The URL can be used to link to this page

Home My WebLink AboutXC2022-2010 - PermitsC,�" C"r City of Newport Beach 11IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11COMB Permit:XC2022-2o1 o 6,Community Development Department - Building Division100 Civic Center Drive, Newport Beach, CA 92660Plan Check No : PC2022-2545 TPermit Counter Phone: (949) 644-3288 Issued Date : 02/17/2023 Inspection Requests Phone: (949) 644-3255 Inspection Area : 7 �"� newportbeachca.gov/inspections f �9l"1%r^ 1^ -7- Combination Type - ELEC PLUM Work Class - Other i 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 : 4700 VON KARMAN AVE, 101 Legal Desc : N TR 9740 BLK LOT 9 Description: COMM -TI INSTALL (1) SINK W/ INSTAL -HOT INACCESSIBLE MILLWORK Owner: AYLA CAPITOL GROUP LLC contractor; VM CONSTRUCTION SPECIALTIES INC Architect : WILLIAM LUSHBAUGH Address : 535 E MAIN STREET Address : 17120 BEACH BLVD, 108 Address : 17191 CITRON IRVINE, CA 92612 TUSTIN, CA 92780 HUNTINGTON BEACH, CA 92683 Phone: Phone: (714)725-4233 Phone: (949)584-2166 Con State Lic : 991180 State Lic: CO24867 Lic Expire : 03/31/2024 Applicant : CAROLYN DOYLE Bus Lic: BT30080754 Engineer Address : 12 MAUCHLEY, E Bus Lic Expire : 02/29/2024 Address IRVINE, CA 92618 Phone: (919) 290-4420 Workers' Compensation Insurance Phone: Carrier: WESCO INSURANCE COMPANY Owner/Builder: Policy No: WWC3606056 Designer: Address : W. C. Expire : 9/22/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $7,000.00 Type of Construction : III-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Addecli sq. ft. Garage : 0 , TOTAL sq. ft.: 0 - • - Building Setbacks Flood Zone: X Use Zone: PC - Koll Center > > PROCESSED BY: SPECIAL CONDITIONS: ; OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) eectien 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 ie permit to rile 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 'rofassions Code) or that he or she is exempt from lieensure 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). 1 I, 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, 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 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 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 poly 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 I am exempt from licensors under the Contractors' Stale License Law for the following reason: v my signature below I acknowledge that, except for my oersonal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot egall,. ell a structure that I have built asan 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 orst the following Web site:hop:/lwww.legfnfo.ca.gov/calaw.html. ignature 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) If p1yl iD of the Business and Professions Code, anf�' tense is in full force nd effect. License Class License No Date t l ( L Contractor Signature.,,r,G_ PORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EFIPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU5AND DOLLARS LIn D0,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0704 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 s iNnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th Eformance of the workfor which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the workfor which this permit is Issued. My workers' compensatiol Isurance Cartier and policy number are: arner Policy Number Expiration Date am a of Agent Phone 4 It certify that, in the performance of the work for v6hich 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 tat, if I should become subject to the worke ' c pensation provisions of Section 3700 of the Labor Code, I shell forthwith comply with those provisions. Ignature of Applicant___ Data— ��(i� , .ECLARATION REGARDING CONSTRUColi LENDING AGENCY T 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). Ender's Name Lender's Address y my signature below, I certify to each of the following: I am the prcpa.t} owner or authorized to act on the properly owner's behalf. I have read 'Ts :.pplication and the information I have provided is correct. I egree to c�mpl�^vith all applicable city and county ordinances and slate I relating to building construction. I authorize rewesentalives of this city or county to enter the above -Id of property for inspection purposes, n nahare of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date o 1CGION DATE By DECLARATION OF MPLIANCE WITfi CODE OF FEDERAL FOR OFFICE USE ONLY 3 REGULATIONS PA T 61 OF TITLE 40AND AQMD RULE f EE7•MT EXPIRCO I SUBMITTED ASBESTOS NOTIFICATION TO _ F E,3,AlTCANCEi.LEP IJEPA, Ff,? M,TEXTENPEB I M'.D PERMIT FINAL V J-Z S ASBESTOS NOTIFICATION 15 NOT PLICABLE TO £Ed'-ffICATE OF PROPOSED DEMOLITION . P(VJPANCY U5UFP SIGNATURE-