HomeMy WebLinkAboutXC2022-2103 - Permitst<,4T
City of
CVO :s:
Communit
100 Civic i
' 'rr 'I
Permit Coi
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Inspection
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rtb
Work
PERMITS
NO C'ONSTRI
Job Address : 100 BAY\
Description: COMM TI
Owner: GPI BAYVIE
Address : 5601 GRAN
PLANO,TX
Phone :
Applicant: 01 DICKSON
Address : 3 PARK PLA;
IRVINE, CA 5
Phone : (949) 656-281
Owner/Builder :
Address :
Phone
ewport Beach IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2O22-21 O3
evelopment Department- Building Division X C 2 9 2 2 2 1 8 3
iter Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3139
sr Phone: (949) 644.3288 Issued Date : 0417912023
quests Phone: (949) 644-3255 Inspection Area : 7
tca.gov/inspections
1 Type - ELEC MECH PLUM
-Tenant Improvement
IRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM OR€GINAL ISSUANCE DATE
DN RELATED NOISE ON SATURDAY OR SL NDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNIDAY AND HOLIDAYS IN ALL AREAS
W CIR, 2620
Legal Desc : N TR 12528 BLK'LOT :2
SPEC SUITE 4303 SF
LLC
Contractor: ESPLANADE BUILDERS INC -
PKWY STE1200
Address: 23820`HAWTHORNE BLVD
)24
: TORRANCE, CA 90505
.:.Phone: (310) 783-7664
Con State Lic : 831964
Lic Expire : M29/2024
Bus Lic : BT30045862
STE 480
Bus Lic Expire : 01/31/2024
314
Workers' Compensation Insurance
Carrier: ZURICH AMERICAN INS CO
Policy No :. WC38046700
W. C. Expire : 1/1/2024
Architect : OI DICKSON
Address: 3 PARK PLAZA STE 480 IRVINE, CA 92614
Phone: (949)656-2882
State Lic :
Engineer:
Address
Phone :
Designer:
Address
Phone:
Code Edition : 20
9
Fire Sprinklers : YES
Construction Valuation :
$193,635.00
Type of Construction : 1-
Fire Hazard. Zone `. NO
Added/NewITI sq. ft. Bldg :
0
Occupancy Groups : B
No of Units : 0 -
Alteration sq. ft. Bldg :
4,303
Bldg Height:
No of Stories : 6
- Added/New sq. ft. Garage:
0
l
TOTAL sq. ft.
0
Building Setbacks
Flood Zone : X
Use Zone : P
- Bayview
PROCESSED BY
SPECIAL CONDITIONS:ICWS TO HAUL DEBRIS
i hereby alt mi arde' penalty of pwjUry twat f a aX l 1 from the Cwntmctor'v State License, Lax l )r :I:e teaaf)ni5'} `ridicelex! bf%low bo 1hP f tier F iRrk(S% I Iiade placed next to the appli"ble 'Wltlis}
iSecl'on 713 fi'j'0less al:d rE'ro e55iC?ng Code, Any o:t} fir Co3R'fty tf1A, Ie iutr ;s a perinit: to CVf*frUQf alter, €rnprrva, darn€fsh. Cf reaai ells `truw ur>; ; flat to Iis LSxt:tnre, AEso rwpfes' Ile �[€}j3f"rpartt iur
iho per, r, I to ffle a signed statement Ihit ho or'she is liconssai PPUVR11a114 fa Ind provisions of tfh: ( or aeatnrs.' Sate "ica tso Law (Chipleor 9 IcorntrOacmg with Section 7000L of "DYWOn a 01 the ull"Iness and
Pfof&F,i]a. ns Glade) .lr thai -tie fir she s $%eITEf)Y frrn: ,ICenaUra'Ire the basis for the ntlngei ex:umptmn.. Any Flolatkon of Section 7031.5 by any applicant fora ?er?fl'F S'.it>Jef is the Apof3caf?t to a CNil pen.7ity Of
not more than fivo c,unYrn'l riaUars
F1 I, ac onnsr of tie property, or my ernp:oyees with .ayes sa their sole nompemation. will do t_) sit of or t_) pc!11or15 of file work, and file: structure is Fiat intended or oi?ered for sale (Sect.o 7044:
tr)$inP.4S Ant'. prolosslol'f i ::(.7it$' T he Gartrav ors Sinai L it enact, Law t'.nP4 not dpnly 1,) nri nwner nr prnVsrty vit,l;, thrnfie)h H'n:i a3yHP.S or personot attnrt, builds OF im-praves tr2 prn'.lerty, fgUV,ded that tho
I!npro f.inF f,f...£fo nct ir'lenfied of Wfemm. for soli, l•:, ho .t vui, the bui:d;itg Gr Inmpfovenwfl is sold wiftYn orw pAf of Gen"ple;i02, thm, tit,ni r tau Idwv&I have the eufaeri Cf provin(g muit It wit i not buill or
nlp'ovod fCf the pufpcse of We).
E as (Y.kner of file aopatt,Y. am ewe shell cof,iracting with 13ceose4 Contractors 10 consliaet: Vie flfojeCt (Section 7'd44. Buslnras and pmfesaititu Code. TTh* CQrdfactoi s State LicensE Low does not
ai:ply to an Jl^.`Re^ st caapsrfy �;#ro built9s or E<rt[,rpves iilerrion, and who c:,;7tracfs, for a319 wG ects nilh a Ilre .sea Lo.^.trarfcn purauant fo .1-:e Contrac,ors' Stale License Law),
E) t ant axL'nitrt hvr 1 flu MWT*:. urid r the Conefat F rs' StEie' tc Einar- a. (or fife follrxrng easen
5y my 9it3natoro bolow I aria )vvfudpo s^IIt., except for my paiunal residdnCe In which € mu.Qt nave re'slJrA for at leas° o^:a ycir prlslto oo "Iil tion ofthe ..1 pPCY`@%1'Ieo d covored by this p mitt I cannal fegail
soli: a 41fuafllm Ihal I r.b+e Luill :fry an (1wf1er-b'il lde' Ir it has not beort cons o .I£,d if: Im osf oty by lfcensod conlrsclofs r,nu,.r;Yand th=)t a copy of the apoL•Gat:le iow. f3act'vin TCJ44 of the 6i;a:nese area
Frnf0 80kns code. 19 awkWahla upon ['e oeal'Oert this aRpfFcw.,ioo i5 svbrniud or st the fo4lo ,`iny Wen mile;Attp !?.YYtw,P?g f''a.ra,�pYlr;alAwe,h<1Yil,
Sifgnatere of Prape'rty Owripr or Authorized Aryan, _ 08fP
LICENSEE) CONTRAGTOR'S DECLARATION
I nesabf affl. fit uncof pensky of ppju, 5 ff1at ` a.m iia 'sed underprovitv.Q.11z, of Ch aptef 9 fcon)n'ianci ,t) with µfmf3or1 70001 Cf fii'fWorf u of the Sosineriw arid Prc.fUs � CaP) 3 _ 8:0. if, fUV €erof'.
c::ld oTart. Licenso Cin s -. _.. ___.... .._.... Lrcenve Na ..... - _ _....._. J-tk3 ,r,-_ Gantractar 3 gmtur
WORKERS' CONIPENSATIC}N t}ECLARRT€ON
++ARNINGI PAR.uat To sef;J t. WO47 MT CUMPIN "N WVKAoe IS UNLAY+PUL, A40 SHALL Sat#.SECT AN WPLUYfW YO (AIMa4AL A£.MALT?ES ANO CML PWI6 s UP 7o OW Hfkktklto'feir)USANO OMLAH'S 4140,000L rN AW1304 To T'NI
C.03T CFCOM4PENsATInNi W',MAGM Ati PRO'WIDE2p MR IN 5[CTSON 371a OF TNC tAnOR COat.. 3MTERFAT, AND AT-. ORNVVT1 FEE:S-
IIr ^hereby affa m under penalty of perjury Oro ofi thvtEng e'QIIO
Imo.'eclara'ticns:
I havp3 and wall mairdan a cr?rC.f.tate of ConSY,flt W feff if;Sv* rw AYTfltef' lY.3iT<3W..nuafiOn, i r wed by the Oirw.for of lnclostrial f2n4.a.tivos of; pr"Mdeff for by Sefctfoo 1700 of the Labor Code, for t?
(dfnwaea of tttr wafP. fv+'welch n'Its purn»t fs ss5add. Motley No, -_.,.,,-.,,-.._...._............__....._._.__...........
�vF find v+l % m )rotor. worker ,or:Toen$XiOn mqtkrsno'?, as required ed by +Fulton 3700 Of .ni# i.ebwr Code. for :he pedamance or tI,.e worw, for w�flch this permit is isspod. firY OSOI'M1H"i' O(0'npon
r1 e carifel aria policy wun bar afa:
ier----------- ----- --'_--_- ._. Pol3oY 1du''�I`T7er ---- --Er4Ti^atian Late ------- - —_
rer.Ify tltal, in the OPI•�OI'me'1 e - the worn 4? WIWI, this 3 ' t� z shad not eirtpioy any =oemun 4) any manner w ifs to. tononl:& 5cfiltHGt to tiTe Yeftlkefs' UJnTptirlsat(011 IawS of GallflzCn€a, and
is E ti>. xtif# I3Ptk7me 5uhjerl i ,R :Ko" ?r5 •:nni "1 t r00i nn5 tlf Section Y:O of rife LcT#00f Lode, i 911aE1 ftirti3'e+hh CtlnTpl+j rn kit those pwovi.5a'fns. d/ g
hereby affirm unEfdC }/971c1:' y Of p$rf :Et y n nit. tfl:er9 I$ Ln U'ytl>iRlGiln•^. IEwing igenvy for like perfoffnanw Of the worn for whidl lfl:'8 t'•Firmlt IB iG5'J9Ct 156Cti0!t-;�iiy7, t, lvll rOrtBJ.
eFdPra Name ...�.. .�.,.. , ,erfre`s Adrims.^s
y my 3t,d fare bd'Urr I os;Iffy to eectf of tilt- follow mg:
ami il1P flropply ownr-,ror ai W' dv'.od „>ast an Ike Im3i IYow.er% behalf. '
have mod ih:s bpi„ as un u3 4 She Information I have f ILVAexi,
d is coadrre to voniFll v tl 3I ape ( aillecoyyo3L9as and < retetirg IU burrcl00 ronstnut3tlonouth0?tic rei1 c ,eta.?w#s T,f this nf,'arcoat ty et- o , dr;n-Vief'i prop£ rtti far insp -e'16n €1rrrlrsrs.
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ce-gPFCATE OF
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PART 6i OF-M F 4t1ANO ACiNso Roo c
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