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Home My WebLink AboutXC2022-2121 - Permits�EwroRr City of Newport Beach IIIIIIII IIII I IIII II IIIIIIIIIIIIII II I II COMB Permit : XC2O22-2121 Community Development Department -Building Division X C 2 0 2 2 2 1 2 1 > = y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3204 = Permit Counter Phone: (949) 718-1888 Issued Date : 04/19/2023 <a„ newportbeachca.gov/civic Final Date: oqa FoaN�P Combination Type - ELEC MECH PLUM Permit Status: Issued Work Class - Tenant Improvement 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 : 2230 NEWPORT BLVD, 102 Description : COMM TI SPEC SUITE 1884 SF Owner: PENINSULA VILLAGE LLC Address: 220 NEWPORT CENTER DR, 11 NEWPORT BEACH, CA 92660 Phone: (714)818-8034 Applicant: CHANDLER CLARK Address: 2250 NEWPORT BLVD, 101 NEWPORT BEACH, CA 92663 Phone: (714)818-8034 Owner/Builder : Address : Phone Code Edition : 2019 Type of Construction : V-A Occupancy Groups: B Bldg Height : Building Setbacks Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIONS: Legal Desc : Contractor: PDC INC Address : 1010 S HATHAWAY ST UNIT C SANTA ANA, CA 92705 Phone: (714)664-0477 Con State Lie : 988559 Lie Expire : 11/30/2023 Bus Lie : BT30055261 Bus Lie Expire : 05/31/2024 Workers' Compensation Insurance Carrier: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy No : UB7W351857 W. C. Expire : 5/29/2024 Fire Sprinklers : YES Fire Hazard Zone : NO No of Units : 0 No of Stories : 3 Architect : WALTON JENNIFER Address : 18627 BROOKHURST ST #618 FOUNTAIN VALLEY, CA 92708 Phone: (949)851-3080 State Lie Engineer: Address Phone: Designer Address Phone: Construction Valuation : $220,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 1,884 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 DECLARATION 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 tennis) Section 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 its issuance, also requires the applicant for 10 permit to file a signed statement that he or she is licensed pursuant to the previsions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensers 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 penatty of of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do j_} all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044, aUSiness 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 nprovements 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 bull( or nproved for the purpose of sale). 1 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 from licensure 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 logall', oil a structure that I have built as an owner -builder if It has not been constructod in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofesstons Code., is available upon request when this application is submitted or at the following Web siteihttp:!lwww.leginfo.ca,govlcalaw,titml, ignatum of Property Owner or Authorized Agent „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 Division 3 of the Business and Professions Code, and my license is In full force Ind effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION MG: 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 ($1011,000), IN ADDITION TO OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31MS OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have 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 'ormance 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' compeosa trance carrier and policy number are: Policy Number Date tie of Agent Phone fk certify that, to 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 to the workers' compensation provisions of Section 3700 of the Labor Coda, I shall forthwith comply with those provisions. of Data 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). ender's Name Lenders Address y 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. ACTION DATE By DECLARATION ONS OF COMPLIANCE O tPLIANCEOF F A0 WITH CODE DE OF RU ERAL FOR OFFICE USE ONLY j E PERMIT EXPIRED S. U I SUBMITTED ASBESTOS NOTIFICATION TO __�._Y...In[PA PERrMiT CANCELLER I PERiwiT EXTENDED IIAOMD PEPob7rT FINAL �.� zY� _ ION IS NOl ANPLiCABLE TO CERTIFICATE OF PROPOSED DEMOLIT pN OCCUPANCY ISSUED 51GNATURE: