HomeMy WebLinkAboutXC2022-1944 - Permitso��eW�oRr.. City of Newport Beach
pF 6 Community Development Department- Building Division
/ r 100 Civic Center Drive, Newport Beach, CA 92660
S Permit Counter Phone: (949) 644-3288
o- Inspection Requests Phone: (949) 644-3255
C9CIpOAH�P newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
II IIII I I II I II I III II I I II II COMB Permit : XC2O22-1944
Plan Issued Date c 09 2012 z22022-2283
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
iN'sP',-11
Job Address: 3991 MACARTHUR BLVD, 200/200A Legal Desc : P BK 61 PG 9 PAR 1 - {I
Description: COMM DEMO PRIOR TO TI 9625 SF
Owner: MAC ARTHUR BUILDING LLC
Address : 3991 MACARTHUR BLVD STE412
NEWPORT BEACH, CA 92660
Phone
Applicant:
JULIAN REYES
Address :
111 PINE ST
SAN FRANSISCO, CA 90015
Phone:
(213)312-7296
Owner/Builder
Address :
Phone
Contractor:
SWINERTON BUILDERS
Address :
2001 CLAYTON RD 7TH FLOOR
CONCORD CA 94520, CA 94520
Phone:
(949)622-7000
Con State Lie
: 000092
Lie Expire :
08/31/2023
Bus Lie:
BT30066824
Bus Lie Expire: 04/30/2023
Workers' Compensation Insurance
Carrier: FIRST LIBERTY INSURANCE CORPORATION
Policy No : WA666DO66493031
W. C. Expire: 8/1/2023
Architect:
FUKUMORIWESLEY
Address:
111 PINE STREET #1250 SAN
FRANCISCO CA 94111. CA 94111
Phone :
(514) 364-4406
State Lie:
Engineer:
Address
Phone:
Designer:
Address:
Phone:
Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $150,000.00
Type of Construction : Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg :
Bldg Height : No of Stories : Added/New sq. ft. Garage : 0
Building Setbacks
Flood Zone: X
Use Zone : PC - Newport Place
PROCESSED BY: �s -:T
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 the checkmark(s) I have placed next to the applicable item(s)
Section 7o31.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant for
is 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
'rofesslons Code) or (hat 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
of more than five hundred dollars ($500).
11, 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,
lusmess 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
nprovemants 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
nproved for the purpose of sale).
11, 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
pply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law).
3 1 am exempt from licensors under the Contractors' Slate License Law for the following reason: -------- _.-._.._�
•y 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,
sit a structure that I have built as an owner -builder if it has not been constructed In its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the fallowing Web site:http:tlw .leginfo.ca.gov/calew.html.
.ignature. or Proprrty Owner or Authorized Agent Dale
.ICENSEU CONTRACTOR'S DECLARATION
hereby affirm imner penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f Di 'Sion 3 of the Business and Professio ieynSO is in full force
nd effect. Cca.rse Class License No Date c 'y Contractor Signature
VO RKERS' COMPENSATION DECLARATION
ARNING: FAILURE r6. SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG D TROUSANO OOLLARS ($100,e00), IN AODrTION TO THE
nST OF COgPEIF T,ON, DAMAGES AS PROVIDED FOR IN SECTION 57O OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 0ave and will maintain a cedificate of consent to self-Inaure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
ey6rmance of. the work for which this permit is issued. Policy No.
Nava and will n-sintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the workfor which this permit is Issued. My workers' compensatiol
rance cLrier arot policy number are:
`qr _ Policy Number Expiration Date
is of Agent _ Phone If
certify that, in the parfornrartcSjo or to which this permit Is issued, [shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
if I should become sable the 71ors' Formation provision f3Coften 3700 of the Labor Code, I shall forthwith comply with those provisions.
,at_re of ApFfcant ry^ ,^ ^^ n,Tnll� T _ Dale
hereby affirm under penalty of pedothat there is a construction lending agency for the performance of the Work for which this permit Is issued (Section 3097, Civil Code).
ender's Name Lenders Address
ty my signature below, I 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 applicable city and county ordbiturces and stale laws relating to building construction. `
I authorize representatives of this city or county to Wove -identified property for inspection purposes, 1 17
ACTION ( DATE I BY REGULATIONS PART COMPLIANCE
TLf. AO AN DE OF FEDERAL I FOR OFFICE USE ONLY
15URtdITTFD ASRFSTOS NOTIFICATION TO
PERMITEXTENOED •, UAOMD
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OF SIGNATURE; DEMOLITI ASHES [05 Al I APPLICABLE TO
CERTIFICATE
OCCUPANCY 155UEO /
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