HomeMy WebLinkAboutXC2022-1871 - Permitsp��EWPoR� City of Newport Beach II IIII I I I I II I III III III I II
. a "ICommunity Development Department- Building Division COMB Permit XC2U22-1871
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : I)S 9 1 -Z0Z2
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255 Issued Date : a/03/2022
°4<`iFoaa`� newportbeachca.gov/inspections
Combination Type - 16 � � Inspection Area : 7
R T R
Work Class - Tenant Improvement "-`
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
Description: DELTA 6 REVISION & ADD'L SCOPE: REMOVE & REPLACE PORTIONS OF SLAB
owner; IRVINE COMPANY LLC THE
Contractor: ALTA CONTRACTING
Architect : STEINER STUDIO
Address: PO BOX 2450 NEWPORT BEACH, CA 92658
Address : 369 E. BLAINE STREET CORONA, CA
Address : 17800 MITCHELL NORTH IRVINE, CA
92879
92614
Phone:
Phone: (714) 380-9233
Phone: (714) 299-5957
Con State Lic : 742360
State Lic:
Applicant: CARRIE WRIGHT
Lic Expire : 11/30/2023
Address :
Bus Lic: BT01020983
Engineer: BISHOFF RYAN WILLIAM
Phone: (949) 683-3984
Bus Lic Expire: 01/31/2023
Address : 3300 IRVINE AVE #245 NEWPORT
BEACH, CA 92660
Workers' Compensation Insurance
Phone: (949) 862-8510
Owner/Builder :
Carrier: CYPRESS INS. CO
Address :
- Policy No: ALWC347983
Designer
Phone:
- W. C. Expire: 6/24/2023
Address:
Phone:
Code Edition : 2019
Fire Sprinklers : YES -
Construction Valuation : $20,000.00
Type of Construction : III-B
Fire Hazard Zone :. No
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : M
No of Units : 0
Alteration sq. ft. Bldg
Bldg Height :
No of Stories : 1
Added/New sq. ft. Garage: 0
Building Setbacks
Flood Zone : X
-
Use Zone : PC - North Newport Center
-
PROCESSED BY:
`.U,
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) Indicated below by file checkmark(s) I have placed next to the applicable, item(s)
Section 70315. 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
To permit to file a signed statement that he or she is licensed pursuant to the provisions of the Cortractars' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofesslons Code) or that he or she is exempt from lCensure 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
npmvemems 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 bulls or
roved for the purpose or sale).
,J 1, as owner of file property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
pply 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 licensure under the Contractors' Slate License Law for the following
ly my signature below 1 acknowledge that, except for my personal residence in which I must have resided for of least one year prior to completion of the Improvements covered by this permit I cannot legally
all a structure that I have built as an owner -builder if It has nor been constructed In its entirely by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and
'rofesslons Code, Is available upon requestwben this application is submitted or at the following Web site:http://www.Iaginfo.ca.gov/calaw.html,
signature of Property Owner or Authorized Agent ^_ Date
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed wider provisions of Chapter 9 (commencing with Section 700 I tvlsba 3 of the Business and Profess' r3ipLmy license is in full force
nd effect. License Class License No DBIe r bL Contractor Signature /r—
VORKERS' COMPENSATION. DECLARATION
'ARNING: 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 ($100.000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST. AND ATTOnNEY'S FEES.
hereby affirm under penalty of perjury one of the following daciorations:
I I have and will maintain a certificate of consent to self -insure far workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for till
erformance 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 issued. My workers'
Fence carrier and policy number are:
Policy Number Expiration Date
is of Agent Phone #
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' compensation laws of California, and
if I should become subject to the wpfkers' compensatdon provisions of Section 3700 of the Labor Coda, I shall forthwith comply with those provisions. - I 1
of Applicant
Date% � 4�tZ
baby affirm onl-r penalty of perjury that there Is a construction lending agencyfor the performance of the work forwhlch this permit Is Issued (Section 3097, Civil Code).
Hfor's Name Lender's Address
ff,y signature below, I certify to each of the following:
I am the rimpert;' owner or authorized to acton the property 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 authortze,ep,esentatives of this city or county to enter the ale ve-Identdtied property for Inspection purposes.
nature of F(UL8,tV Owner or Authorized Agent -� , -7 Print Property Owner's or Authorized Adam's Nalne
ACTION
PER VI FXPIR`O
PERMIT CANC9 LED
PEFXVT EXTEPOED
PERMITF114AL
CERTIFICATEOF
OCCUPANCYISWED
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FIDEI
f REGULATIONS PART 5I OF TITLE, AD AND AQAD RULE
I SUBMITTED ASRESTO5 NOTIFICATION TO
NOTIFICATION 15 NOTAPPLICABLE TO
FOR OFFICE USE ONLY
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.
Fee Name
Transaction Date Payment Method
Building
Building Permit Fee - Valuation
Building Plan Check Fee
07/28/2022 CC EPL
Drawing Fee
Green Building Fee
OTC Plan Check Fee - Planning
07/28/2022 CC EPL
PERMIT FEE DETAILS FOR PERMIT XC2022-1871
Fee Amount Fee Paid Amount
Trans. Paid Amount Paid By
$421.00
$0.00
$366.27
$366.27
$366.27 CARRIE WRIGHT
$8.00
$0.00
$1.00
$0.00
$53.00
$53.00
$53.00 CARRIE WRIGHT
GRAND TOTAL: $849.27 $419.27