HomeMy WebLinkAboutXC2024-0073 - Permits�EW,PoR City of Newport Beach IIIIIIII III I IIII I IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2024-0073
Community Development Department- Building Division
y y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0371
Permit Counter Phone: (949) 718-1888 Issued Date : 04/22/2024
.:.,, newportbeachca.gov/civic Final Date:
`q<, ; r`" Combination Type - Permit Status: Issued
Work Class - Tenant Improvement Inspection Area : 7
PERMITS EXPIRE 18D 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 : 1119 NEWPORT CENTER DR, UNIT: 1119 Legal Desc : P BK 221 PG 30 PAR 7, P BK 221 PG 30 PAR 8 P.M. 221-30 PAR 8 POR OF PAR
Description: COMM TI -DEMO PRIOR TO TI "ORLEBAR BROWN" 1852 SF
Owner: IRVINE COMPANY
Address : 110 INNOVATION DRIVE
IRVINE, CA 92617
Phone: (949)720-2000
Applicant:
OREST KRAVETS
Address :
901 BELL AVE
SACRAMENTO, CA 95838-2704
Phone :
(916) 402-1833
Owner/Builder
:
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY
Contractor:
JAMES M BARB CONST CO
Address :
10701 RANCHITOS NE
ALBUQERQUE NM 87122, CA
Phone :
(740) 816-4258
Con State Lic
: 587680
Lic Expire :
02/28/2026
Bus Lic:
BT30081655
Bus Lic Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: VALLEY FORGE INS
Policy No: 2082388298
W. C. Expire: 9/15/2024
2022 Fire Sprinklers :
III-B Fire Hazard Zone
M No of Units :
No of Stories
X
PC - North Newport Center
SPECIAL CONDITIONS:
Architect :
ATILIO G LEVERATTO
Address :
4 RANDOLPH TERRACE FAIR LAWN, NJ
07410
Phone:
(973)214-5314
State Lic :
C036288
Engineer:
Address
Phone:
Designer:
Address
Phone:
NO Construction Valuation :
$18,000.00
NO Added/New/TI sq. ft. Bldg :
0
0 Alteration sq. ft. Bldg :
1,852
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 checkmark(s) I have placed next to the applicable item(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
ie 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 1$500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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, buifds 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
nprovod for the purpose of sale).
1 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
pply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy my signature below I acknowledge that, except for my personal residence 1n which I must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot leg all
oil 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 7044 of the Business and
'rofesslons Code., is available upon request when this application is submitted or at the following Web site:http:fiwww.leginfo.ca.govtcalaw.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 9 (commencing with Section 70 0 f I laic, 3 of the Business and Profe r s 6 / n my license is in full force
nd effect. License Class License No Date 1 % '1 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 HUNDRED THOUSAND DOLLARS ($ 00,000), IN ADDITION To THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR COPE, INTEREST, AND ATTORNEV's FEES,
hereby 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
erformance of the work for which this permit is issued. Policy No.
have and will maintain worriers' 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 and policy number are:
re of Agent
certify that, inthe pl
. if I should become
of
Policy Number
Date
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
yornpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. //�� /
CLARATfON REGARfXIVI�ONSTRUCTION LENDING AGENCY Data�[,I"� �ZZ L 24
=.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).
Ader's Name Lender's 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 comply with all applicable city and county ordman and slate taws relating to building construction. �'
I authorize representatives of this city or county t .identified property for inspection Purposes. /lj./� .nature of Property Owner or Authorized Aoen Print Prooertv Owner's or Authori>ari Anant's Nan, 7i�an
ACTION
PERMIT EXPIRED
_.._._------ ....... ............. _
PERMIT CANCELLED
PERMIT EXTENDED
..____..._____..__....—
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
BY I BECCARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
'r1403
SUBMITTED ASBESTOS NOTIFICATION TO
ASBESTOS NOUNCATION
To
FOR OFFICE USE ONLY