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Home My WebLink AboutXC2023-0193 - Permits�gWP0,4T City of Newport Beach IIIIIII IIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2023-0193 1 Community Development Department- Building Division x C 2 0 2 3 0 1 9 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1359 Permit Counter Phone: (949) 718-1888 Issued Date : 08/30/2023 u 2 newportbeachca.gov/civic Final Date: Vy;iF�aY;" Combination 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 : 269 NEWPORT CENTER DR Description: COMM DEMO PRIOR TO TI 728 SF Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone: (714)366-7205 Applicant: CARRIE WRIGHT Address : 17800 MITCHELL N IRVINE, CA 92614 Phone: (949)683-3984 Owner/Builder : Address : Phone Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR AND FOR PA R 1 OF P.M. Contractor: ALTA CONTRACTING Address: 369 E. BLAINE STREET CORONA, CA 92879 Phone: (714)380-9233 Con State Lie : 742360 Lie Expire : 11/30/2023 Bus Lie : BT01020983 Bus Lie Expire : 01/31/2024 Workers' Compensation Insurance Carrier: CYPRESS INS. CO Policy No: ALWC347983 W. C. Expire : 6/24/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : III-B Fire Hazard Zone : NO Occupancy Groups : M No of Units : 0 Bldg Height: No of Stories : 1 Building Setbacks Flood Zone : X Use Zone: PC - North Newport Center PROCESSED BY SPECIAL CONDITIONS: Architect : AMY BAGLEY Address : 17800 MITCHELL NORTH IRVINE, CA 92614 Phone: (714)299-5957 State Lie Engineer : �o.$ e ` Address : !"I �r Phone: Designer Address U,=- M bbo.6O Construction Valuation':" $40 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 728 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) 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 :he 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) ail of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Comrnctors State License Law does not apply to an owner of property who, through employeesor personal effort, builds or improves the property, provided that the mprovemants 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). ❑ I, 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I are exempt from lcensure 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 lagall7 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 and Professions Code., is available upon requestwhen this application is submitted or at the following Web site:http:llwww.leginfo.ca.gov/calaw.html, Signature of Property Owner or Authorized AgentDate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S n 7404 f Di .'stem 3 of the BUsin s and Professions Co e, and my license is in full force and effect. License Class License No D to 'l,) Contrac r Signature � `j'�� NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO rM AL PENALTIES AND CIVIL PINES TO E HUNDRED THOUSAND DOLLARS ($100,000}, IN AOOITION TO THE COST OF COMPENSATION, DAMAGES" NOVIDPD FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES_ hereby affirm under penalty of perjury one of the following dec Ism tions: I have and will malctam a certi`eats 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 'ormance of the worn fo, which this permit is issued. Policy No. 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' carrier and oo,icy,mm crate: Policy Number of Agent Date JI certify that, in the parfarm anice of tha work for which this permit is issued', I shall not amptoy any person in any manner so as to become subject to tha workers' ompeasation laws of California, and agre tat If I should become snbl"rLt to he workers compensation provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions. 'signature of ppll nI (. _ a- IECLARATEON R A5P1N:,CONSTRUCTION LENDING AGENCY hereby affirrtrvrrdVir—pe ratty of perjury That there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 97, Civil Code). ender's Name Lenders Address ty my signature below. I certify to each of the following: I are the property owner or authorized to act on the properly 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 ordinances and state laws relating to building construction. I authorize representatives of this city ounty to enter the above -identified property for inspection purposes. anature of PrODertv Owner or Autho e+ir w7� Print Procertv Owner's or Authorized Aaent's-Name 1taM'GS �'Lv.w+ ate ACTION DATE/ V BY DE OF RFGL I ATIONS PART 51 OFANCTITLE 40TAN OAQMD RULE FEDERAL FOR OFFICE USE ON 7i 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED Lpp PERMIT EXTENDED ❑hOMD PCRNlITfINA1 )�'�. Z�� __„__. ._.. __ _.._... ... AS ESTOSNOTlF1CA'fICN IS ND1 APPUCABLL I'U CERTIFICATE OF P P SED DEMCLITOI OCCUPANCY VSSUED SIG TUBE: ._1V�