HomeMy WebLinkAboutXC2024-0121 - Permits�gW PORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2024-0121
F "I Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0610
Permit Counter Phone. (949) 718-1888 Issued Date : 05/30/2024
u S newportbeachca.gov/civic Final Date:
°4tiFoa"`P Combination Type - ELEC 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: 829 HARBOR ISLAND DR, A Legal Desc : S TWP 6 RGE 10 SEC 35 SEC 35 T 6 R 10 TIDE LAND ST
Description : COMM TI 1504 SF FOR "BASIN MARINE" (124-0377)
Owner:
BASIN MARINE INC
Address :
829 HARBOR ISLAND DR
NEWPORT BEACH, CA 92660
Phone :
(949) 673-0360
Applicant :
SCHAFER MICHAEL K
Address :
23112 ALCALDE DR STE#B
LAGUNA HILLS, CA 92653
Phone :
(949) 584-5426
Owner/Builder :
Address :
Contractor: SERVCO INC
Address : 18009 SKY PARK #E
IRVINE, CA 92614
Phone: (949) 955-2300
Con State Lic :
937164
Lic Expire:
08/31/2025
Bus Lic:
BT30059160
Bus Lic Expire :
07/31/2024
Workers' Compensation Insurance
Carrier: INSURANCE COMPANY OF THE WEST
Policy No: WSA506802601
W. C. Expire : 10/20/2024
Architect: SCHAFER MICHAEL K
Address: 23112 ALCALDE DR STE#B LAGUNA
HILLS, CA 92653
Phone :
(949) 584-5426
State Lic :
Engineer:
HAIGHTCHRISTOPHER
Address:
1401 DOVE ST#240
NEWPORT BEACH, CA 92663
Phone :
(949) 623-9957
Designer:
Address :
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
$16,300.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups :
M,B
No of Units :
0
Alteration sq. ft. Bldg :
1,504
Bldg Height:
No of Stories :
1
Add/New sq. ft. Garage:
0
TOTAL sq. ft. :
0
Building Setbacks
Flood Zone :
AE, 8 FT; X
Use Zone :
Y `�
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law tof 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit Subjec€s the applicant to a civil penalty of
not more than five hundred dollars (1500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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).
El 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
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).
❑ I am exempt from licensure under the Contractors' State License Law for the following reason:
---"---------
By my signature baton+ 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 coveted by this permit, I cannot Isgalii
sell a structure that I have built as an 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http:liw .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 Section the Business and Profes ns e, and y nse is In 'f force
and effect License Class License No Date ' ' of Contractor Signature
WORKERS' COMPENSATION DECLARATION 11
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP To ONE HUNDRED THOUSAND DOLLARS ISf0a,II0pj, IN AUDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 In
)erformance of the work for which this permit is issued. Policy No.
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, fAy workers`
carrier and policy number are:
Policy Number
to of Agent _
certify trial, in. the D
if I should become
Date
issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
is of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Pats,
!reby 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 Code).
Ider's Name Lender's Address
,ny 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 arntee Illy ord' state laws relating to building construction.
I authorize representatives of this city or county ,r the abcve�Iden d pmperty r inspection purposes. 1
nature of Property Owner or Authorized Adent _ Print Prooerter Owner's or Authorized Anent's Name
ACTION DATE. BY : DECLARATION OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY
i REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE
_ 1403
PERMITEXPIRED L— I�r.diTTEDASBFSTOS NOTIFICATION TO
PERMIT CANCELLED --- --- ---�—pt—
E f rr
PERMIT FINAL UASBEST5 ATIO [Vl (CABLE t0
CERTIFICATE OF I IIROPOSE0 D
OCCUPANCY 1,' 5IGAM URE
Date