HomeMy WebLinkAboutX2022-1563 - Permits04""'.
City of Newport Beach
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - ELEC MECH PLUM
Work Class - Tenant Improvement
COMB Permit : X2022-1563
Plan Check No : 1420-2022
Issued Date : 08/19/2022
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: 1021 NEWPORT CENTER DR
Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR AND FOR PA R 1 OF P.M.
Description: COMM TI -"DR MARTENS AIRWAIR" RETAIL
STORE 1536 SF
Owner: IRVINE CO
Contractor: SOLEX CONTRACTING INC
Architect : GEOGHEGAN JOSEPH A JR
Address : 111 INNOVATION IRVINE, CA 92618
Address : 42146 REMINGTON AVENUE
Address : 5100 RIVER ROAD #125 SCHILLER PARK
TEMECU LA. CA 92590
IL 60176, CA
Phone :
Phone : (951) 308-1706
Phone : (847) 671-7452
Con State Lic : B42101
State Lie
Applicant: SOLEX CONTRACTING INC
Lie Expire : 07/31/2024
Address : 42146 REMINGTON AVENUE TEMECULA,
CA Bus Lie: BT30059115
Engineer
92590
Phone: (951) 308-1706
Bus Lie Expire : 04/30/2018
Address
Workers' Compensation Insurance
Phone:
Owner/Builder :
Carrier: FEDERAL INS CO
Address :
Policy No : 54310302
Designer
Phone:
W. C. Expxp ire : 10/1/2022
Address
Phone:
Code Edition : 2019
Fire Sprinklers : YES
Construction Valuation : $170,000.00
Type of Construction : V-B
Fire Hazard Zone : No
Added/New/TI sq. ft. Bldg : 1,536
Occupancy Groups : B
No of Units : 0
Alteration sq. ft. Bldg : 1,536
Bldg Height :
No of Stories : 1
Added/New sq. ft. Garage : 0
Building Setbacks
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS: WASTE MGMT TO HAUL DEBRIS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty 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 Rem(s)
;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
:he 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 for a permit subjects the applicant to a civil penalty of
cot more than five hundred dollars ($500),
I, as owner of the property, or my employees with wages as their sole compensation, will do L_) all of or L) 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 the burden of proving that it was not built or
improved 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
ar�pTply 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),
LJ I am exempt from licensure under the Contractors' Slate 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 iegall)
sell 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 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:hitp:/iwvvw legmfo.ca.govicalaw.html.
Signature. of Property Owner or Authorized Agent __ Date _
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter-9 (commencing with Section 7000 of D' talon 3 of the Business and Profs ons C e, and my license is in full force
and effect. License Class R Vk r C_LD License No SSL4-L I O L- Date 8 I ^I. Contractor Signature l
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN TIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS tS100,0001.IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to soil -insure for workers' compensation. issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for th
oRi krmance of the work for which this permit is issued. Policy No.
yye 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' compareatiol
4c, carrier and policy number are: r
TQ a VGI ( \n S)L4tiw4.1,11. Policy Number ✓� ?v i U?aG.Z Expiration Date C, I
of Agent Slrlc - kA-\t Phone tf 6:74<; —l."Ia�
JI 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
at. If I should become subject totih workers' cor ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. `
l�
pnature of Applicant
�-- ZZ
ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
Iereby 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).
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 laws relating to building construction.
authorize representatives of this city or county to enter the
,above -identified property for inspection purposes.
of Property Owner or
ACTION DATE { BY ✓! 17ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART El OFTITLF. 40 AND AQMD HIlLE
1403
PERMrr'EXPff ED ( LII SUB^AITTFD N'PFS'05 NDTIF'r ATION TS)
PERMITCANCELLED l CIA
1
PERMITEXTENDED y:1F ORiD
PERMIT FINAL 1If T*— A EST05 NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF ( PR0PO5ED DEtTlrCUT)ON
OCCUPANCY ISSUED SIGN1 CREi( � C—
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.