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Home My WebLink AboutXC2023-0502 - Permits�EWPO,gT City of Newport Beach IIIIIII IIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XC2U23-�rJ02 D� Community Development Department- Building Division x C z e 2 3 0 5 0 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2990 Permit Counter Phone: (949) 718-1888 Issued Date : 04/12/2024 newportbeachca.gov/civic Final Date: °9ciF ja,N`�" Combination T a-ELEC MECH PLUM Type 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 : 4343 MACARTHUR BLVD Legal Desc : P BK 292 PG 18 PAR 1 Description: COMM TI "HOME CONSIGNMENT CENTER" 168 SF Owner: SANDERSON J RAY MACARTHUR LLC Address : 4667 MACARTHUR BLVD STE420 NEWPORT BEACH, CA 92660 Phone : Applicant: DCR CONSTRUCTION, INC Address: 2107 S MARINA DR #1 THERMAL, CA 92274 Phone: (760)394-4648 Owner/Builder Address : Phone Contractor: DCR CONSTRUCTION, INC Address : 2107 S MARINA DR #1 THERMAL, CA 92274 Phone: (760)394-4648 Con State Lie : 948120 Lie Expire : 06/30/2024 Bus Lie: BT30083203 Bus Lie Expire : 12/31/2024 Workers' Compensation Insurance Carrier: ALASKA NATIONAL Policy No: 23HWS10995 W. C. Expire : 8/13/2024 Code Edition : 2022 Fire Sprinklers : Type of Construction : III -A Fire Hazard Zone Occupancy Groups : B No of Units : Bldg Height: No of Stories Building Setbacks : Flood Zone :. X Use Zone: PC - Newport Place PROCESSED BY: J� SPECIAL CONDITIONS: Architect : GARY R WIGGLE Address : 26961 CAMINO DE ESTRELLA #200 CAPISTRANO BEACH, CA 92624 Phone : (949) 388-1250 State Lie Engineer: Address Phone: Designer: Address Phone: NO Construction Valuation : NO Added/New/Ti sq. ft. Bldg 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : $40,001190 ; 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt front the Contractors' State License Law far the reasons) indicated below by the checkrnark(s) I have placed next to the applicable items} ofion 7031.5, Business and Professions Code: Arty city or county that requires a perr it to construct, alter. improve, demolish, or repair any structure, poor to its issuance, also requires the applicant for permit to file a signed statement that he or site 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 fossions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) ail of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 rovements 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 roved 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 €y to an owner of property who builds or improvesthereon; and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J I am exempt from licensure-under the Contractors' State License Law for the following reason: ,y 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 iegall, all a structure that I have bi 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 'rofessions Code„ is available upon request when this application is submitted orat the following Web site:http:hwww.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) the Business and P Sidand my licenseisIn full force rideffect. License Class License No Date Contractor Signatu VORKERS' COMPENSATION DECLARATION% 2�I 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AHD SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,e001. IN ADDITION TO THE DST OF COMPENSATION: OAMAGBS AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. hereby affirm under penalty of perjury one of the following declarations, I I have and will -maintain a cortificate of consent to seifAnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for in aGrrformance, of the work for which this permit is issued. Policy No. !al have and AV ;aai Lain 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' compensatia Isurance carrier Too policy number are: artier Policy Number Expiration Date lame of Agent Phone # certify that, in the perform th t rk for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compens n laws of California, and agre I, if I should bacon.'. s b to the hers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant _ __ _ _ _ Date ,� CLARATIO R'c RUCTION LENDING AGENCY -reby affirm urA p al erjury that there is a construction landing agency for the performance of the work for which this permit is issued (Section 3097, CIA ode). Ider's Name Lenders Address ,ny signature hr1mv, I certify to each of the following: I am the pro le-t'; 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 and county ordinance hate laws relating to building. construction. I authorize representatives of this city or cou,'��(//'o ente o -I hied p perty Tor inspection purposes. h /�/! �J nature of Prooertv Owner or Authorzed Agent. f c _ �-- Print ProoeM Owner's or Authorized Aoent's Name \/ /— /Y 5 �/ Gate /2 14" ACTION DATE. BY / i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY IF REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE S 1403 EXPIRED I I I LJISUBMITTFDASBESTOSNOTIFICATIONTO PERi,WiT EXTENDED LJAQMD PERMIT FINAL T,J G� SBESTO NU FICAII PLI L{ TO CERTIFICATE Of i PROPOSED UTION OCCUPANCY ISSUED SIGNATURE