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Home My WebLink AboutXC2023-0486 - PermitsQ aEWPOaT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2023-0486 C A Community Development Department- Building Division X C 2 8 2 3 e 4 8 6 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2922 r+ ? Permit Counter Phone: (949) 718-1888 Issued Date : 01/22/2024 �.. newportbeachca.gov/civic Final Date: c9</FOM1�`P Combination Type - 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: 2301 SAN JOAQUIN HILLS RD Legal Desc : P BK 142 PG 36 PAR 1 Description: COMM (N) REAR ENTRY PAVILION (566 SF) "ROGER'S GARDEN" Owner: ROGERS REALTY LLC Address : 2301 SAN JOAQUIN HILLS RD CORONA DEL MAR, CA 92625 Phone Applicant: K2 GENERAL CONTRACTORS INC Address : 19732 MACARTHUR BLVD STE 105 IRVINE, CA 92612 Phone : (949) 477-1047 Owner/Builder : Address : Contractor: K2 GENERAL CONTRACTORS INC Address : 19732 MACARTHUR BLVD STE 105 IRVINE, CA 92612 Phone : (949) 477-1047 Con State Lic : 481058 Lic Expire : 01 /31 /2025 Bus Lic: BT03010343 Bus Lic Expire : 06/30/2024 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No : WVE5049328 W. C. Expire : 7/4/2024 I s i',i °_.a✓ g 'a + Architect : Keisker & Wiggle Architects, In Address: 26961 CAMINO DE ESTRELLA #200 CAPISTRANO BEACH, CA 92624 Phone : (949) 388-1250 State Lic Engineer: WELTONJEREMY Address : 26461 RANCHO PARKWAY SOUTH IRVINE, CA 92620 Phone: (949)916-3440 Designer: Address Phone: Phone: Code Edition : Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg Occupancy Groups : M,U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks Flood Zone : X Use Zone : CG - Commercial General PROCESSED BY: SPECIAL CONDITIONS $75,000.00 , • . 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Spate License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dery iish,. 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' 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 licensure and the basis for the alleged exemption. Any violation of Section 703t5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five humored dollars ($500). 1, 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 the burden of proving that it was not built or improved for the. purpose of sale). 0 I, as owner of the properly, 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 property who builds or Improvesthereon, 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 following reason By my signature below f acknowledge that, except for my personal residence in which I must have rssided for of least one year prior to completion of the improvements covered by this permit, I cannot iegalh sell a structure that I have builtas an owner -builder if It has not boon 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 Brat the following IAeb site:hVi/An w.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 Sarp�fi 7600 If Division 3 of the Business and Pr salons C,zde, and my license is In full force and effect. License Class License No It 2z 2 Contractor Sign lure Lie' AIORKERS' COMPENSATION DECLARATION NARKING: FAIL'J 4F To SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND CIVIL FINES UP 70 ONE HUNDRED THOUSAND DOLLARS (S100;M0), IN ADDITION TO THE COST OF COI.,PENSA70N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYe FEESu htereby affirm under penalty of perjury one of the following declarations: ...A I have and win 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 Cods, forth 3erfirmance of the work for which this permit is issued. Policy No. a:^d will maintain workers' compensation insurance, as squired by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' LCZner and policy number are: Policy Number of Agnnt Date certify 141, t, in 04 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 agre t if I shjul . came subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply will those provisions. nature A licant .(/�,,,,,�_�, Dat CLAF(Al ION REGARDING OC NSTR.UCTIO:N LENDING AGENCY Ireby afil under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Clvll Code). �der's Name Lender's Address lily 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 slate laws relating to building. construction. I authorize representatives, of this cr�yy or county to entsrlhe above -identified property for inspection purposes. / \/ nature of Property Owner or Authorize( Aft _._ Print Property Owner's or Authorized AGedf3Wame kK/f '�i4n�11.(.%1%�. note _1 BY PERMt7 EXPIRED PERMIT IT FATFNDED PERYiii FINAL 7--Z Zq iL piy, CERTIFICATE OF OCCUPANCY155UED DECLARATION OF COMPLIANCE WITI4 CODE OF FEDERAL REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE TO FOR OFFICE USE ONLY