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HomeMy WebLinkAboutXC2022-2074 - PermitsPORT City of Newport Beach j 9 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 v941 171 newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement dr — COMB Permit : XC2022-2074 Plan Check No: Issued Date : 09/13/2022 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 : 1340 BISON AVE, Q Legal Desc : Description: COMM TI "BIOLOGI SPA" 1979 SF: (N) AESTHETICIAN ROOMS ***CHANGE OF CONTRACTOR—* Owner: IRVINE COMPANY LLC Address: 111 INNOVATION DR IRVINE, CA 92617 Phone : (949) 720-3100 Applicant : George Hanna Address : 1203 W SHELLEY CT Orange, CA 92868 Phone : (714) 633-8200 Owner/Builder : Address : Contractor: MIKE MASOUD MOVASSAGHI Address : 1032 S WINDY RIDGE CT ANAHEIM, CA 92808 Phone : (714) 612-9023 Con State Lic : 755188 Lic Expire : 03/31/2023 Bus Lic: BT30080085 Bus Lic Expire : 11/30/2023 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire: Architect Address Phone: State Lic Engineer: WELTONJEREMY Address: 26461 RANCHO PARKWAY SOUTH IRVINE, CA 92620 Phone: (949) 916-3440 Designer: Address : Phone: Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $120,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : 1,279 Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : AE, X; X Use Zone: PC - Bonita Canyon 5 PROCESSED BY: I ! SPECIAL CONDITIONS: 11/17/2022: CHANGE OF CONTRACTOR AE FLOODZONE; LIQUEFACTION OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated t Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (C 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 70 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (—) all of or (_) portions of the wo lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emplo mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion nproved for the purpose of sale). 7 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Busin poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursL 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year pi ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I underste 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/lwww.leginfo.ca.l lignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divis nd effect. License Class License No Date //_ COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL' DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I have and will maintain a certificate of consent to self -Insure for workers' compensation, issued by the Director of erformance of the work for which this permit is issued. Policy No. ]I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe Isurance carrier and policy number are: tamer Policy Number lamp of Agent Iw by the checkmark(s) I have placed next to the applicable items) repair any structure, prior to its issuance, also requires the applicant for pter 9 (commencing with Section 7000) of Division 3 of the Business and 5 by any applicant for a permit subjects the applicant to a civil penalty of and the structure is not intended or offered for sale (Section 7044, s' or personal effort, builds or improves the property, provided that the e Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' Stale License Law). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Date 13 of the Business and Professions Cod and my license is in full force rT Contractor Signature CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SIW,000), IN AUDmON TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date certify that, in the performance of the k for which this permit is issued, I shall not employ any person in any manner so as Jo become subject to the workers' compensation laws of California, and , if I should become subject to the ers' compegiation provisions of Section 3700 of the Labor Code, I shall forthwith cornly with those provisions. signature of Applicant )ECLARATION REGARDINd CORSTRUCTJORiLENDING AGENCY hereby afflml under penalty of perjuryere is a construction lending agency for the performance of the work for which this '.enders Name th Lender's Address 3y my signature below. I certify to each of the following: and the property owne, or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. : agree ,o comply with all applicable city and county ordinances and slate laws relating to building construction. I authorize reprecentatries of this city or county to enter he above-i%d °lified property for inspection purposes. iicr.3tL: a of Prooertv owner or Authorized Aaenl &7 / Print Prooertv Owner's or Authors: ACTION DATE BY `DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE REGULATIO"T 61 OFTITLE 40AND AQMD RULE 1403 PER'dI' £XP'REO PERMfTCANCELLED L PER,NIT EXTeNDED PERMITFINAL I f p�" kSBE5TO5 NOTIFICATION 15 NOT APPLICABLE TO fCERTIFICATEOF i ��' i� /X PROPOSED DEMOLITION/ OCCUPANCYISSUED `� /' / SIGNATURE: 1:1 —L� Date_J/_�Z is issued (Section 3097, Civil Code). Name Date