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Home My WebLink AboutXC2022-1929 - Permits�EWP0,4� City of Newport Beach �� II C� Community Development Department- Building Division X C 2 0 2 2 1 s 2 s �y 100 Civic Center Drive, Newport Beach, CA 92660 U Z. Permit Counter Phone: (949) 644-3266 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov°g4ponN�" Combination Type/inspections ? - ELEC MECH PLUM Work Class - Tenant Improvement COMB Permit : XC2O22-1929 Plan Check No : PC2022-2183 Issued Date : 02/16/2023 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: 17 CORPORATE PLAZA, 120 Legal Desc : P BK 93 PG45 PAR 17 Description: COMM ALT IN 3 PHASES NEW HVAC UNIT, PLUMB AND ELEC WORK FOR SURGERY CENTER Owner: NEWPORT CENTER SURGICAL Address : 17 CORPORATE PLAZA, 120 NEWPORT BEACH, CA 92660 Phone: (949)759-5539 Applicant : SAUNDERS NIALL F Address : 2700 W COAST HWY #200 NEWPORT BEACH, CA 92663 Phone: (949)721-0730 Owner/Builder : Address : Contractor: BUILDRITE INC Address : 1609 E MCFADDEN AVE #D SANTA ANA, CA 92705 Phone: (714) 547-7737 Con State Lic : 830308 Lic Expire : 01/31/2025 Bus Lic: BT30080747 Bus Lic Expire: 02/29/2024 Workers' Compensation Insurance Carrier: EVEREST PREMIER INSURANCE COMPANY Policy No : 7600007095221 W. C. Expire: 4/1/2023 Architect : SAUNDERS NIALL F Address : 2700 W COAST HWY #200 NEWPORT BEACH, CA 92663 Phone: (949)721-0730 State Lic Engineer: NOURMOHAMMADIKHOSROW Address : 2515 BAMBOO NEWPORT BEACH, CA 92660 Phone: (949)822-8700 Designer: Address Phone: Phone Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $35,000.00 Type of Construction : III -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : 1-2 No of Units : 0 Alteration sq. ft. Bldg : 305 Bldg Height : No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks : - Flood Zone: X Use Zone : PC - Corporate Plaza PROCESSED BY: - SPECIAL CONDITIONS: I hereby affirm under penalty or 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 ftem(s) 3ectlon 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 le permit to file a signed statement that he or she is licensed pu€suantto the provisions of the Contractors' State License Law (Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure andthe 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). 11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ,usiness 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 npiovements are not intended or offered for sale. If. however, the building or improvement is sold within one year of completion, the Owner -Builder wild have the burden of proving that It was not built or nrproved for the purpose of sale). „r 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 ply 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). I am exempt from licensure under the Contractors' State License Law for the foltowing reason: _ ly my signature below t 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 legall} ell a structure that I have built as an owner -builder if ithas not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 cribs Business and Orofessions Code, is available upon request when this application is submitted crat the following Web site:http:liw .leginfo.ca.gov/calaw.htmi. lignalure of Property Owner or Authorized Agent ___ Date .ICENSED CONTRACTOR'S DECLARATION. hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 o Divi 'o of the Business and Profession ode, an Icense is In full force ,nd effect. License Class License No Data Contractor Signature - UORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AHD SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TOONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, 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 th 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: Policy Number Expiration Date of Agent ]I certify that, in the performance the work for ich 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 let, If I should become subject he work mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignatureofApplicant„ - Date„,,,,_-- iECLARATION REGARD DNS U T AGENCY hereby affirm under penalty of perjury t ere Is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y my signature below, I certify to each of the foltowing: 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 provide is correc I agree to cmmnly with all applicable city and county ordine s an a laws relating to building construction. I authorize retires ntstives of this city or county to enter as 0 entified property for inspection purposes. P— mrn.,nAr ,,. A rh�A,Pn Anent //i /' Print Property Owner's or Authorized ADent's Name /�`.e ..S ,V_ -rcv :.�r'I Date .2/1 DECLARATIQW(3FCOMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY LF. REGULATIONS PART 61 OF TIT4Q AND ADMp RULE PER`AITEXPIR't' ISURMtTTED ASBESTOS NOTI FiTWIT CANCELLED I ( EPA riLAMIT FI NAL :CF.T;9ICATE OF OCCUPANCY 16UEn NOT AReUCABLE TO