HomeMy WebLinkAboutXC2024-0184 - Permits��WPOR City of Newport Beach 111011111111111p1111p111111111111p1II1111111111111 jjCOMB Permit : XC2024-0184
.p Community Development Department - Building Division X C 2 0 2 4 e 1 8 4 Plan Check No : PC2024-0901
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888 Issued Date : 09/0412024
newportbeachca.govlcivic Final Date:
`--taop 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: 2210 NEWPORT BLVD, 101 Legal Desc : N TR 16594 BLK LOT 1 UN HOLD LOT 1 OF TRACT 16594;
Description: COMM TI -INTERIOR REMODEL 932 SF "CADE CAFE & BAR"
Owner: PENINSULA VILLAGE LLC
Contractor: D B A C INC
Architect : ALI HADDAD
Address : 134 GLASSELL S, K ORANGE, CA 92866
Address : 2250 NEWPORT BLVD #101
Address : NEWPORT 1SHIPYARD
BEACH, 92663
NEWPORT BEACH, CA 92663
Phone: (949)723-0147
Phone: (572)236-8285
Phone: (714)818-8034
Con State Lie : 637651
State Lie : 39293
Lie Expire: 02/28/2026
Applicant : CHANDLER CLARK
Bus Lie: BT00016282
10/31/2024
Engineer
Address
Address : 2250 NEWPORT BLVD, 101
Bus Lie Expire :
NEWPORT BEACH, CA 92663
Phone
Phone: (714) 818-8034
Workers' Compensation Insurance
Carrier: INSURANCE COMPANY OF THE WEST
Owner/Builder :
Policy No: WSD505182804
Designer:
W. C. Expire : 11/11/2024
Address
Address :
Phone:
Phone:
2022
Fire Sprinklers : YES
Construction Valuation :
$68,036.00 .
Code Edition :
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg:
0
Type of Construction : V-A
No of Units : 0
Alteration sq. ft. Bldg :
932
Occupancy Groups : B
No of Stories: 3
Add/New sq. ft. Garage :
0
Bldg Height:
TOTAL sq. ft.
0 ,
Building Setbacks
Flood Zone : AE, 8 FT; X
Use Zone : MU-W2 - Mixed -Use
ttWater
PROCESSED BY: SCr
SPECIAL CONDITIONS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt Irom the Contractors Stale License Law for the reason(s) ;ndicated below by the checkmark(s) I have placed next to the applicable Iternlsi
tSection 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 ContractorsStale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she ;s exempt from licensure and the basis for the alleged exempbon. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a Civil perplty of
not more than five hundred dollars (S500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or i ) portions of the work, and the structure is not intended or offered for sale (Sector 7044
Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' ar personal effort. builds or improves the property, providec 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 Contractor-_' State License La,. dces 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' Slate License Law).
❑ I am exempt from licensure under the Contractors' Stale License Law for the lollowing reason;
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prier to completion of the improvements covered by this permit canna; legally
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.ano
Professions Code. is available upon request when this application is submitted or at the following Web site:http:ll"w.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent - _ _ Date
LICENSED CONTRACTOR'S DECLARATION 4�
I hereby affirn under penalty of perjury trial I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Dvisigqn3 of the Business and Professions Code and my license is force
and effect. License Class License No Date r1 1 Li y-y Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL F WF5 JF TO ONE HUNDRED THOUSAND DOLLARS 1S100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury, one of the following declarations:
❑ 1 have and will maintain a certficale of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labe, Core, for IN
performance of the work for which this permit is issued. Policy No.
have 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': compe-5ano
insurance carrier and policy number are: III
Carrier Policy Number Expiration Dale
Name or Agent Phone r, C
❑I certifv that in the performance 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 laws of Caldo Ila a If agre
that r I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
Signature of A.ipiicanl,+_ —_-- —_ _. _ ___-....__ ___ Date;-
-- --- — - -- - --- ---.. _ - - - - __.
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY i
I hereby affirm under pena ,y of perjury that there is a construction lending_ agency for the performance of the vrork for which this permit is issued (Section 3097. Civil Code).
Lender's Name Lenders AddressBy my stmna,ure belov.. I cenify to each of the following:
I am the property nwiier or authorized to act on the property owner's behalf.
I i:averead this application and the information I have provided is correct.
agrLL to comply with all applicable city and county ordinances and state laws relating to building construction.
I nuthc-ize repro,ei of this city or county to enter the above -identified property for inspection purooses
—` Print.Propert Ovrngr's or Aulnorized:.Agent's Nanie �-+1v QL,.�C>, (, L-Af It Date i �'�I 2-
¢„`ilT:fEC:;r,f-Property Owner or Au pfiiad Agent Y
AC :6N SATE I BY DECLARATION OF COMPLIANCE WITH CODE OF .FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RUi.E
1403
PERMI! EXP„iE0 i 0 1 sUBMITTED ASBESTOS NOTIFICATION TO
— --
PER lOITCANrELLED I CPA
PERITFXT,vOEC
PERM;! FINAL BESTOS NOTIFICATION 15 NOT APPUCAB_E TO
C P, 1F CA E OF // ROPOSED DEMOLITION
OCCUPANCY 1556Fri
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