HomeMy WebLinkAboutXC2022-2124 - Permits-aEWnoRT.
City of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288 r
Inspection Requests Phone: (949) 644-3255 "-
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newportbeachca.gov/inspections -.
Combination Type - ELEC MECH PLUM -
Work Class - Tenant Improvement
IIIIIINIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII4 II
COMB Permit : XC2O22-21 24
Plan Check No : PC2022-3213
Issued Date : 02/17/,023
Inspection Area : 9
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 : 2424 BRISTOL ST, 220/240
Description: COMM TI "SPEC SUITES" 4272 SF
Owner: 2424 BRISTOL PARTNERS LLC
Address: 19782 MACARTHUR BLVD STE100
IRVINE, CA 92612
Phone:
(949)261-7719
Applicant:
TRICIA ANN PILKE
Address:
3150 BRISTOL ST STE 205
COSTA MESA, CA 92626
Phone:
(949)724-1499
Owner/Builder :
Address :
Phone:
Legal Desc : N TR 1499 BLK LOT 8 TR 1507 LOT 8 AND LOTS 9-14 INC AND LOTS 16-20
Contractor: NEXT GENERATION CONTR INC
Address: 4879 E LA PALMA AVE #208
ANAHEIM, CA 92807
Phone:
(714)308-8552
Con State Lie
: 1005679
Lie Expire :
06/30/2024
Bus Lie:
BT30080750
Bus Lie Expire : 02/29/2D24
Workers' Compensation Insurance
Carrier: PALOMAR SPECIALTY INSURANCE
COMPANY
Policy No: PSIC0925104
W. C. Expire : 12/1/2023
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone
Designer: TRICIAANNPILKE
Address : 3150 BRISTOL ST STE 205
COSTA MESA, CA 92626
Phone: (949)724-1499
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation :
$30,000.00
Type of Construction :
V-A
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups :
B
No of Units :
0
Alteration sq. ft. Bldg :
4,272
Bldg Height:
No of Stories:
3
Added/New sq. ft. Garage :
0
TOTAL sq. ft.
0
Building Setbacks
Flood Zone:
X
Use Zone :
SP-7
- Santa Ana Heights Specific Plan
PROCESSED BY:
SPECIAL CONDITIONS:
I hereby affirm under penalty 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 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
ie permit to fife a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chaptor 9 (commencing with Section 7000) of Division 3 of the Business and
'rof isslons 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
tot more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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 properly, provided that the
nrovements are not Intended or offered for sale. IL 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
nyproved for the purpose of sale).
.J 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
P,ply 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).
J I am exempt from licensure under the Contractors' State License Law for the fallowing reason:._________��____
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year pnor to completion of the improvements covered by this permit, I cannot legall,
all 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/lw .leginfo.Ca.gov/calaw.himl.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Proles toode, d ryy license is In full force
and effect. License Class License No Date-1`7'33 Contractor Signature /I
YORKERS' COMPENSATION DECLARATION
rARNING: 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 (5100,000), IN ADDITION TO THE
'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR N SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES,
hereby affirm under penalty of perjury one of the following declarations:
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
e 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'
ranee carrier and policy number are:
Policy Number Expiration Date
or 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 tithe workers;Sompenpation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Ireby affirm under penalty of perjury that there is a construction rending agency for the performance of the work for which this permit is issued (Section 3097
Ider's Name Lender's Address
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 :c Lomply with all applicable city and county ordinances and slate laws relating to building construction.
I author'zn -cpresentatives of this city or courtly to ftr tho above -identified property for inspection purposes, e 4
Civil Code).
liti\\F'SD � Data D'_17
ACTION
DATE
BY
' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
I REGULATIONS PART GI OF TITLE 40AND AOMO RULE.
1403
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I I SUBMITTED ASBESTOS NOTIFICATION TO
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QASBESTOS NOTIFICATION IS NOT APPLICABLE TO
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CRMITFINAL
'C4`1FICATE OF
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SIGNATURE: