The URL can be used to link to this page

Home My WebLink AboutXC2023-0101 - Permitsewvq, City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2023-0101 CF Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0745 n Permit Counter Phone: (949) 718-1888 Issued Date : 05125/2023 newportbeachce.gov/civic Inspection Area : 7 C9Cri0Combination Type - ELEC MECH 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: 3 CORPORATE PLZ, 102 Legal Desc : P BK 93 PG 45 PAR 3 Description: COMM TI 1,157 SQ "COASTAL MINDS" 1157 SF Owner: PROPERTY RESERVE INC 3 CORPORATE Contractor: S L S CONSTRUCTION INC Architect Address : PLAZA LP Address : 463 CHORUS Address SALT LAKE CITY, UT 84151 IRVINE, CA 92618 Phone : Phone : (858) 735-4814 Phone Con State Lie : 1048230 State Lie Lie Expire : 12/31/2024 Applicant: S L S CONSTRUCTION INC Bus Lie : BT30078360 Engineer Address : 463 CHORUS Bus Lie Expire : 03/31/2024 Address IRVINE, CA 92618 Phone : (858) 735-4814 Workers' Compensation Insurance Phone Carrier: STATE COMPENSATOIN INSURANCE FUND Owner/Builder : Policy No: 9332551 Designer: JUANITA FOTHERINGHA,M,' ; Address : W. C. Expire: 2/1/2024 Address : 11052 LINDA LANE GARDEN GROVE, CA 92840 , Phone : (714) 496-4185 Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $76,419'.;l Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 1,157 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : 0 ; Bldg Height: No of Stories : Added/New sq. ft. Garage: TOTAL sq. ft. : 0 Building Setbacks: Flood Zone : X Use Zone : PC - Corporate Plaza PROCESSED BY: SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placednext to the applicable !teas (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 licensureand 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or C_) 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' nr 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 7D44, Business and Professions Code: The Contractors' State License Law does not alp€y to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J 1 am exempt from licensure under the Contractors' State License Law for the following reason:.,,,_.. ly 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, 1 cannot legally all a structure that I have built as an mrar-builder if it has not been constructnd in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofesslon , Code., is available upon request when this application is submitted or at the following Web site:http:(lwww.leginfo.ca.gov/calaw.html lignature of Property Owner or Authorized Agent _ Oat .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that. I am licensed under previsions of Chapter 9 (commencing with Section 70 of vDn.� p�the Business and ProjTMOUD my license is In full force :nd effect. License Class License No Date 7�� i—r�SCcntmctor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDOLLARSISt D0,000), IN ADDITION TO THE DST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and wil€ 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 ormance of the work for which this permit is issued. Policy No. have 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' compere ❑ance carrier an policy number are: of Agent _ at 0e1tify that, in the performance of the work for mat, :f ' should become subject to the Workers�qq of Applica.it Policy Number Date permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and i provisions of Section 3700 of the Labor Code, I shall forthwith comply Wlh those provisions. /— ___.. Date? 3 nereJy affirm rmver penalty of perjury that there V a construction lending agency for the performance of the work for which this permit is issued (Section 3097 a,a_rrs Name Lender's Address y r),• cignature below, I Certify to each Of the follOwing: I am the property -wner orauthorized to act on the property owner's behalf. I have read:i-is arwication and the Information I have provided is correct. I. agree tocomply with all applicable city and county ordinance p4n7 state laws relating l0 building. construction. I authorize -epmsentatives of this city or county to enter,*t bov. -i rty for inspection purposes, ACTION PERMIT EXPIRED PERMIT CANCELLED PER tTEXTENDED PERMIT FINAL v� CE,APFFCATE OF OCCUPANCYISSUEO DATE 1 BY 1403 LL'� /t,/ PR670SE0 C SIGNATURE: Phol Property Owner's Or Authorized Ac OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY PART 51 OF TITLE 4d AND AQNIO RU LF. NOTAPPLICABLE TO Civil Code). L rzr 3