HomeMy WebLinkAboutX2022-1642 - PermitsPo�T. City of Newport Beach II III I III II I III III III I II
Community Development Department- Building Division
ld, E 100 Civic Center Drive, Newport Beach, CA 92660
U S Permit Counter Phone: (949) 644-3286
N'?^
+r. Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - ELEC MECH PLUM
Work Class - Tenant Improvement
COMB Permit : X2U22-1642
Plan Check No : 1495-2022
Issued Date : Area : 7 2022
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: 545 NEWPORT CENTER DR
Legal Desc : P BK 221 PG 30 PAR 1
Description : COMM TI "LUGANO DIAMONDS" 7649 SF PHASE
2
Owner: IRVINE CO
Contractors J HAGE CONSTRUCTION
Architect : ROBINSON MICHAEL D
Address : NEWPORT BEACH, CA 92658
'Address : 20560`LANGFORD WAY JORDAN, MN Address : 3195-6 AIRPORT LOOP DR COSTA MESA,
55352
CA92626 '
Phone :
.Phone : (612) 927-0602
Phone : (714) 825-8888 ^ °
Con State Lic : 915696 _
State Lic
Applicant : SAGE HUSE
Lic Expire : 0513112024
Address :
Bus Lic : BT30078897
Engineer
Phone:
Bus Lic Expire : 06/30/2023
Address : ,
Workers' Compensation Insurance
Phone:
Owner/Builder :
Carrier
Address :
Policy No :
Designer
Phone:
W. C. Expire:
Address
Phone: '
Code Edition : 2019
Fire Sprinklers : YES
Construction Valuation : $1,066,n08.A0
Type of Construction : III-B
Fire Hazard Zone : No
Added/New/TI sq. ft. Bldg : 7,649
Occupancy Groups : A-3
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
Added/New sq. ft. Garage: 0
Building Setbacks
Flood Zone : X
Use Zone : PC - North N port Center
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
3ectioo 7031,5. Business and Professions Code: Any city Or county that requires apermit to construct, alter, improve, dernolish, or repair any structure, prior to Its Issuance, also requires the applicant for
to 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 Seclion 7000) of Division 3 of the Bus[ness and
'rofessions 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
of more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do { ) all of or (_) portions of the work, and the structure is not intended or offered for sate (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply town owner of property who, through employees' or personal effort, builds or improves the property, provided that the
uproventenls 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
nproved for the purpose of sale).
I, as owner of the property, an exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The contractors' Slate License Law does not
poly to an owner of properly 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 licensure under the Contractors' Slate License Law for the following reason:
y my signature below I acknowledge that, exceptfor my personal residence in which I must have resided for at least one year poor to completion of the improvements covered by this permit, I c t legal)
Of a structure that I have built as an ownor-builder if it has not been constructed in its antirety by licensed contractors. I understand That a copy of the applicable law, on 7044 of the Bust s end
'rofesslons Code, is available upon request when this application is submitted or at the following Web slts:http:7/www.leginfo.ca.gov7calaw.html.
ignature of Property Owner or Authorized Aganl _ Date
ICENSED CONTRACTOR'S DECLARATION _
hereby affirm under penalty of perjury that I am licensed under provislons of Chapter 9 (commencing with Section 70 o i oqf the Business and Pr east 8 �andm a e is in full force
no effect. Licens class License No Date ,2 Contractor Signatur
CCb."P�NSATION DECLARATION
A ¢'lPrr: FAILURE To s° '.URE WORN ERS' COMPENSATION COVeRACE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREILTNOUSAND DOLLARS IS100,0001,1N ADDITION TO THE
PST OF LOMPENE,'T: SL, U IMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm una^r penalty, of perjury one of the following declarations:
nave and wdl is flntam a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
�rn,ance of ;;:a v.c-rl, for which this permit is issued. Policy No.
and will ri,iniain Workers' compensation insurance, as required by Seclion 3700 of the Labor Code, for the performance of the work for which this permit is issued, My workers'
Come, ai rl Policy number are:
m- nl Agent _ _
that m Ire prrtorm cc
rnuld till an+v orb cl to
of ApUI L nnv F/
tTION REGAR ING IT,L
Policy Number
Date
permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California and
typrovisfor s of Section 3700 or the Labor Code, I shall forthwith comply with those provisions.
Dale
I Lc n,Ay affirm ender penal. of perjury that there is a construction lending Ftigency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name __ __ - Lender's Address - __- ____----
By my signature below, certify to each of the following:
am Ilse property ovrt,er or authorized to act ontha p party own 's behalf.
I Have read this application and the information I h a provided t correct
I agree to comply with all applicable city and cool y ordinanc r laling to building construction. j
I authorize representatives of this city or county o ant h t Up pe for Inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name 7 ��� �� Date
ACTION DATE BY D N OF C MPLIANCE WITH - F FEDERAL FOR OFFICE USE ONLY
I ECULATIONS PART 6t OFTITLE 40AND.6OMD ULE
LAW
PERMrI EXPIHECI j iJ I SUBMITTED ASRFSTOS NOTIFICATION TO
PERMITCANCELLED iI EPA
PFNr,VTFXTFNDED i gOMf] _
P€RMITFINAI. f-4-i-Lp'Z,j UASRESIC15 YC1I IFICAI'ICIN IS NOT APPLICABLE 'fb
CERrr9CATEOF i PROPo5FD DEMOLITHDN
OCCUPANCY ISSUED i ' SIfrNATURE:
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to. fill pool/spa & shall remain in place & be. maintained for the
life of the pool.