HomeMy WebLinkAboutXC2023-0296 - Permits�EWPo, r City of Newport Beach IIIIIIIIIIIIIII IIIIIIIIIIII IIII IIIIIIII IIIIII II COMB Permit : XC202'3-9296
C�y 4,I Community Development Department- Building Division X C 2 0 2 3 0 2 9 s
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023- I d78
)+. ',_n Permit Counter Phone: (949) 718-1888 Issued Date : 11/15/2023
J.)� S
newportbeachca.gov/civic Final Date:
Combination Type - ELEC Permit Status: Issued
Work Class - New 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 : 601 NEWPORT CENTER DR
Description : COMM TI "CHANEL" 1396 SF
Owner: IRVINE COMPANY LLC
Address : 111 INNOVATION DR
IRVINE, CA 92617
Phone: (949)720-3100
Applicant:
ELIZABETH JUN
Address :
13400 RIVERSIDE DR #202
SHERMAN OAKS, CA 91423
Phone:
(213)407-3557
Owner/Builder
:
Address :
Phone
Legal Desc : P BK 67 PG 2 PAR 1 P.M. 67-2 PAR 1 AND P.M. 221-30
Contractor: ALAIN HIRSCH CONSTRUCTION CORP Architect
Address : 1383 REDONDO AVE
Address
LONG BEACH, CA 90804
Phone: (562)494-4800
Phone:
Con State Lic : 756267
State Lic
Lic Expire : 11/30/2024
Bus Lic: BT30083025
Engineer:
Bus Lic Expire : 11/30/2024
Address
Workers' Compensation Insurance
Phone:
Carrier: CAROLINA CASUALTY
INSURANCE
COMPANY
Policy No: BNUWC0158998
Designer:
W. C. Expire: 2/1/2024
Address :
Code Edition : 2022
Fire Sprinklers :
Type of Construction :
Fire Hazard Zone
Occupancy Groups : M
No of Units :
Bldg Height:
No of Stories
Building Setbacks :
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY: _.
SPECIAL CONDITIONS:
Phone :
USBECK MATTHEW
233 BROADWAY, 16TH FLOOR NEW
YORK, NY 10279, CA
(646)908-7866
NO Construction Valuation :
$40,000.00
NO Added/New/TI sq. ft. Bldg :
0
0 Alteration sq. ft. Bldg :
1,396
1 Added/New sq. ft. Garage:
0
TOTAL sq. ft. :
0
I hereby 3ffirm`under`peitepy of perjuy that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section )Ps1 {, 9nsin,ss and Prolessions 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
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 for a permit subjects the applicant to a civil penalty of
not more'h3n f�'e hundrLc dollars ($500).
111, as cwnel of ttvL property, or my employees with wages as their sole compensation, Will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions :;od6: The Conirac[rr,' 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 a(3not intended of 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 buill 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
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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
3y 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 legall,
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and
professions Code, is available upon request when this 5PMication is o the following Web site:http:/Aw .leginfe.ca.govfcalaw.html.
Signature of Property Owner or Authorized Agent Date /
LICENSED CONTRACTOR'S DECLARATION
VZ
hereby affirm under penalty of pe "ury that I am licen under visions of Chapter 9 (commencing with Section 700 ) of Division of the Business and Profe � slon Code, an t cen is in full force
and effect. License Class 15 License No 7&7-6 '7 Date I S L Contractor Signature
NORKERS' COMPENSATION DECLARATION
ov
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T SAND DOLLARS ($,00,000), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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 thy.
lierr,formance of the work for which this permit is issued. Policy No.
1khave 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' compensatior
Tsurance carrier and policy number are:
)artier CQ rD,ii YFa 65fllF I'O • Policy Number &VVWC O/i&4lI Expiration Date 02 �o/ OIL
Jame of Agent I Phone #
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
.hat, if I should become subject to the workers' compen ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. j
Signature of Applicant _ Date _[ ihs_
3ECLARATION REGARDIN CONS UC LENDING AGENCY
hereby affirm under penal f pedu 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.
I authorize representatives of this city or county to enter the abo -' entif d property for inspection purposes. ))
Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name -G o✓ e Le(rq Date
ACTION DATE BY VCLARA~F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXTENDED
PERMITFINAL (Lf-LO'C`f 1 V' JHASBESTOS NOTIFICATION I OT APP BLE TO
F PROPOSEDLTION
OCCUPANCYISSUED SIGNATURE: f-X,0_k s