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HomeMy WebLinkAboutXC2023-0234 - Permits�EWPO�r City of Newport Beach II COMB Permit: XC2023-0234 �Q .. Community Development Department- Building Division X C 2 0 2 3 0 2 3 4 F r( 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1546 N"� z Permit Counter Phone: (949) 718-1888 Issued Date : 0810212023 newportbeachca.gov/civic Final Date: °44FoaN�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 : 660 NEWPORT CENTER DR, 200 Description : COMM TI 'SPEC SUITE' 4878 SF Owner: THE IRVINE CO Address: 500 NEWPORT CENTER DR NEWPORT BEACH, CA 92658 Phone: (949) 720-2400 Applicant: MARK YAM Address : 392 N N LEMAY CT ORANGE, CA 92867 Phone: (626)757-2320 Owner/Builder : Address : Phone Legal Desc : P BK 295 PG 33 PAR 6 P.M. 295-33 PAR 6 FOR OF PAR Contractor: ESPLANADE BUILDERS INC Architect : MORFORD PAUL Address: 23820 HAWTHORNE BLVD Address : 4675 MACARTHUR CT #100 NEWPORT TORRANCE, CA 90505 BEACH, CA 92660 Phone: (310)783-7664 Phone: (949)863-9434 Con State Lic : 831964 State Lic Lic Expire : 02/29/2024 Bus Lic: BT30045862 Engineer: Bus Lic Expire : 01/31/2024 Address Workers' Compensation Insurance Phone Carrier: ZURICH AMERICAN INS CO Policy No : WC38046700 Designer W. C. Expire : 1/1/2024 Address Phone : Code Edition : 2022 Fire Sprinklers : Type of Construction : I -A Fire Hazard Zone Occupancy Groups : B No of Units : Bldg Height: No of Stories Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: 4iiii SPECIAL CONDITIONS: YES Construction Valuation : $349,349.00 NO Added/New/TI sq. ft. Bldg : 0 0 Alteration sq. ft. Bldg : 4,878 16 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 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, poor 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 !rofessions Code) or that he or she is exempt from ticensure 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 of more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 built or nproved for the purpose of sale). 3 I, 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 pply 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). 3 1 am exempt from licensors 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 canna) legaily ell a structure that I have built as an owner-buildar it 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.govlcalaw.html. lignatUm 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 0 f " is' 3 of the Business and Prof s Co , and my II ales is f for nd effect. License Class License No Date Contractor Signatur VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOR 0 T SAND DOLLARS ($100,000), 1N ADDITION TO THE OS1' OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. nreby 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 th 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' carrier and policy number are: Policy Number Expiration Date fa of Agent _ certify that, in the perform ce of the work for w iC Ns 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 t if I should become subj tv the workers' core en lion proves ns of Section 3700 of the Labor Code I shall forthwith comply with those provisions. ^� nature or Applicant ,,__..{{..� CLARATION REGAR , N CTION LENOIN AGENCY !reby affirm under penalty f erjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, vll Code). Ider's Name Lender's Address my signature below, 1 certify to each of the following: I am the property owner or authorized to act on the party owners behalf. I have read this application and the information I h v provided is correct. I agree to comply with all applicable city and coun rdmanegs ant a laws relating to building construction. I authorize representatives of this city or cour�(+�to nter the above -'I ]e it j Rio{ rtY fpr inspection purposes. 11 _ _ - n \ _ l+ 'A /� 0, , ^, ACTION PERMIT EXPIRED CERTIRCATE Of OCCUPANCYISSUED DATE ` BY V I�ECLARATiONOFCOMPLIANCFWITH CODEOF FIDE] ` � REGULATIONS PART 51 OF T6TLE 40 ANO AQMD RULE SUBMITTED I4-711 1 1AASBE5T05 0OFVCAI10N 15 NOT, APPL(ll TO Owner's or Authorized AD I FOR OFFICE USE ONLY rsr_