HomeMy WebLinkAboutXC2022-2125 - PermitsaEWPoRr City of Newport Beach IIIIIIIIIIIIIII III �IIUIIIUIIIIIIIIIIIIIIIIII II COMB Permit : XC2022-2125
04 p Community Development Department -Building Division x C 2 0 2 2 2 1 2 5
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-3217
> i Permit Counter Phone: (949) 718-1888 Issued Date : 06/07/2023
o-. newponheachca.gov/civic Inspection Area : 7
c94 F00.H�P Combination Type -
Work Class - Other / L'11 1 k1
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 : 21135 NEWPORT COAST DR
Description: COMM -RATIO EXPANSION 550 SF
Owner: IRVINE COMPANY LLC
Address : 111 INNOVATION DR
IRVINE, CA 92617
Phone: (949)720-3100
Applicant: YOU CHO
Address: 4480 PARK NEWPORT DR
NEWPORT BEACH, CA
Phone: (949)721-5884
Owner/Builder :
Address :
Phone
Legal Desc : P BK 318 PG 27 PAR 2
Contractor:
TARANTINO LANDSCAPE INC
Address :
PO BOX 27964
SANTA ANA CA, CA 92799-7964
Phone:
(949)226-7215
Con State Lie
: 888062
Lie Expire :
01/31/2025
Bus Lie:
BT30018659
Bus Lie Expire : 02/28/2024
Workers' Compensation Insurance
Carrier: COMPWEST INSURANCE CO
Policy No: WCP100060941
W. C. Expire : 10/1/2023
Code Edition : 2019
Fire Sprinklers :
Type of Construction :
Fire Hazard Zone
Occupancy Groups : A-2,U
No of Units :
Bldg Height:
No of Stories
Building Setbacks :
Flood Zone: X
Use Zone: PC - Newport Ridge
PROCESSED BY: &_�
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lie
Engineer: MCLAUGHLAN KEVAN
Address: 4727 FIDLER AVE
LONG BEACH, CA 9OB08
Phone:
(949) 923-6141
Designer:
TARANTINO LANDSCAPE INC
Address :
PO BOX 27964
SANTA ANA CA, CA 92799-7964
Phone:
(949)226-7215
NO Construction Valuation :
$35,000.00
NO Added/New/TI sq. ft. Bldg :
0
0 Alteration sq. ft. Bldg :
550
Added/New sq. ft. Garage:
0
TOTAL sq. ft.:
0
i hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reascn(s) indicated below by the checkmark(s) I have placed next to the applicable items)
Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
re 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
rofessicns 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).
11, 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 or offered for sale (Section 7044,
usiness and Professions Cede: 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
nT.1
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' Stale License Law does not
poly 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:
;y 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 astructure that I have built as an owner -builder if it has not been constructed in Its entirely by licensed contractors. I understand that a 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:http://www.leginfo.ca.goylealaw.htmi.
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�) of Division 3 of the Business and Professions e, and m license is in full force
nd effect. License Class License No Date %i Contractor Signature
PORKERS' COMPENSATION DECLARATION
IARNING: 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 1$100.0ss), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'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 thl
edormance of the Work for which this permit Is issued. Policy No.
91 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 compensetiorj
nsurance carrier and policy number are:
zanier Policy Number Expiration Date
Jame of Agent Phone #
31 certify that, in the performance f the work for which this permit is issued, I shalt not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agreO
hat, if I should become subject the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Dale (9 —- 7 Z 3
)ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby 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
3y my signature below, I certify to each of the following:
1 am the property owner or authorized to acton the property owner's behalf.
I have read "Ns apoJeation and the Information I have provided Is correct.
I agr)s to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize reps sen_a0ves Of this city or county to enterlhe above -Identified property for inspection purposes.
�Inature of Pro a Owner or Authorized A ant Print Pro art Owner's or Authorized A ent's Name Date ='
r.CTIGN DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
_ 1403
PE4!vt'T EXPfREO t SUBMITTED ASBESTOS NOTI FICATWN TO
PE'i.'A'T CANCELLED EPA
H1.4 urL:irey x0 UAQMD
F iiRMlr F,NAL r FlIq Z) ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
C.'-1;ICi;TEOf I (�5 FROPOSED DEMOLRIO
OCC'IltNCY15SU'D_