. C. Expire : 12/27/2023 Code Edition : 2019 Fire Sprinklers : YES Type of Construction : III-B Fire Hazard Zone : NO Occupancy Groups : M,U No of Units : 0 Bldg Height: No of Stories : Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: I2�3 SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: SCHROEDER MARK Address : 16969 VON KARMAN #240 IRVINE, CA 92606 Phone : (949) 474-0502 Designer: PBS ENGINEERING Address: 3187 AIRWAY AVE, C COSTA MESA, CA 92626 Phone: (626)650-0350 Construction Valuation : $400,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) ction 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 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 fessfens 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 for a permit subjects the applicant to a civil penalty of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, aness 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 Pavements 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 roved for the purpose of sate). 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 dy 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 Lew). -1 f am exempt from licensure under the Contractors' Slate 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 If ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the 'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http://www."info.ca.govlcalaw.htmi. Rgnature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION law, Section Date and hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, ang4ny license is in full force nd effect. License Class License No Date Y 6, 6s 207 i Contractor Sionature Y— z �+ COMPENSATION DECLARATION ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUaAND DOLLARS ($100,000), IN ADDITION TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN. BECTION $706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury 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. have 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' compensa Trance carrier and policy number are: Policy Number Expiration Date of Agent Phone # _ certify that, inthe performance of the work for which this permit is issued, I shalt not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agret , if I should become subject to the workers' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iature of Appkca IV " _ y Date / \ .-�•2-9 - Neby 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). idlers Name Lenders Address my signature below, 1 certify to each of the following: I am the property owner or authorized to acton the property owner's behalf. I have read this application and the Information t have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or County tp enter the abovintified property for inspection purposes. v A^TION I DATE FcMNIIT UPIREO PPRMrT gXTfNDED ' _, _ PrrtitT iINAL C`PPF'('4TE Of REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 SUBMITTED ASBESTOS NOTIFICATION TO PROPOSED NOTIFICATION IS NOT APPLICABLE TO FOR OFFICE USE ONLY 0