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Home My WebLink AboutXC2024-0113 - Permits�EW�o�T City of Newport Beach I 111�1111111111111111111111111111111111111111111111111111111jj COMB Permit : XC2024-0113 e4 .�j e Community Development Department- Building Division X C 2 0 2 4 0 1 1 3 > ,;. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0582 Permit Counter Phone: (949) 718-1888 Issued Date : 04/08/2024 newportbeachca.gov/civic Final Date: Combination Type - ELEC MECH Permit Status: Issued Work Class - Tenant Improvement 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: 550 NEWPORT CENTER DR, 600 Description: COMM OFFICE TI 929 SF Owner: 500/550 NEWPORT CENTER DRIVE LLC Address : P.O. Box 2450 NEWPORT BEACH, CA 92658 Phone: (949)453-2330 Applicant: MARK YAM Address : 392 N N LEMAY CT ORANGE, CA 92867 Phone: (626)757-2320 Owner/Builder : Address : Legal Desc : P BK 387 PG 41 PAR 1 Contractor: DAVID SIMPSON CONSTRUCTION INC Address : 17177 GILLETTE AVE #A IRVINE, CA 92614 Phone: (949)250-1348 Con State Lie : 381149 Lie Expire : 03/31/2025 Bus Lie: BT00006013 Bus Lie Expire : 06/30/2024 Workers' Compensation Insurance Carrier: CYPRESS INSURANCE COMPANY Policy No: DAWC426822 W. C. Expire: 5/1/2024 Architect : MORFORD PAUL Address : 4675 MACARTHUR CT #100 NEWPORT BEACH, CA 92660 Phone: (949)863-9434 State Lie Engineer: Address Phone: Designer: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $120,000.00 Type of Construction : I -A Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : 929 Bldg Height: No of Stories : 9 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone: X Use Zone: PC - North Newport Center or PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby afflnn under penalty of perjury that € am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable iterlt(s) Section 7031.5, Business slid Professions Code; Any city or county that requires a permit to construct, alter. improve, denmfishr or repair any structure, prior to its issuance, also requires the applicant for it 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 'rofessions 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 of more than rive hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do t_) all of or (_) portlons of the work, and the structure is not intendedor 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 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). 1 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: _ _ _ _ ,y 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 legall) ell 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 'rofessions Code, Is available upon request when this application is submitted or at the following Web site:httpaiwww.leginfo.ca.govicalaw.html, signature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of. 'vi' 3 the Business and P class , an y license is in full farce rid effect. License Class License No Dat Contractor Signatu VORKERS' COMPENSATION' DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORE THOUSAND DOLLARS [$100,0001. IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury oneof the following declarations: 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 rmance 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 Phone #_ A 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' compensation laws of California, and ague oat, if I should become subject to the lief y compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ignature of Applicant _ Dat�_V�� IECLARATION REGAF DI (. N 'R T10ENDIN AG GENCX 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, Ci Code). Enter'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 provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. / y/, Signture of Property Owner or Authorized Aaeln �! Print PrODertv Owner's or Authorized Aaent' as NaW@I Date ACTION I DATE PERMIT CANCELLED PERMIT EYTENDED .......-....... ....... ..................... ...... ....................._......_....____ PERMIT FINAL &-27-TLI CERTIFICATE OF OCCUPANCYfSSUED OF COMPLIANCE WITH CODE OF FEDEF PART 5t OF TITLE 40' AND AQMD RULE ..SBW, OS INC TIF.CA. 10.1 TO NOTIFICATION IS TAPPLICABLE TO MOLIPONN/j FOR OFFICE USE ONLY