HomeMy WebLinkAboutX2022-0076 - PermitsaEWPORT City of Newport Beach IIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
oI II COMB Permit: X2022-0076
11 Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 0088-2022
Permit Counter Phone: (949) 718-1888 Issued Date : 0610112023
newportbeachca.gov/civic -- -_ _ Inspection Area
cgLtcORN�P Combination Type - ELEC MECH PLUM
Work Class - Tenant Improvement -"
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 : 849 NEWPORT CENTER DR Legal Desc :
Description: COMM TI CREATE SPEC SUITE 8493,892 SF HVAC ROOFTOP UNITS FOR ANCHORAGE ONLY
Owner; IRVINE CO
Address : 111 INNOVATION
IRVINE, CA 92618
Phone
Applicant: AMY BAGLEY
Address : 17800 MITCHELL NORTH
IRVINE, CA 92614
Phone: (714)299-5957
Owner/Builder :
Address :
Contractor: ALTA CONTRACTING
Address: 369 E. BLAINE STREET
CORONA, CA 92879
Phone:
(714) 380-9233
Con State Lic
: 742360
Lic Expire:
11/30/2023
Bus Lic :
BT01020983
Bus Lic Expire : 01/31/2024
Workers' Compensation Insurance
Carrier: CYPRESS INS. CO
Policy No: ALWC347983
W. C. Expire: 6/24/2023
Architect: AMY BAGLEY
Address: 17800 MITCHELL NORTH IRVINE, CA
92614
Phone:
(714)299-5957
State Lic :
Engineer:
BISHOFF RYAN WILLIAM
Address :
3300 IRVINE AVE #245
NEWPORT BEACH, CA 92660
Phone:
(949)862-8510
Designer:
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers :
NO
Construction Valuation :
$700,000.00
Type of Construction : III-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups : A-3
No of Units :
0
Alteration sq. ft. Bldg :
3,892
Bldg Height:
No of Stories :
1
Added/New sq. ft. Garage:
0
TOTAL sq. ft.:
0
Building Setbacks
Flood Zone:
Use Zone:
'
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PROCESSED BY: �./�
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SPECIAL CONDITIONS: HAULER:
CA WASTE SERVICES
OWNER -BUILDER DECLARATION
1 hereby affirm under penally of perjury that 1 am exempt from the Contractors State license Law for the reason(s) Indicated below by the checkmark(s) I have placed next to the applicablettem(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
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter B (commenting with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis forthe 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 Ave hundred dollars ($500).
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 oroffered'for sale (Section 7044.
,usiness 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
nprovementsare 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 builtor
n roved 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
ly 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 licensers, under the Contractors' Stale License Law for the following reason:
Iy 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 legally
ell a structure that I have built as an owner -builder if It has not been constructed in its entirety by licensed contracters. I understand that copy of the applicable law, Section 7044 of the Business and
Irofassions Code, is availableuponrequest when this application is submitted or at the foflo%lng Web sate:hUpltwww.leginfo.ca.gov)calaw.html.
signature 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 g (commencing with Section 7000 of 'visioIn 3 of the. Business and Professio C e my licenseIsIn full force
nd effect. License Class License No Date 1 .Contractor Signatu : 1
VORKERS' COMPENSATION DECLARATION
'ARMING: 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 (f30D,00%, IN ADDITION TO THE
DST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one Of the following declarations:
J 1 have and will maintain a certificate of Consent to seffAnsure for workers' compensation, issued by. the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tht
edormance of the work for which this permit is issued. Policy No..
31 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' compensatior
Isurance carder and policy number are:.
ISE Policy Number Expiration Date
is of Agent Phone #
certify that, in the performance of the work for which this permit is Issued. I shall not employ any person in any manner so Be to become subject to the workers' compensation laws of California, and agree
If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iature of Applicant Date_
reby 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).
Ider's Name Lenders 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 1 have provided is correct.
I agree to compy with all applicablecity and county ordinances and state laws relating to building construction.
I authorize represen.atives of this city or county to enter the above -identified property for Inspection purposes.
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE. USE ONLY
I
REGULATIONS PART St OF TITLE 40 AND AQMD RULE
1403
PERMIT F%P1RE0U
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITrANCELLEP
UEPA
PERYtT EXTENDED
PIRVr NNAL
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ASBESTOS NOTIFICATION tS NOT APPLICABLE TO
CFRrIFICATE OF
PROPOSED DEMOLITION
Or'•rUP4Nr'y ISSUED
SIGNATURE