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HomeMy WebLinkAboutXC2022-1890 - PermitsEWPpCity of ewport Beach Community Development Department - Building Division �'100 Civic C nter Drive, Newport Beach, CA 92660 Permit Cou Q ter Phone: (949) 644-3288 2Inspection equests Phone: (949) 644-3255 9Ci FORNnewportbe chca.gov/inspections Combination Type - ELEC MECH PLUM Wnrtr r11a. q - Tenant Improvement PERMITS NO Job Address: 3848 CAN Description : COMM Ti Owner: 3848 CAMP Address : 1600 DOVE NEWPORT Phone : Applicant: ELEGANT Address : 1408 E KA' ORANGE, Phone : (949) 229-( Owner/Builder : Address : Phone : Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks: Flood Zone Use Zone : PROCESSED BY: SPECIAL C COMB Permit: XC2022-1890 2 0 2 2 1 8 9 0I �� Plan Check No : PC2022-1944 Issued Date : 04/17/2023 Inspection Area :7 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DA1 h RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS DR, 105 Legal Desc : N TR 3201 BILK LOT 10 , THAI & SPORTS MASSAGE": ACCESSIBLE RESTROOM AND (N) SHOWER. 70 SF LP STE480 \CH, CA 92660 & BATH LA AVE 92867 Office —Airport contractor: ELEGANT KITCHENS & BATH Address: 1408 E KATELLA AVE ORANGE, CA 92867 Phone : (949) 229-0000 Con State Lie : 1003114 Lie Expire : 03/31/2025 Bus Lie : BT30072226 Bus Lie Expire : 06/30/2023 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire: Architect: __•� Address Phone: State Lie: ... Engineer: ZALZALIWISSAM Address : 23675 BIRTCHER DR LAKE FOREST, CA 92g30,,' Phone: (949)273-0996 Designer: Address Phone: Fire Sprinklers : NO Construction Valuation : $40,000.00 0 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 70 No of Units : 0 Alteration sq, ft. Bldg : 0 No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : (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 theapplicable itemts) (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 torts issuance, also requires the applicant for 'the 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 Professions 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 not more than five hundred dollars ($500). El I, as owner of the property, or my employees withwages as their sole compensation, will do U all of or U 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 the 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' Stale 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). 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, I cannot legal] sell 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 Professions Code, is available upon request when this application is submitted orat the following Web site;http:n/ .leginfo.ca.gov(calaw.html. Signature of Property :,.Aneror Authorized Agent _Date LIC hNCl CONTR.0 CTOR'S DECLARATION ----- --_.. I hereby affirm under � rety of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000/ ) of Di 'sicn 3 01 the Business and Profess Ion Code, and full force and ef.ect. License rlass License. No Date � Contrac gnature NORKERS' COMPENSATION DECLARATION VAhNING1 F. ILURE TO SECUR". WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AMC SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES ONE NUNORED THOUSAND DOLLARS f 00 0001, IN AODfrION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LASOR CODE, INTEREST, AND ATTORNEY'S FEES, therapy affirm untierpenalty of perjury one of the following declarations: z 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 'manse of the work for which this permit Is issued- Policy No. Labor Code, for have and will r rr.inte'n 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' rancecarrier ^nd policy number are: a of Agent lertlfy that in a perfo an f the work for If I should b come so I- to Yrl�raj �� iture of ADo icant `IAI IIIp�VN1111A1 areby affirm un erpenaity of perjury that the Idler's Name my signature belo Certify to each of the fD N I am the property owner r dt on t I have read this application and the information I I agree to comply with all applicable city and cou I authorize representatives of this city or county nature of Property Owner or Authorized Agent rION I DATE I PERMIT PERMITEXTENDED PER,NIT FINAL G CERTIFICATE Of OCCUPANCY ISSUED Policy Number Date 'Ormit is issued, I shall notemploy any person in any manner So a$ to become subject to the workers' compensation laws of California, and agree provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. GENCY Date____. ;tion lending agency for the performance of the work for which this permit is issued. (Section 3097, Civil Code). Lender's Address ig relating to building construction. Property for inspection purposes. IDEOF FEDERAL I FOR OFFICE USE ONLY AQMD RULE TO -Date