The URL can be used to link to this page

Home My WebLink AboutXC2024-0020 - Permits�EWPD,4T City of Newport Beach II IIII I IIII IIII I IIIIII IIIIIIII IIII II COMB Permit : XC2024-UU20 I Community Development Department- Building Division X C 2 0 2 4 0 0 2 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0103 > Z Permit Counter Phone: (949) 718-1888 Issued Date : 02/0112024 newportbeachca.gov/civic Final Date: cgtiFOR�"P Combination Type - ELEC MECH PLUM Permit Status: Issued Work Class - Tenant Improvement 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 : 320 SUPERIOR AVE, 290 & 295 Legal Desc : N TR 8737 BLK LOT 1 Description: COMM SPEC SUITE TI 1937 SF (STOPWORK 123-4366) Owner: NEWPORT MEDICAL ARTS BUILDING Contractor: SAN LUIS BUILDERS INC Architect Address : 23 CORPORATE PLAZA DR STE150 Address: 1422 E LEMON AVE Address: NEWPORT BEACH, CA 92660 DUARTE, CA 91008 Phone: Phone: (626)945-5725 Phone: Con State Lie : 556398 State Lie Lie Expire : 04/30/2025 Applicant: LORENZO LEDESMA Bus Lie: BT30083403 Engineer: Address : 1422 E LEMON AVE Bus Lie Expire : 01/31/2025 Address BRADYBUSRY, CA 91008 Phone: (626) 358-3717 Workers' Compensation Insurance Phone: Carrier: STATE FUND Owner/Builder : Policy No: 9238605 Designer: MEL FAJARDO Address : W. C. Expire: 11/4/2024 Address : 1106 W MAGNOLIA AVE BURBANK, CA 91506 Phone: Phone: (818) 859-7081 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $85,228.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : 1,937 Bldg Height : No of Stories : 3 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : OM - Office—Medical PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the eheckmark(s) I have placed next to the applicable items) (Section 7031.5. Business and Professions Code: Arty 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 the 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 licensure 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 not more than five hundred dollars ($500). I, as owner of the property, army employees with wages as their sole compensation, will do i_) all of or (_) 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 theburden of proving that it was not built or Improved for the purpose of sale). 0 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 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' State License Law for the following reason: _ By 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 legal], sell 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 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:llwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 7000) o isien 3 of the Business and Professions Cade, and my license is In full force and effect. License Class License No Date Di Z 7 Contractor Signature '--4 ' WORKERS' COMPENSATION DECLARATION ✓YARNING: 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 ($100,II00), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ]TO¢ 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 Ina 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 certify that, inthe 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 Callfomia, and agre , if I should become sublecl to the orkers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Appl_canl---4�---= _ _ _.� Date. L-4 amby 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). idar 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 to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the a{)y��ve-identified property for inspection purposes. :nature of Property Owner or Authorized Agent ..-L�� l / I — Print Prooertv Owner's or Authorized Acent's Name 4EFFlloz I ACTION I DATE 4 BY j DECLARATION ECLARA DONS PART COMPLIANCE A-OTH CODE OF RULE AL I FOR OFFICE USE ONLY PEAMITEYOnEP ! J L-IISUBMITTED ASBESTOS NOTIFICATION TO PERMIT C 1N�ELlEC -E-TC�JCPA PERMiT F%": ENDfD f uAt1M0 _ _ ___ PERNHT omilZ �(( MSWST;SNOYFICA'119NIS/ 01 APPLICAOLE to CEPTiFICAT'E OF �- PROPOSED DEMOLITI i OCCUPANCY ISSI IED _ __ I SIGNATURE: i