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Home My WebLink AboutXC2022-1949 - PermitsCity of Newport Beach Division 4��wPORr C 6 Community Development Department- Building 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 �gG�Fopt��P newportbeachca.gov/inspections Combination Type - ELEC Wnrk r..lase - Tenant Improvement COMB Permit : XCZO22-1949 IIIXIIIIII0II�III1I4IIII�� II Plan Check No : PC2022-2301 Issued Date : 01/23/2023 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 : 1539 MONROVIA AVE Legal Desc : A TR FIRST ADD TO NEWPORT MESA TR BLK LOT 1015 FIRST ADD TO NEWPORT MESA TR LOT 1015 NLY 90 FT Description : COMM TI "CARDEN HALL" 2000 SF 122-1385 Owner: NEWPORT BUSINESS CENTER LLC Address : 1570 E EDINGER AVE STE11 SANTA ANA, CA 92705 Phone: Applicant: BOLETTE ALBERTSEN Address : PO BOX 291 laguna beach, CA 92652 Phone: (714)743-6136 Owner/Builder : Address : Phone Contractor Address TYLER COMMERCIAL CONSTRUCTION Architect: INC. 21351 BRETON LN. HUNTINGTON BEACH, CA 92646 Phone : (949) 295-4571 Con State Lic : 1000107 Lic Expire : 01/3112023 Bus Lic : BT30080523 Bus Lic Expire : 01/31/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 9312814 W. C. Expire i 2/1012023 Code Edition : 2019 Fire Sprinklers : Type of Construction : W-A Fire Hazard Zone Occupancy Groups : S-1,B No of Units : Bldg Height: No of Stories Building Setbacks Flood Zone : X Use Zone : IG - Industrial PROCESSED BY: SPECIAL CONDITIONS: Address Phone: State Lic Engineer: SORIN BRIE Address: 2400 E KATELL.A AVE, 815 ANAHEIM, CA 92�06 Phone: (714)449-1646 Designer : BOLETTE ALBER2TSEN Address : PO BOX 221 laguna beach, CA 92652 Phone : (714) 743-(�1',la1 , NO Construction Valuation NO Added/New/TI sq. ft. Bldg 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: TOTAL sq. ft. : $24,000.00 0 2,000 0 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 checkmark(s) I have placed next to the applicable item(s) (Section 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 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 Idensum and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicantta a civil penalty of not more than five hundred dollars (3500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do LD all of or U portions of the work, and the structure is not intended proffered 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). 13 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' Slate License. Law does not apply 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). 13 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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, sell a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Businoss and Professions Code, is available upon request when this application is submitted or at the following Web slte:http://www.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 Chapj� 9 (commencing with Section 70 of Iv'sion 3 of the Business and Pr fessio It ��, and. my license is In full force and effect. License Class License No 1(r`['Y'�1 �Ll Date, Contractor Signature NORKERS' COMPENSATION DECLARATION 1 NARKING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO s ND DOLLARS ($100,000), IN ADDITION TO THE -OST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 070E OF THE LABOR Cop€, INTEREST, AND ATTORNEYS FEES. ---hereby affirm under penalty of pn-L r, one of the following declarations: 'et,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 rmance of the would for which this permit is issued. Policy No. 11 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permitis issued. My workers' compensatiol nsurance carrier anr' pellcy pumbefaro: Policy Number Expiration Date of Agent _ I certify that, inthe 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' comp nsaif n laws of California., and agre rat, if I should becomethe subject t3 e work Domp��tl1tnsation pprevisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �1 ignature of Rpplicarl"ILNGC�-:��.,40', ECLARATIGNRE3AUC N LEN DING AGENCY hereby affirm uncle- pehat there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders 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 ordinance nd state laws relating to building construction. I authorize representatives of this city or count to. er he. ove-ldenf d roperty for inspection purposes.��2�� ignature Of Property Owner or Authorized Agent Print Prooertv Owner's or Authorized Angers Nnm n 1� HATE BY ' DECUARr�T[ON OF COMPLIANCE VW 17H CODE OF FEDERAL FOR OFFICE USE ONLY REGU -IONS PART 61 OF TITLE 40 AND ACi RULE 1403 PERMIT CANCELLED PERMIT EXTENDED LJAQMD PERIbHT FINAL ASBESTOS NOTIFICATI N 15 APPLICABLE TO OCCUPANCY OF PROPOSEOOEMpt1Ti (. 1~ft-- OCCUFICATESSUEO cirOPOSED J �11/ A�\