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Home My WebLink AboutXC2022-1865 - PermitsCity of Newport Beach D�.' Community Development Department -Building Division F Fy' 100 Civic Center Drive, Newport Beach, CA 92660 > = Permit Counter Phone: (949) 644-3288 .s. Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement COMB Permit : XC2022-1865 Plan Check No: PC2022-1842 Issued Date : 0910112022 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 : 895 DOVE ST, 450 Description : COMM TI SPEC SUITE 5050 SF Owner: NEWPORT PLAZA OFFICE LLC Address : 2001 ROSS AVE STE2800 DALLAS, TX 75201 Phone: Applicant: KEITH MULLER Address : 101 N COAST HWY EL SUGUNDO, CA 90245 Phone: (619)204-2036 Owner/Builder : Address Phone : Code Edition : 2019 Type of Construction : Occupancy Groups: B Bldg Height: Building Setbacks Flood Zone : X Use Zone : PC - Newport Place PROCESSED BY: SPECIAL CONDITIONS: Legal Desc : N TR 7694 BILK LOT 4 TRACT NO 7694 LOT 4 AND LOT 5 FOR OF LOT Contractor: PARADISE CONSTRUCTION INC Address : 7271 GARDEN GROVE BLVD G GARDEN GROVE, CA 92841 Phone: (714)799-3239 Con State Lie : 797875 Lie Expire : 07/31/2024 Bus Lie : BT30079621 Bus Lie Expire : 09/30/2023 Workers' Compensation Insurance Carrier: CYPRESS INS CO Policy No: PAWC332275 W. C. Expire : 1/1/2023 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect : KEITH MULLER Address : 101 N COAST HWY EL SUGUNDO, CA 90245 Phone: (619)204-2036 State Lie : C034801 Engineer Address Phone: Designer Address Phone: NO Construction Valuation : $125,000.00 No Added/New%TI s`q. ft. Bldg : 0 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 IND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that t am exempt from the Contractors' Slate License Law for the reason(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 the pmmlt 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 Iicensure 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 notmore than five hundred dollars ($500). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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' ar personal effort, builds or improves the property, provided that the improvements arenot 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' Slate License Law does not ra�yply 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), LJ I am exempt from icensure Under the Contractors' Stale 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 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 sits:http:fiwww,leginfo.ca.govicalaw.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 Sectio 70 0,) ofFIVsion 3 of the Business and Pr sl>;;jta Code, and my licen Is ll force and effect License Class License No Dat // Q r / n � Contractor Sionatur //\\ iC 1 .. WORKERS' COMPENSATION DECLARATION /K T� NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: -1 1 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 th rformance of the work for which this permit is issued. Policy No. 71 andwill 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: Carrier�P".� Policy Number Expiration Date Name of Agent Phone # I certify that, In the performance 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 aws California, and agre tat, if !should beta��t - e worker' ygompen-sa.EfSy visions of Section 3700 of the Labor Code, I shag forthwith comply with those provisions, lgnatwe of AppllcwnC _ Da _ 2� tECLARATION REGINSTRUCTION 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, Civi)Code). ender s Name _ Lenders Address ly my signature below, I certify to each of the following: I am the property owner or authorized to acton the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with ail applicable city and county ordinances and state laws relating to building construction. C I authorize representatives of this city or county ty ler inP,�Joove-identifi for inspection purposes. I�(t i ,n 1 a 2u�r�' (� //1 �(� I, �q Z Iionature of Prooertv Owner or Authorized ADao ty ij Print Prooerty Owner's or Authorized AGenCs Narrre I�VT V n.Il _6 L ACTION PERNIrr EXPLHED PERMIT CANCELLED PERMIT EXTENDED DATE 6Y V-BE6LL11AMN OF COMPLIANCE WITH CODE OF FEDERAL ( [ REGULATIONS PART 61 OFTITLE AD AND AOMD RULE PERMIT FINAL- CEHTIFICATE DF J OCCUPANCY ISSUED 1 5URMITTEDASBESTOS NOTIFICATION TO FOR OFFICE USE ONLY All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.