HomeMy WebLinkAboutXC2023-0147 - Permits¢�eWPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2U23-0147
p @ Community Development Department - Building Division X C 2 0 2 3 8 1 a 7
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1054
n Permit Counter Phone: (949) 718-1888 Issued Date : 05/11/2023
r newportbeachca.gov/civic Inspection Area : 7
C9CiGORN`p 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 : 13 CORPORATE PLZ Legal Desc : P BK 93 PG 45 PAR 13
Description: COMM RENOVATION OF AN EXISTING STAIRWAY TO A PARKING LOT
Owner: 13 CORPORATE PLAZA ASSOCIATES LLC
Address : 2183 MINER ST
COSTA MESA, CA 92627
Phone:
Applicant: CHEN RYAN
Address : 38 TECHNOLOGY
IRVINE, CA 92618
Phone: (949)923-6214
Owner/Builder :
Address :
Phone
Contractor:
HARDSCAPE SOLUTION
Address : -
3906 CALLE ANDALUCIA
SAN CLEMENTE, CA 92673
Phone:
(949)542-3059
Con State Lie
: 988281
Lie Expire :
02/28/2025
Bus Lie :
BT30059721
Bus Lie Expire : 06/30/2023
Workers' Compensation Insurance
Carrier: INS CO OF THE WEST
Policy No: WSD505778302
W. C. Expire : 10/23/2023
Code Edition :
Fire Sprinklers :
Type of Construction :
Fire Hazard Zone
Occupancy Groups : U
No of Units :
Bldg Height :
No of Stories
Building Setbacks :
Flood Zone : X
Use Zone : PC - Corporate Plaza
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
,99
State Lie
Engineer:
CHEN RYAN
Address :
38 TECHNOLOGY
IRVINE, CA 92618
Phone :
(949) 923-6214
Designer:
Address :
Phone:
NO Construction Valuation :
NO Added/New/Ti sq. ft. Bldg
0 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage:
TOTAL sq. ft. :
$5,000.00
0
0
0
OWNER -BUILDER DECLARATION
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 the applicable items)
(Seglion 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 requres 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 ilcensure 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).
111, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 theburden 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' State License Law does not
apply to an owner of properly 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 tram licensors under the Contracters' 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 legallt
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 or at the following Well sitethttp:!(wvnv.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 OD 'of D` isi n 3of the Business and Pr ons Co , and. my li ,aria is In full force
and effect License Class License No Date Contractor Signatur
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO AND DOLLARS (SM100,000), IN ADDITION TO THE
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:
-11 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 the
performance of the work for which this permit is issued. Policy No.
I have and will maintain workers' compensation insurance, as required by Section 37CO of the Labor Code, for the performance of the work for which this permit is issued. My workers` compensatior
nsurance carrier and policy number are:
-arrier Policy Number Expiration Date
of Agent
JI certify that. in the performance of the k for which this 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 agre
:hat, if I should become so _'act to wor Irs' compereatl r xovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /�) ,r
Signature of ApplicantI. Data S / I t/
DECLARATION REGALVIDIN OWONDING AGENCY
hereby affirm under penalty of perj that there is a construction lending agency for the performance of the :work for which this permit Is issued (Section 3097, 411 Code).
_endei s Name Lender's Address
By my. signature below. I certify t each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county orcfiqqnces no state laws rAlqng to building. construction.
I authorize representatives of this city or count en rt a ab e-Idenlifle rop for inspectlon purposes. ff
Signature of Property Owner or Authorized A eastI rty Owner's or Authorized Agent's Name
ACTION DATE. BY D ATiON OF COMPLIANCE 1NITH CODE OP FEDERAL PDR OFFICE USE ONLY
REG ATIONS PART 6.1 OF TITLE 40AND,
gNID RULE c
1 1403
PERMIT EXPRED iJ I SUBMITTED ASBErTOS NOT FICA, ION TO
PERMIT CANCELLED LJcPA
PERMITEXTENDED qM D�
PCRNYT FINAL }BEST TJFICAIION 15 N0'I'APyEICABLE"TO
CERTIFICATE OF 'i T P05ED O C 0 A i \I
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