HomeMy WebLinkAboutXC2022-2067 - PermitsatiWPORr
City of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - ELEC
Work Class - Tenant Improvement
X C 2 0 2 2 2 0 6 7� COMB Permit : XC2022-2067
Plan Check No: PC2022-2889
Issued Date : 12/20/2022
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 : 900 NEWPORT CENTER DR Legal Desc : P BK 361 PG 1 PAR.2
Description: COMM TI -MEETING ROOM & BALLROOM "VEA" 19600,SF
Owner: NEWPORT CENTER HOTEL LLC
', Contractor: CUESTA CONSTRUCTION CO
Architect : WICKETT WILLIAM HAROLD IV
Address : 1400 NEWPORT CENTER DR STE230
' Address ;. 3195A AIRPORT LOOP DR
Address: 2630 SEPULVEDA BLVD TORRANCE, CA
NEWPORT BEACH, CA 92660
COSTA MESA, CA 92626
90505
Phone:
Phone: ! (714)557-5877
- Phone:
Con State Lie : 568466
State Lie
Lie Expire: . 05/31/2023
Applicant: Allison Klute
Bus Lie; <. BT20012806
Engineer: '
Address : 16795 Von Karman Ave
Bus Lie Expire : 12/31/2022
Address
Irvine, CA 92606
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Phone: (909) 765-5551
Workers' Compensation Insurance
Phone: y
" Carrier: INS CO OF THE WEST
Owner/Builder :
Policy No;: VVVE503883004
Designer : 3
Address :
'I"W. C. Expire: 12/31/2022
_
"Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : ".YES
Construction Valuation : $489,000.00
Type of Construction : I -A
Fire Hazard Zone i NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : A-1
'.. No of Units : _0
Alteration sq. ft. Bldg : 19,600
Bldg Height:
` No of Stories: ''1
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
Building Setbacks
Flood Zone : X
Use Zone: CV - Commercial Visitor -Serving
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PROCESSED BY:
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SPECIAL CONDITIONS:
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OWNER -BUILDER DECLARATION
t hereby affirm under penalty of penury that I am exempt from the Contractors'. State License Law for the
action 7031..5, Business and Professions :Loft Any, city or county that requires a: permit to construct, Altai
I am exempt from Iicensure under the Contractors' State License Law for the follownq reason:
9 (commencing
IRKERS' COMPENSATION DECLARATION V
:NING: FAILURE TO SECURE wORMEW COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN. EMPLOYER 70 CRAMINAL PER:
T OF COMRENSA7WN, DAMAGES AS PROVIDED FOR 7N SEGT14tN: SliIB OF THE LABOR CORE: INTEREST, AND ATTORNEY'SFEEe.
retry affirm under penalty of perjury one: of the following declarations:
I have and will meintain aoartificate. of Consent to self -insure for workers'. compensation, Issued by the Director
armance of The work for which this permit is issued, Policy Nc;
`love and Will maintain workers' compensation insurance as required by Section 3700:of the Labor Code, for the
trance carrier and policy number are; . _ ...
tier Policy Number
certify that, in -the
if I should becorr
s-:or personal: effort, builds or improves. the property,. provided that the
a Owner -Builder -will have the burden of proving that itrwas not built or
r and Professions Code: The Contractors' State License Law does not:
l to the Contractors' State License Law),.:.
my license is In full force.
ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S400,000), IN ADDITION: To THE
Industrial Relations as .provided for by Section 3700 of the Labor Code, for th
formance-of the work for which this: permit is issued. My workers' compensano
o as to become subject to the workers' ompensation laws of:Califomia: and agre
comply with those provisions.
Da
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this permit: is issued (Section 3097,. CIA Code),
I
f am the property owner or authorized to act on the property owner's behalf.
1have read: this application and the information I have provided is correct.
t agree to comply with all applicable city and county _ as: and state taws relating to building construction.
tauthorize rapresentah4esof this City Or co n i ent above -identified property for inspection purposes.
Signature of Property Owner orAuthorized -A a t Print Pro e Owner's or A ithorized Agent's Name tilp.
ACTION- • • DATE. BY ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY -
...... REGULATIONS. PART 514E TITLE AD AND AQMD RULE
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