HomeMy WebLinkAboutXC2022-2074 - PermitsPORT
City of Newport Beach
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Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - ELEC MECH PLUM
Work Class - Tenant Improvement
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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