The URL can be used to link to this page

Home My WebLink AboutXC2022-1992 - PermitsCity of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XC2U22-1992 �EWFO�T o� e Community Development Department- Building Division X C 2 0 2 2 1 9 9 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2481 U�. Permit Counter Phone: (949) 644-3288 Issued Date : 11/09/2022 Inspection Requests Phone: (949) 644-3255 Inspection Area : 7 newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement 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 : 3700 COAST HWY E Legal Desc : N TR 323 BILK W LOT 3 TR 323 LOT 3 BLK W ALL -EX HWY-(AND LOT S 1/2 BILK Description: COMM TI -"ONE WEST BANK" RMV INTERIOR DRY -WALL & T-BAR CEILING Owner: TJJDE COX LLC Contractor: PMR CONSTRUCTION Architect Address : 1509 SUMMERFIELD WAY Address : 2061 FAIRWEATHER RD Address BEAUMONT, CA 92223 SANTA ANA, CA 92705 Phone : Phone : (714) 231-7272 Phone State Lie: Con State Lie : 716745 d+^' Lie Expire : 02/29/2024 Applicant: DAN KELSAY Bus Lie : BT30053615 Engineer, I Address : 145 W MAIN ST Bus Lie Expire : 01/31/2023 Address TUSTIN, CA 92780 Phone: (949) 375-5495 Workers' Compensation Insurance Phone: Carrier: SENTINEL+INSURANCE+COMPANY+LTD Owner/Builder : Policy No: 72WECANOMPH Designer: DAN KELSAY Address : W. C. Expire : 8/24/2023 Address : 145 W MAIN ST TUSTIN, CA 92780 Phone: (949) 375-5495 Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $68,600.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : CC - Commercial Corridor PROCESSED BY: SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that'[ am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the clmeckmark(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. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that tic or she is licensed pursuant to the provisions of the Contractors' State License Low (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 (1500). 1, 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, 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). El 1. 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). ❑ I am exempt from licensors 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 armor- 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 or at the following Web site:http:li"v ,,.leginfo.ca.govlcalaw.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 provisions of Chapter 9 (commencing with Section 0 ) of vi ion 3 of the Business a*Pssions C fde, art my li ns ' dl force and effect License Class License No Date Contractor Sig WORKERS' COMPENSATION DECLARATION NARKING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000f. { ORION TO TH COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: Y 1 have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for th )erformance of the work for which this permit is issued. Policy No. Shave 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` compensatiol nsurance carrier and policy number are: ,amer policy Number Expiration Date Jame of Agent Phone ff :11 certify that, in the performance of the work for which this permit is issued., I shall notemploy any person in any manner so as to become subject to the worke mpensation laws of Calffomia, and agre hat, if I should become orkers c salion provi of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J Signature of Applicant Det1�dg%a- )ECLARATION REGAR IN STRUCT N LENDING AG. NCY hereby affirm under pe TIN of perjury that there is a constructio len ' g agenc for the performance of the work for which this permit Is issued (Section 3097, Ci it Code). -enders Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the propertwner's behalf, I have read this application andthe information I have provided is correct. I agree to comply with all applicable city and c unt ' noes and state laws relating to building. construction. I authorize representatives of this city Or count. enterthve-i ntifd r for inspection purposes. 3i nature of Property Owner or Authorized A enl Pnn PrD erty Owner's or Authorized A eri Name at f:-La� ACTION DATE C BY LARATION Or COMPLIA E TH CODEOF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TI 40 AND AQNID RULE 1403 _ PERMITEXPfRED �u�+SqU-RK T6)ASRE TO M1OTIFKATION TO PFAMrTCANCELLED PER;J'iFFXTFNDED _ __ QMO PCRNNT FINAL^ '7 �'S ASBE TO5 OFIFICA'f WOTAPPLICABLf TO CERTIFICATE OF / I P POSF D MOLI P OCCUPANCY ISSUED 5QN-UR