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HomeMy WebLinkAboutXC2022-1866 - Permits"EWPoRr City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 �i. Inspection Requests Phone: (949) 644-3255 c9G�FOftN�P newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement COMB Permit : XC2O22-1866 Plan Check No: PC2022-1842 Issued Date : 09/01/2022 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, 475 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 BLK LOT 4 TRACT NO 7694 LOT 4 AND LOT 5 POR OF LOT Contractor: PARADISE CONSTRUCTION INC Architect Address : 7271 GARDEN GROVE BLVD G GARDEN Address GROVE, CA 92841 Phone : (714) 799-3239 Phone Con State Lie : 797875 State Lie Lie Expire : 07/31/2024 Bus Lie: BT30079621 Engineer: Bus Lie Expire : 09/30/2023 Address Workers' Compensation Insurance Phone: Carrier: CYPRESS INS CO Policy No: PAWC332275 Designer: W. C. Expire : 1/1/2023 Address Phone: KEITH MULLER 101 N COAST HWY EL SUGUNDO, CA 90245 (619)204-2036 C034801 Fire Sprinklers : NO Construction Valuation : $125,000.00 Fire Hazard Zone : No Added/Now/Ti sq. ft. Bldg : 0 No of Units : 0 Alteration sq. ft. Bldg : No of Stories : Added/New sq. ft. Garage : 0 yy6V 9 L_C �o�1 1:. OWNER -BUILDER DECLARATION ! hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable itam(s) (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 licensed pursuant to the provisions of the Contractors' Stale 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 lieensure 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). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 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 safe). 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 ra'p-tply 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). u I am exempt from lieensure 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 legally 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 site,httpllww'w'.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 provisions of Chapter 9 (commencing with Section 70SS 0' ision 3 of the Business and P sslons Code, and my li n full force and effect. License Class License No Date1t,\ � Contractor Signet/� WORKERS' COMPENSATION DECLARATION AA�� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS ($100,00ei, IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: © I 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, (performance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date 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' compensati la s of California, and agree 1, If I should becom sr fact to the workers' compan' N Tavisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant _ Dal C LARATION REG DING tONST UCTION LENDING AGENCY Ireby affirm under penalty of perjury that there is a construction tending agency for the performance Of the Work for which this permit is issued (Section 3097, Civil ode). Idler's Name _ _ _ Lenders Address my signature below, I certify to each of the following; I am the property owner or authorized to act on the properly owner's behalf, I have read this application and the information I have provided is correct.. �-�l �� '✓ 1.1.�+v '� I agree to comply with all applicable city and comity ordinances and state Imr r ling to building construction, r✓ I authorize representatives of this city or coun//'o16"�er the ve-Identified rty for Inspection purposes. nalum of Pfnnanv Owner nI Authorized ADant A \ A!AA Print Prouartv Owner's or Authorized Aoenl'S ACTION DATE I BY PART 51 OF TITLE 40AND AQMD RULE. FOR OFFICE USE ONLY PERMIT EXPIri ] L,I SUBMITTFDASBF.STOS NOTIFICATION TO PERMITCANCELLED LIEPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall P€RAW EXTENDED Qiv1p be In place prior to approval to fill pool/spa & Shall rern sin In place & be maintained for the PERMIT FW L3 -� / ASBES S OTII,F,'IICr`,'A�TII�ON IS NOT APPLIC E TO life of the pool, CERTIFICATE OF O OCCUPANCY ISSUED S GNATUD � I