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HomeMy WebLinkAboutXC2023-0289 - Permits��,EK'PORT City of Newport Beach II II III I IIIII I IIIi llll llll 11 111 11 II COMB Permit: XC2023-0289 � Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1847 >� Z Permit Counter Phone: (949) 718-1888 Issued Date : 0110512024 w newportbeachca.gov/civic Final Date: c9G/FOR��P Combination Type - Permit Status: Issued Work Class - Other 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 : 23 CORPORATE PLZ Legal Desc : P BK 93 PG 45 PAR 20 PARCEL MAP 93-45 PAR 20 POR O Description: COMM EXT TI TO HARDSCAPE PATH OF TRAVEL TO ACCESSIBLE PARKING STALLS AND PUBLIC RIGHT-OF-WAY. Owner: IRVINE COMPANY Address: 111 INNOVATION DRIVE IRVINE, CA 92617 Phone : (949) 720-2400 Applicant: RYAN CHEN Address : 38 TECHNOLOGY DR IRVINE, CA 92618 Phone: (949)378-8678 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks: Flood Zone Use Zone : V-B PC - Corporate Plaza PROCESSED BY: AM 1, SPECIAL CONDITIONS: Contractor: CASCO CONTRACTORS INC Architect Address : 9850 IRVINE CENTER DR Address IRVINE, CA 92618 Phone: (949)679-6880 Phone: Con State Lic : 790706 State Lic Lic Expire : 01/31/2025 Bus Lic : BT30041027 Engineer : CHEN RYAN Bus Lic Expire : 10/31/2024 Address : 38 TECHNOLOGY IRVINE, CA 92618 Workers' Compensation Insurance Phone: (949) 923-6214 Carrier: ZURICH AMERICAN INSURANCE COMPANY Policy No: WC452503202 Designer W. C. Expire : 1/1/2025 Address Phone: Fire Sprinklers : NO Construction Valuation : $75,000.00 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 No of Units : 0 Alteration sq. ft. Bldg : No of Stories : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 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 checkrnark(s) I have placed next to the applicable iiem(s) Section 70315, 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 is 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 licensors 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 of more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, wstness 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 nprovements 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 nproved for the purpose of sale). 3 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 pply to an owner of property who builds or improvesthereon, and %he contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 3 1 am exempt from licensure under the Contractors' State License Law for the following reason: ____ 1y 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] oil a structure that I have built as an ownsr-builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Yofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginto.ca,govfcalaw.html. signature of Property Owner or Authorized Agent Date _ ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section„ 01 yf Of}n*Stan 3,pf the Business and -Professions a and lice is In once ad effect. License Class License No {� // �/ -04 I' Contractor Signature i RKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' DDIAPENSAT10N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ISSOU,000L IN ADDITION To THE DST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION n706 OF THE LABOR CODE, €NTEREST,. AND ATTORNEY'S FEES_ hereby affirm under penalty of perjury one of the following declarations: I 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 thr erformance 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: to of Agent Certify that, in the performance if I should become subject to 1 Policy Number Date 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 'fiom',of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 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, Civil Cade). sorter's Name Lender's Address y my signature below, I certify to 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 provi is I agree to comply with all applicable city and county orWes es and state IQ ting to building. construction. I authorize representatives of this city or county to er a awe-Identifl pr rity for inspection purposes, Signature of Property Owner or Authorized Agent Z I�-'�— Print Property Owner's or Authorized Agent's Name ACTION DATE BY !. DECLARATEONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I RE.GIILATIONS PART 61 OF TITLE 40 AND AONID RULE PERMIT EXPIRED _. _6 _ PERMIT CANCEt(ED PER14T EXTENDED PLR,LIIT FINAL CERTIFICATE OF OCCUPANCYISSGED ? L-1I 5JRMITTED ASBESTOS NOTIFICATION TO I U ASBESTOS NOT ION I5 NOT APPLICABLE TO 1 PROPOSED DEMOLITION