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Home My WebLink AboutXC2023-0475 - Permits2gWPoRT City of Newport Beach II IIIIII I IIIIIIIIIIIIIIIII IIII III II IIIII II COMB Permit : XC2023-0475 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2853 Permit Counter Phone: (949) 718-1888 Issued Date : 051/3/2024 newportbeachca.gov/civic Final Date: °r a� Combination Type - ELEC MECH PLUM 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 : 2523 EASTBLUFF DR Legal Desc : P BK 49 PG 22 PAR 2 PM 49-22 PARS 2,3 & FOR PAR 1. Description : COMM TI "STARBUCKS" 1395 SF I N h 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: MITCHELLGC INC Address : 52 TESLA IRVINE, CA 92618 Phone: (949)554-9432 Con State Lie: 831334 Lie Expire : 05/31/2026 Bus Lie: BT30075368 Bus Lie 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 : B No of Units : Bldg Height: No of Stories Building Setbacks Flood Zone: X Use Zone: CC mmercial Neighborhood PROCESSED BY: ( J.Y l " SPECIAL CONDITIONS: Architect : COUPER DOUGLAS Address: 24315 AIRPORTER WAY LAGUNA NIGUEL, CA 92677 Phone: (949)296-0450 State Lie : Engineer: BAHAREH SEHATZADEH Address : 2012 WEST 25TH ST STE 200 CLEVELAND, OH 44113, Phone: (419)961-4969 Designer Address : Phone YES Construction Valuation : $500,000,110, NO Added/New/Ti sq. ft. Bldg : 0 0 Alteration sq. ft. Bldg : 1,395 1 Add/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 OWNER -BUILDER 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 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, 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 Low (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 L) 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 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). 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 ficensure 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 legal) self 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://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 Chapter 9 (commencing with Section 7000) o Divis' IT 3 of the Bust ass and P e e, a d my license is in full force and effect. License Class License No Conti or Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL' PENALTIES AND CIVIL FINE$ U TO NE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 3N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEE$. I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 performance of the work for which this permit is issued. Policy No. ve 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' compensatio I _res carrier and policy number are: Gamier _ _ Policy Number Expiration Date IJaim c` Agent _. Phone # Ell ce tify that. IT, the pa the war for which this permit is issued, I shall not employ any person in any manner so as to become subject to the works 'compensation laws of California, and agre hat, if I'shou3d me ub t worker ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �aigr,a.ure of Afpli^. _ r ECLARATION G RpIN CO' UCTI �GAGENCY-- �I hs,ebv affirm JET natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 7, Civil Cade). LP,mdel a Name Lender's Address I By my signature herow, I certify to each of the following: I am the p operty owner or authorized to act on the property owner's behalf. I have read this aopllcal on andthe laformado vided is correct I agree to comply with all applicable city and county ^41ances a d slate taws relating to building construction. 1 authorize representatives of this city ou - nt T h abov, = miffed property for inspection purposes. z Signature of Property Owner or Authorized Ag t Print Property Owner's or Authorized Agent's Nam Da ACTION DATE _j BY t ECLARAT€ON dF MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY '. REGULATIONS PART 61 OF TrrLE40 AND AQMD RULE 1403 PERMrTEXPIRED_ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED __ IJAQMD _ PERVIITFINAI 2/S _ SBESTOS NM11 OT PPLICABLE TO CERTIFICATE OF �PR DEM OCCUPANCYISSUED SIGNAT