HomeMy WebLinkAboutX2022-1650 - Permitso�aEWPoR@ City o'f NDewport Beh
pamnt- Building Division II III I III II I III II�II II II COMB Permit : X2022-1650
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1503-2022
S Permit Counter Phone: (949) 644-3288 Combination T
cK Inspection Requests Phone: (949) 644-3255 Type: ELEC MECH PLUM
c9crcoa" `P newportbeachca.gov/inspections Work Class : Tenant Improvement
Issued Date : 07/12/2022
Inspection Area :'1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HC ALL
AREAS
Job Address : 1400 NEWPORT CENTER DR, 100 Legal Desc : ` Q a
Description : COMM TI "SURTERRE PROPERTIES' 5480 SF
Owner:
Address
Phone:
Applicant
Address,
Phone:
IRVINE CO
D
Contractor.
C M CONSTRUCTION INC
Architect:
WALTON JENNIFER ..aa
NEWPORT BEACH, CA 92658
Address :
9272 JERONIMO RD #102 IRVINE, CA
.Address :
18627 BROOKHURST'S3#318 FOUNTAIN
92618
VALLEY, CA 92708 a.a a ama Sae
Phone :
(800):406-3979
Phone:
(949) 851-3080
Con State Lic
: 981225
State Lic
a a
WALTON JENNIFER
18627BROOKHURST
VALLEY, CA 92708
(949)851-3080
Code Edition: 2019
Type of Construction : III -A
Occupancy Groups: B
Bldg Height:
Building Setbacks
Flood Zone:
Use Zone:
Processed By:
Zoning Approval:
Grading Approval:
SPECIAL CONDITIONS:
Lac Expire : 02/28/2023
ST #618 FOUNTAIN Bus Lic: BT30076238
Engineer:
v®`°®'
•° °�°
p! °
` Bus Lic Expire : 08/31/2022
Address
0° R
Workers' Compensation Insurance
Phone:
®..,.
Carrier•
i
Policy No:
Designer
P 4
a
W. C. Expire:
Address
Phone:
Fire Sprinklers : YES
Construction Valuation :
$600,000.00
Fire Hazard Zone : ' N
'.. No of Units : 0
Added/New sq. ft. Bldg:
0
No of Stories : 2
Added/New sq. ft. Garage:
0
Public Works Approval:
Plan Check By:
Approval To Issue:
I hereby affirm under penalty of perjury that l am exempt from the Contractors: $tate License
action 7031.5..Business and Professions Code. Any city or county that requires a permit to coi
permit to file, a signed statement that he or she is licensed pursuant to the provisions of the
fassions Code) or that he or she is exempt from licensure and thebasis for the alleged exam.
for the reason(s) Indl'caled below by the checkinark(s) I have placed next to the applicable item(s)
ot, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for
3ptors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3:of Vie Business and
. Any vioiation of Section 7031.5 by any applicant for a permit subjects the applioantto a civil penalty of
more than five hundred dollars ($500.}:.
1, as owner of the property, or my employees with wages as their sole compensatron, will do L) all of or Li portsoi
mess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thr
ovements are not intended or offered for sale. If. however, the building or improvement is sold within one year of
oved for thepurpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section
y to an owner of properly whe builds or Improves, thereon, and who contracts for the projects with a licensed Cont
I am exempt from licensure under the Contractors':State License Law for the following reason:
ny signatures below I acknowledge that, except for my personal residence in which I must have residedfor at least
a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractor.
ty of perjury- that .I am licensed under provisions of Chapter 9(commencing with
License: No
ATION DECLARATION
ampioyoee or personal effort, buildsor improves the property, provided that the
letioh,the Owner -Builder will have the burden of proving that it was not built or
Business and Professions Coder The Contractors' State License Law does not
pursuant to the Contractors' State License taw).
I cannot
M1
n 7000) Of Division3.of the Business and Professions Code,. and � iy&rise is In full force
teA1, Contractor Signature raw
UAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED -rHWusANo DOLLARS IS100ADej, IN ADDITION TO THE
under penalty of perjury one of the following declarations:
1.44 alp:ntain a certificate at consent to self -insure for workers' compensation, issued by the (hector
f the wait for which this permit is issued: Policy, No.
will rna Jam workers' compensation insurance, as required by Section 3700 of the Labor Code, for the
for which this permit is issued: I
)reby affirm under penalty of perjury that there is a construction lending agency i
Ider's Name
my signature: below,. t 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 and countyordinances and state laws, n
I authorize representatives of this city orcounty tQp of� ter above- ffififf pro
nature of ProDertir Omer or Authorized Agant�V% I=
PERMIT
PEAW WENDED
PERMIT FINAL
CERTIFICATE OF
Industrial Relations as provided for by Section 3700 of the Labor Code; for
formance of the work for which this .permit is issued. My workers' compensa:
Expiration Date __ _... _...
not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
t700 of the Labor Code, I shall forthw th comply with those provisions.
f}ata�(Z�
or the performance of the work for which this permit is issued (Section 3097, Civil Code).,
construction,
n purposes.
All require1d alarms, latches gates and fences.which serve as part of a pool/spa barrier, shall
be in place to approval to fill'pool/spa &shall remain in place & be maintained for the
iG4/g/LE TO life of the pool.
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