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HomeMy WebLinkAboutXC2022-1998 - Permits�EWPO�T City of Newport Beach II IIIII I IIII IIII II I IIII II I I III I D4 @ Community Development Department- Building Division X C 2 0 2 2 1 9 9 8 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq[/cORN�P newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement II COMB Permit : XC2022-1998 Plan Check No : PC2022-2504 Issued Date : 01/30/2023 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 : 690 NEWPORT CENTER DR Legal Desc : P BK 196 PG 13 PAR 2 PARCEL MAP 196-13 PAR 2 POR OF PAR AND PAR 3 POR Description: COMM TI-'PENDRY HOTEL' LOBBY BAR 5348 SF Owner: 690 HOTEL LLC Contractor: DRIVER SPG Architect : VILLEGAS GREGORY Address : 690 NEWPORT CENTER DR Address : 468 NO ROSEMEAD BLVD Address : 300 SPECTRUM CENTER DR #500 NEWPORT BEACH, CA 92660 PASADENA, CA 91107 IRVINE, CA 92606 Phone : Phone : (626) 351-8800 Phone : (949) 574-8500 Con State Lie : 960119 State Lie Lie Expire : 02/28/2023 Applicant: JASON VANAUKER Bus Lie: BT30044313 Engineer: WE]-CHIH RICHARD CHEN - Address : 300 SPECTRUM CENTER, 500 Bus Lie Expire : 08/31/2023 Address : 1900 MAIN ST, STE 800 • •, IRVINE, CA 92618 IRVINE, CA 92614 Phone: (949) 574-8500 Workers' Compensation Insurance Phone: (310) 338-7269 Carrier: FEDERAL INSURANCE CO Owner/Builder : Policy No: 54310335 Designer Address : W. C. Expire : 10/31/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $448�Ak Type of Construction : V-B Fire Hazard Zone : NO Added/New/Tl sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : 5,348- • >> Bldg Height : No of Stories : 19 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone: X Use Zone : PC - North Newport Center PROCESSED BY: erg ;. P �� r-3 P REC% �dTy SPECIAL CONDITIONS} leebe" 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 Rerri (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 Law (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 fare permit subjects the applicant tD a civil penalty of not more than five hundred dollars ($500). I, as owner of the property, or my employees With wages as their sole compensation., will do (_) all of or L) 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. Ir, 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). L 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 licensers 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], 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 theapplicable 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://wv,,w.Ieginto.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 000) of Division 3of the Business and Professions C' and I s In full force. and effect. License Class License No Date ontractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($101L000l, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations: 13 1 have and will tnu:.itain 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 th pdrfo,marce of the -work for which this permit is issued. Policy No. PPrays and will maints,n 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' compensatiol inri-I carder and policy number are: Policy Number Date &mc of F.gent Phone V 3 ^. rilry that, in.the perrormance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agfe rat. if I should beculnd subject It orke co n •• n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (/� i,,f.a:LrJ of Applicant\%`/J Date /— C9 /. _Tep Z6 Za IFCLAWTION PEGFRCIN ION LENDING AGENCY heron- affirm under`penel of pe ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Doctors Name _ Lenders Address y my signature bs'ow, ; 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 applicablecity and county ordinances and state laws relating to building construction. I authorize representatives of this city or couniXsaj�a't r ,d property for inspection purposes. `� l 1, R� [ionature of PrODertv Owner or Authorized Agent J Print Property Owner's or Authorized Agent's Nar4 etI4,) 9 l.-) a &/,.2tB Q ACTION DATE I BY DEPOR01 N OF COMPLIANCE W'17H CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AONID RULE 1403 PERMIT PERMIT EXTENDED NOTIFICATION TO PERMIT FINAL 12 � .z,� / / LLr3AOSED DEMO IFICAII I IS NOT 'PLICABLE tO CERTIFICATE OF LL.. %� OCCUPANCY ISSUED SIGNATURE:%'/ -