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Home My WebLink AboutXC2023-0231 - PermitsCity of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 u r,Zu newportbeachca.gov/civic Combination Type - ELEC Work Class - Tenant Improvement COMB Permit: XC2023-0231 X C 20 2 3 0 2 3 1 Plan Check No: PC2023-1543 Issued Date : 09/1812023 Final Date: Permit Status: Issued Inspection Area : 7 PERMITS EXPIRE 11130 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 : 6710 COAST HWY W Legal Desc : P BK 100 PG 4 PAR 1 t. Description: COMM TI "WORK IN PROGRS' LIGHTING, REMOVE (E) DELI. "FINE WINE LIQUOR CRAFT BEER" 2626 SF Owner: TPN LP Address : 22 PELICAN POINT DR NEWPORT COAST, CA 92657 Phone Applicant: FADY TAWADROUS Address: 2944 E BLUERIDGE AVE ORANGE, CA 92867 Phone: (760)885-5951 owner/Builder: Address : Phone Contractor: BLUE MAPLE CONSTRUCTION Architect Address : 4836 WALNUT Address PHECAN, CA 92371 ' Phone : (909) 727-0984 Phone: .... Con State Lie : 667136 State Lie Lie Expire : 02/28/2025 Bus Lie: BT30082625 Engineer: Bus Lie Expire : 09/30/2024 Address Workers' Compensation Insurance Carrier : Policy No : EXEMPT W. C. Expire: Code Edition : 2022 Fire Sprinklers : NO NO Construction Valuation : Added/New/TI sq. ft. Bldg Type of Construction : V-B Fire Hazard Zone : 0 Alteration sq, ft. Bldg : Occupancy Groups : M No of Units : No of Stories : 1 Added/New sq. ft. Garage Bldg Height: TOTAL sq. ft. : Building Setbacks Flood Zone: X Use Zone : CV - Commercial Visitor -Serving PROCESSED BY: SPECIAL CONDITIONS: 123-1273 Phone: Designer: FADYTAWADROUS Address: 2944E BLUERIDGE AVE _ ORANGE, CA 92867 Phone: (760)865-5951 $115,544�00 0 2,626 0 0 AS BUILT PERMIT EXPOSE ALL STRUCTURAL ELECTRICAL PLUMBING, AND MECHANICAL COMPONENTS OWNER-BUIL 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 checkrnark(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 licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fore permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 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 intendedor 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 -guilder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of Ote property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate 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 Ie the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: y my signature below l acknowledge that, except form leas year p y personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal, sell a structure that I have built as an owner buildor if It has not been ronstructod in its entirety by licensed contractors. I understand that a copy of the applicable law. Sactio 7044. of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site;hltp:/lwww.leginfo.ca.gov/calaw.html, Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION -- 7»— /�//---- hereby aFlirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section '/D�i2V�—is—ia�o—of the Business Prof 617e, and my license fs in full force and effect License Class License No D—� actor Si n re NORKERS' COMPENSATION DECLARATION VARNING; FAILURE a SECUr:E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,0001, IN ADOnION TO THE :CST OF COMPENSATION, bAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm uncle, penalty of perjury one of the following declarations: —1 , ha';e 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 ,Turfolr�,,nce of the work for which this permit is issued. Policy No. *�1Yir'eve and wit; ,ca r,Lin 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' compensatior a-, ice carrier and policy number are: e of Agent _ _ ieniT that, in 'he if I snouid becnr, of Policy Number Date i 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 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisit _..�..�.. ...�,....,..., .,vim,..., hereby affirm under nally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 enri Name _ Lender's Address y my sigrralure below, I certify to each of the (allowing:—"' I am the property owner or authorized to act on the property w er's behalf, I have read this application and the information I have pr vid Is correct. I agree to comply with all applicable city and county ordi cos Br state laws relating to building construction, I authorize representatives of this cit or coulnty to ant - e ov Ids r inspection purposes. ignature of Property Owgq 2rAµltuy(ue g0p,nl , Print Prooertv Owner's nr a„u,,,rhon A—r� r,i.,..,.✓/ / h' OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE E ONLY PART 67 OF TITLE 40 AND AQMD RULE. ror r _ 3R,,h, a�_ q seeti IUS NBf1F ATIONTO PFRM17"CAN LEfli a 'v .. ! a. _._._._ FEPoNiT EXT�k>�5�ip I m A C51ERTIFICATE --A+L1�i�--aYr --t�. �/� aI p S®ES�f �pj�fl f{ON ISNOTAPPLICABLE 't'O OCCUPANCY OF ��y PRDi205k'(r� compensation laws of California, and agre Civil Code).