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Home My WebLink AboutXC2022-1950 - PermitsaEWVp"T City of Newport Beach IIIIIII IIIIIII�IIIIIIIIIIIIIIIIIIII II d Community Development Department- Building Division X C 2 0 2 2 1 9 5 0 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U s Inspection Requests Phone: (949) 644-3255 °1t�roa"'P newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement COMB Permit : XC2022-1950 Plan Check No: PC2022-2304 Issued Date : 10/18/2022 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 : 500 NEWPORT CENTER DR, 850 Legal Desc : P BK 387 PG 41 PAR 2 Description : COMM TI - 665 SF "WEDBUSH SECURITIES" Owner: 50 NEWPORT CENTER DRIVE LLC Contractor: NOURSE M A INC Architect : MORFORD PAUL Address : Address : 2822 WALNUT AVE SUITE E Address : 4675 MACARTHUR CT #100 NEWPORT NEWPORT BEACH, CA 92658 TUSTIN, CA 92780 BEACH, CA 92660 Phone : Phone : (714) 734-6074 Phone : (949) 863-9434 Con State Lie : 617556 State Lie Lie Expire : 04/30/2023 Applicant: NOURSE M A INC Bus Lie : BT30033288 Engineer Address: 2822 WALNUT AVE SUITE E Bus Lie Expire : 09/30/2013 Address TUSTIN, CA 92780 Phone: (714) 734-6074 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND - • • • , , , , , Owner/Builder : Policy No: 9058832 Designer Address : W. C. Expire: 6/l/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $30,000.00' Type of Construction : I -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : 665 Bldg Height : No of Stories : 9 Added/New sq. ft. Garage : 0 TOTAL sq. ft. Bldg: 665 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the mason(s) indicated below by the checkmark(s) I have placed next to the applicable items) 'I+0100 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 As Issuance, also requires the applicant for m permit to file a signed statement that he or she is licensed pursuant to the previsions of the Contractors` State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessions Code) or that he or she is exempt from licensors 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 live hundred dollars ($500), 3 1, 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, usiness 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 this nprevaments 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 nprovod for this purpose of sale). 3 1, 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 poly 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). 3 1 am exempt Croat wensure under the Contractors' State 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 legally ell a structure that I have built as an owner -builder It it has not boon constructed in its entlrpty 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:/iwwNvleginfo.co.govlcataw.html, signature of Property Owneror Authorized Agent mm Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 7000) of ivlate of the Business and Professions Pods and m e is in full force nd effect. License Class License No Date i-l6 / g' ZZ-Contractor Signature IORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE To SECURU WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL EWES UP TO ONE HUNDRED THOUSAND DOLLARS l$100,SBei, IN ADDITION TO THE 0%' ^F nCMPENSATON, oAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES - hereby affirm unonr penalty of perjury one of the following declarations: I -L,ave and will maintain a certl cake of consent to self insure for workers' compensation. tssUed by the Director Of Industrial Relations as provided for by Section 370D of the Labor Code, for th 414ornrpnce, of the work f>f which this permit is issued. policy No. 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' carrier ard pc:icy number are: Policy Number Expiration Date of Agent 1f certify, that, in !he per'omtanee of the work for which this permit is issued. I shall not employ any person In any manner sD as to become subject to the workers' compensation laws of California, and agre IPt it I Should become subject to the workers' commp/a/ tlon provisions of Section 3700 of the Labor Code, I shall forthwith comply Will those provisions. h / Q igl,aluru of Apichu ant � _.__ ,/C.._— _l.! `5........ DatE!' ( rJ z- ,ECLARATION REGARDINGSTR.UCTION LENDING AGENCY _ 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), entier's Name Lender's Address ,y my signature below, I certify to each of the following: I am the property owner or authorized to act on tt!•••e 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 slatetOWS relating to building construction. I authortze representatives of this city or county to ente the above I ad property for inspection purposes. �i A r� / �; ,Ymature Of PIODertv Owner or Authorized Anent — /i /% Print Prooenv Owner's or Authorized Anent's: Name X— M r/ f- V �& 7 7-�-/ Datr K/0 r ACTION DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY E REGULATIONS PART nI OF TITI,F AO AND ACiMO RtRF. PERMIT EXPIRED i J LA I SUBMITTED ASBESTOS NOTIFICATION_ TO PFRMti CkMCFC(fQ ' f _ EPA PERMlTEXTENDED GMD PERMIT FiNAG prlt PO DD€MplTPEA11'IONt5N0Y AVCAKE 10 OCCUPANCY ISSUED /T�l /»G. � v V , St(iNdTtIRE