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Home My WebLink AboutXC2023-0027 - Permitsvwio?T City of Newport Beach 0 ?111 , r 0 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 �Inspection Requests Phone: (949) 644-3255 F'- y newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement COMB Permit : XC2O23-0027 X C 2 0 2 3 0 0 2 7� II Plan Check No : PC2023-0231 Issued Date : 03/23/2023 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: 953 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR AND FOR PA R 1 OF P.M Description: COMM TI - "TOMMY BAHAMA HOME" RETAIL STORE 13171 SF Owner: IRVINE CO Contractor: BUILDERS UNITED LLC Architect Address : 111 INNOVATION Address : , 6001 S DECATUR BLVD, STE J Address IRVINE, CA 92618 LAS VEGAS, NV 89118 Phone : (949) 720-3100 Phone : (702) 706-2842 Phone : • , Con State Lie : 1053502 State Lie: Lie Expire : 05/31/2023 Applicant: BUILDERS UNITED LLC Bus Lie : BT30080474 Engineer : • • - Address : 6001 S DECATUR BLVD, STE J Bus Lie Expire : 01/31/2024 Address LAS VEGAS, NV 89118 Phone: (702) 706-2842 Workers' Compensation Insurance Phone Carrier: INSURANCE COMPANY OF THE WEST Policy No: WLV504040004 Designer: RYAN KRONBETTER Owner/Builder : W. C. Expire : 4/1/2023 Address : 10620 SOUTHERN HIGHLANDS Address : 110-389 Phone: (702) 289-6095 Phone: 2022 Fire Sprinklers : YES Construction Valuation : $580,000.00 Code Edition : III-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg 0 : Type of Construction : No of Units : 0 Alteration sq. ft. Bldg : 13,171 Occupancy Groups : B No of Stories : 1 Added/New sq. ft. Garage: 0 Bldg Height : TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: VVIOW Z /yC-lr OG 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 applicableiteri (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 the permit to file a signed statement that he or she is liconsod 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 l censureand 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 than five hundred dollars ($500). 11 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044, Business 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 [fie improvements 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 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). FJ I am exempt from licensure under the Contractors' State License Law for the following reason By 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, icannot legafl, sell a structure 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 or the Business and Professions Code„ is available upon request when this application is submitted or at the following Web site:http:/iwww.leginfo.ca.gov)calaw,html, Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 70� 'o � ionn 3 of the Business and Profs % ��C , and my lice is In full force and effect. I-rar se, Clzss License No Date Contractor Signature // NORKERS' COMPENSATION DECLARATIONor A'ARNING:. FAILURE TO SECLRE WORKERS' COMPENSATION COVERAGES UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($lDg0001, IN ADDITION To THE ]DST OF COMPENSA, ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. :Ieluby ,affirm under penalty of perjuryone of the following declarations: I I hive and v'ill rrairaain a cerlittcate 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 mrfurmance of the work for which this permit Is issued. Policy No. a and wi:l 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' Iranoe carrier and policy number are:. Policy Number - _.. Expiration Date of 4gont ce ldl that, in the 05rfonnance 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 :f I should btco ms su�COS 'rs' CO it previsions of Section 3700 of the Labor Code, I shell forthwith comply with those provisions. nature of ApplicantDateCLARATION REG TIQN LrLAGENCY —' s — areby 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). ides 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 I have provided is correct. I agree to comply with all applicable city and county ordinances and state Yaws relating to building construction. I authorize representatives of this city or county to ter the �-identlfied proPP FIY for inspection purposes. ,r/ p nature of PropertyOwner or Authorized A ant 'ljG� 6-.,.�.��" Print PropertyOwner's or Authorized Agent's Name +'r'4'l-�' �UY`�L Datej -� rJ TION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE 1403 RMITEXPIRED tSUBMITT€D ASBESTOS NOTIFICATION TO PERMITEXTENDED PERM(T FINAL CERTIFICATE OF OCCUPANCY ISSUED 15 NOT APPLICABLE TO