HomeMy WebLinkAboutXC2023-0008 - PermitsCity of Newport Beach
Community Development Department- Building Division
04'..'1,
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - ELEC MECH
Work Class - Tenant Improvement
COMB Permit: XC2023-0008
X C 2 0 2 3��������������������������� II
Plan Check No: PC2023-0115
Issued Date : 02/17/2023
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: 4695 MACARTHUR CT, 1600 Legal Desc
: P BK 196 PG 40 PAR 2
Description: COMM TI- "GRANT THORNTON" N/S 285 SF
Owner: THE IRVINE COMPANY Contractor:
HOWARD BUILDING CORP
Address: 550 NEWPORT CENTER DR Address :
3184 AIRWAY AVE #K
NEWPORT BEACH, CA 92660
COSTA MESA, CA 92626
Phone
Applicant: MARK YAM
Address: 392 N LEMAY CT
ORANGE, CA 92867
Phone : (626) 757-2320
Owner/Builder :
Address :
Phone
Phone:
(714)438-2272
Con State Lie
: 445804
Lie Expire :
09/30/2023
Bus Lie :
BT00007349
Bus Lie Expire : 05/31/2023
Workers' Compensation Insurance
Carrier: ZURICH AMERICAN INS CO
Policy No: WC3004566
W. C. Expire : 3/1/2023
Code Edition: 2022
Fire Sprinklers :
YES
Type of Construction : I -A
Fire Hazard Zone :
NO
Occupancy Groups : B
No of Units :
0
Bldg Height:
No of Stories :
16
Building Setbacks
Flood Zone : X
Use Zone : 41, Center
PROCESSED BY:
SPECIAL CONDITIONS:
Architect :
MORGAN CORTLAND
Address :
711 N FIELDER RD ARLINGTON TX 76012,
CA
Phone:
(817)635-5696
State Lie
Engineer:
Address
Phone:
Designer:
Address
Phone:
Construction Valuation : $12,825.00
Added/New/Ti sq. ft.'Bldg : 0
Alteration sq. ft. Bldg : 285
Added/New sq. ft. Garage : 0
TOTAL sq. ft.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 items)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, pnor 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 ContractorsStale 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
71 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' Slate 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) -
El 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
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).
hJ 1 am exempt from licensors under the Contractors' State License Law for the fallowing reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for aI least one year prior to completion of the improvements covered by this. permit, I cannot legall}
soil a structure that I have builtas an owner -builder if it has not been constructed in its entirely 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 or at the following Web site:http:flwwwleginfo.ca.govlcalaw.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 Section 70.00) of Divisio 3 of the. Business and Praf ssions Co e, and is In full force
and effect. License Class License No Date Z t 2'i Contractor Signatu-
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
rr��Tthereby affirm under penalty of perjury one of the following declarations:
Lu 1 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
performance of the work for 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 work for which this permit is issued. My workers'
ranee carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre
t, If I should become subject t�workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. j
nature of ApplicanfA
CLARATfON R8 D1NG 2ONSTRUCTION LENDING AGENCY
areby affirm under pcccccchhhhhhllllllalty of perjurythat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil Code).
lder s Name Lenders Address
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 1 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 count (( to ante 1h�jati$dentified property for inspection purposes. 'l
nature of Property Owner or Authorized Agantx -�` � Print Property Owner's or Authorized Agent's Name v F `tdj,t 4" Cate
ACTION
PERMI F EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE40 AND AOMD RULE
1403
I I I SuBMIT1 ED ASBES.OS NC TIFiCATION TO
PRC1
SIGN
NOTIFICATION 15 NOT APPLICABLE 'TO
I I