HomeMy WebLinkAboutXC2023-0170 - Permits"EWPORT City of Newport Beach II IIIII I IIII IIIIIIIIIIII III iIII I IIIIIII II COMB Permit : XC2023'U 170
Community Development Department- Building Division
0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0729
G > = Permit Counter Phone: (949) 718-1888 Issued Date : 05/25/2023
<,. newportbeachca.gov/civic Inspection Area : 7
Cgt�FD0.N�P Combination Type - ELEC MECH
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: 700 NEWPORT CENTER DR, 4TH FLOOR Legal Desc : N TR 361 BLK 55 IRVINE SUB LOT BLK 55 POR OFBLK
Description: COMM TI FOR ALTERATIONS INCLUDING NEW FINISHES, CEILING AND ELEC * 4TH FLOOR 448 SF (R?ac, 64?
Owner: IRVINE CO
Address : 111 INNOVATION
IRVINE, CA 92618
Phone : (949) 720-3100
Applicant: VAN ANH VAN
Address: 4770 CAMPUS DR, SUITE 100
NEWPORT BEACH, CA 92660
Phone: (949)851-3080
Owner/Builder :
Address :
Phone:
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone:
Use Zone :
PROCESSED BY:
2022
I -A
B
X
OR - Office —Regional
SPECIAL CONDITIONS: j�rr/ei: I,6 >4w
Contractor: HOWARD BUILDING CORP
Address : 3184 AIRWAY AVE #K
COSTA MESA, CA 92626
Phone:
(714)438-2272
Con State Lie
: 445804
Lic.Expire :
09/30/2023
Bus Lie:
BT00007349
Bus Lie Expire : 05/31/2024
Architect : DWYER SUSAN M
Address : 4770 CAMPUS DR NEWPORT BEACH, CA
92660
Phone: (949)851-3080
State Lie:
Engineer:
Address:
Workers' Compensation Insurance
Phone
Carrier: ZURICH AMERICAN INSURANCE COMPANY
Policy No: WC3004566
Designer
W. C. Expire : 3/1/2024
Address
Phone
Fire Sprinklers : YES
Construction Valuation :
$187,600xo�
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
No of Units : 0
Alteration sq. ft. Bldg :
448
No of Stories : 8
Added/New sq. ft. Garage :
0
TOTAL sq. ft. :
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt From the Contractors' State License Law for the reason(s) indicated below by the checkmarkjs) I have placed next to the applicableitem(s)
Section 7031,5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demOflShr or repair any structure, prior to its issuance, also requires the applicant far
i0 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 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
of more than five hundred dollars ($500).
1, 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,
fusiness 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 1, 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
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 Law),
1 1 am exempt from licensure 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 cannot legali;
ell 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 7C44 of the Business and
'rofessions Code., is available upon request when this application is submitted or at the following Web site:http:/! A .leginto.ca.gov/calaw.html,
lignature of Property Owner r 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 00) of Divisidn 3 of the Business and Prote Ions de, d my liven In full force
Bid effect. License Class License No Date S g n Contractor Signature,[. ,
VORKERS' COMPENSATION DECLARATION —�
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNI-XWFUL. AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,000), IN AUCTION TO THE
DST OF COMPENSATION, DAMAGES AS PROV)DEO FOR IN SECTION 3709 OF THE LABOR COOS, INTEREST, AND ATTORNEY'S FEES.
hereby affirm undo-.qenalty of perjury one of the following declarations:
3-1-hove and wil. ,roritain 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, forth
i4rcr\irce of tk.e vor% for which this permit is issued. Policy No.
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`
rance, carrier an, policy number are:
_ Policy Number Expiration Date
of Hgenl Phone # _
y that, in ft per`ormance of the work for which this permit is iss ed, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrci
If I should become subject tothew rkers' com sabon provksi s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
,aWre of Applicant_ I. ZW-,______ _Date. 5/ZS/23
`Y ear TSYfNI GCf:F DfaNIG C CTalrr•TnM I GMnikin A2aA1CV'
ha,eh;r affirm under penally of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097
enrler's Mama. Lender's Address
y my signature be,ow, 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 andthe information I have provided is correct.
I agree to comply with all applicable. City and county ordinances and state laws relating to building construction.
1 authorize representatives of this city or county (g, entrAthepbove-idgMied property f9r inspection purposes.
ACTION DATE By DECLARATBON OF COMPLIANCE77ITH CODE OF FEDERAL FOR OFFICE USE ONLY
j REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMiTEXPIREO
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
_
PERMITCANCRLED v
CPA
PER&tJT EA7ENDED
D
PfR,Mp"FINAi
ri—h7..
S6EST05 NOTIFICATION l5 Nb}AppLICAHLE TO
CERT0CATE OF
I PROPOSEDDEMO ON
OCCUPANCYISSUED
1 SIGNATURLG
Civil Code).
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