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Home My WebLink AboutF2022-0492 - PermitsEwpoRr City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ,Z. Permit Counter Phone: (949) 644-3288 o- Inspection Requests Phone: (949) 644-3255 C9{1F0 RN�P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement I `3 COMB Permit : F2022-0492 Plan Check No : 1628-2021 Issued Date: 09/20/2022 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: 1401 AVOCADO AVE, 403 Legal Desc : P BK 193 PG 17'PAR 2 Description: DEF 2 SUBMITTAL: MEDICAL GAS MODIFICATIONS Owner: NCMB NO 3 LLC Address Phone: Applicant: Address Phone: 1401 AVOCADO AVE STE901 NEWPORT BEACH, CA 92660 RENAULT AND MORAN CONSTRUCTION LLC 20 EXECUTIVE PARK, 250 - IRVINE, CA 92614 (949)418-7688 - Owner/Builder : Address : Phone Code Edition : 2019 Type of Construction : I -A Occupancy Groups: B Bldg Height: Building Setbacks Flood Zone: Use Zone : 09 Contractor t A. A-- one n State Lie Expire s Lid: s Lie Expire EXECUTIVE PARK, 250 /INE, CAi92614 9)418-7688 1038156 04/30/2024 BT30065288 12/31/2022 nsation'Insurance ION Architect : Address Phone: State Lie Engineer: Address Carrier': EVERESTPREMIER IINSURANCE ;COMPANY Policy ''-No: 7600021597221 z Designer: NOURMOHAMMADI KHOSROW W.C. Expire : 6/12/2023 Address: 2515 BAMBOO NEWPORT BEACH, CA 92660 Phone: (949)822-8700 Fire Sprinklers : YES Construction Valuation Fire Hazard Zone: NO -.' Added/New/Ti sq. ft. Bldg No of Units : 0 Alteration sq. ft. Bldg : No of Stories : 8 Added/New sq. ft. Garage PC - Block 400 Newport Center PROCESSED BY:j� SPECIAL CONDITIONS: REV2022-1665 (DEF SUBMITTAL) $100,000.00 0 ••o• 0 • ®. ° • • ••.• • • • • eoo• • c0000 °•oaao a••o�o 0 0 OWNER -BUILDER DECLARATION - 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the masons) 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 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 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 not more than five hundred dollars ($500). Q 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 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 oroffered 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 a ply to an owner of property who builds or improves thereon, and who eommicts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure 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 legall) 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 70" of the Business and Professions Code, is available uponrequest when this application is submitted or at the following Web site:httpolw .legEnfo.ca.gwlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000Q),of Di Sion 3 of the Business and Profess' s de, grtrF.my 'cerise is in full force and effect, License Class License No Dete Pl Z2 Contractor Signature /Lt '7l/•fi WORKERS' COMPENSATION DECLARATION NARKING: 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 islsB4OOL IN ADWION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3780 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain 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 �Imance 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 fssued. My workers' compensal Trance carrier and policy number are: Number of Agent Date certify 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' compensationlaws of California, and agre if I should become subject to the workers' co ensatfon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Nature ofAppgcant ..,'�� i,� Date/2��2-2. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) Lenders Name Lenders Address By my signatu e-be0o , I certify to each of the following: I am the pRSper±y owner or authorized to.act on the property owner's behalf, • • .Ilave read this application and the Information t have provided is correct_ • f agree to gwigi all applicable city and county ordinances and state laws relating to building construction. %puthorne rgpresentafives of this city or county enter the a ve-ide. had roperty for inspection purposes. � Jib.) 2 • ..�.. _...__ _. "-___.,.. .......__ _- n..,�____a ee-.,. �t 1 . � N /ram o.:.a o.......m, rw..s.•r .,, n,.rw...:..ed a..e..er nle,..e Y �A r 1-J • j ACTIQN • • • • DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY • • •u•• REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE • • • • • • 1403 • dxRMIT EXPlREO (EJ I SUBMITTED ASBESTOS NOTIFICATION TO • MICAW17"CANCELLEO I DEPA • PERINIT EXTENDED EIAQMD 'PE9I1IT FINAL • • ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE BF • • PROPOSED DEMOLITION L Fee Name Transaction Date Payment Method Building Drawing Fee Fire Permit Fee - Other GRAND TOTAL: PERMIT FEE DETAILS FOR PERMIT F2022-0492 Fee Amount Fee Paid Amount Trans. Paid Amount Paid By m d o z 0 - o>V o m u ® o.a a � a� •••s ••e• s •es•ae •• e ••ss • a s •s s •s e • s s • • •• • e• s••• s ••a• • w••• •s.s• •sus•• • • e • .• • • • • •• e •s••s• • • • •e •.sic