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Home My WebLink AboutXC2023-0039 - Permits (2)�EwvoRr City of Newport Beach II IIIIII IIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XC2024-0039 D� Community Development Department- Building Division F n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2853 Permit Counter Phone: (949) 718-1888 Issued Date : 05/13/2024 u Z newportbeachca.gov/civic Final Date: CgGl�ppN�P Combination Type - Permit Status: Issued Work Class -Other 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: 2501 EASTBLUFF DR Legal Desc : P BK 53 PG 30 PAR 2 1 1 f7" , ;r % 7 f"T ° Description: COMM TI "STARBUCKS" R/R (E) LANDSCAPE WITH (N) PAVERS AND (N) LANDSCAPE IN PATIO 40 SF (XC2023-0475) 19 `o: a,.>t F L �r a Owner: IRVINE COMPANY Address : 111 INNOVATION DRIVE IRVINE, CA 92617 Phone: (949)720-2400 Applicant: GREENBERG FARROW Address: 4695 MACARTHUR BLVD #1450, 100 NEWPORT BEACH, CA 92660 Phone: (949)285-4760 Owner/Builder : Address : Phone: Contractor : MITCHELL GC INC Address : 52 TESLA IRVINE; CA 92618 Phone: (949)554-9432 Con State Lic : 831334 Lic Expire : 05/31/2026 Bus Lic: BT30075368 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: INSURANCE CO OF THE WEST Policy No: WSD5040105 W. C. Expire : 3/8/2025 Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height: No of Stories Building Setbacks Flood Zone : X Use Zone: d (r7= PROCESSED BY : SPECIAL CONDITIONS: Architect: COUPER DOUGLAS Address: 24315 AIRPORTER WAY LAGUNA NIGUEL, CA 92677 Phone: (949)296-0450 State Lic : Engineer: BAHAREHSEHATZADEH Address : 2012 WEST 25TH ST STE 200 CLEVELAND, OH 4411:; Phone: (419) 961-4969 Designer: Address Phone: $10,000tb NO Construction Valuation : NO Added/New/TI sq. ft. Bldg : 0 0 Alteration sq. ft. Bldg: 40 0 Add/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 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 items) (Section 7031.6, 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 subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, 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 improvements are not intended or offered for sale. If, however, the building or improvement is sold within ore year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). 111, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contactors' 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). ❑ 1 am exempt from tcensure 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 leg all 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 copyof 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:/lieu W.feginfo.ca.gov/calaw,html. Signature of Properly Owner or Authorized Agent ate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec' 70 Divisi A QS�3 the Bus ss and Pro s ns de, andt,L''p I' arise is In full Farce and effect. License Class License No D e `yConV o ignature n (} Il /! COMPENSATION DECLARATION FAILURE TO SECURE WOFF ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,000), IN AUCTION TO OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the following declarations: 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 manta of the work for which this permit is issued. Policy No. and wi6 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` carrier and policy number are: Policy Number Expiration Dale 1e of Agent _ Phone # certify that, ir%� he rtormance 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 if I should be ae workeii /cp�'npfensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prOVISIrn� 'aivre of Apult a t /I An Irl 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 eri s Name Lender's Address _ ry my signature belcw, 1 certify to each of the following: i an, the property owner or authorized to act on the property owner's behalf. I nave read this application and the information I h"ided is correct. I agree to comply with all applicable city and trites and sr' to Eabuilding constmction. I authorize representatives of this city Do y t'RI e toove-ids ifs 'Sipr party for inspection purposes. signature of Property Owner or Authorized nE. Print Pro a Ovrner's or Authorized Agents N m ACTION I DATE BYN DECLAR TION OF COMPL CE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY I REGULATIONS PART 61 OF T€TLf 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATIONTO PERMITCANCELL€D ____ _LrEPA _ PERMITEXTENDED --T— �TIr �nQMb PCR,MYT FWAL � i (� .�. i r (t�..t SE S-rO5 NOI IFICAi'ION Is NOTAPPLiCABLE 10 CERTIFICATE Of (/ L'I �� ( PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: :ignsation laws of California, and /l)31-�(7� Civil Code). v1UcS Njets� I�3