HomeMy WebLinkAboutXC2023-0083 - PermitsCity of Newport Beach
O @ Community Development Department- Building Division
• 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
.�. newportbeachca.gov/civic
C9�IF00.��P Combination Type - ELEC MECH PLUM
Work Class - Tenant Improvement
X C 2 0 2 3 0 0 8 3II COMB Permit : XC2023-0083
Plan Check No : PC2023-0625
Issued Date : 05/2512023
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: 4400 MACARTHUR BLVD, 570 Legal Desc : P BK 173 PG 31 PAR 1
Description: COMM SPEC SUITE TI TO (E) OFFICE SPACE 4966
Owner: 4400MACARTHUR PROPERTY
LLC
Address :
18301 VON KARMAN AVE STE250
IRVINE, CA 92612
Phone :
(949) 331-1300
Applicant:
UPRITE CONSTRUCTION
Address :
2211 MICHELSON DR STE 500
IRVINE, CA 92612
Phone:
(909)837-7813
Owner/Builder :
Address :
Phone
HOLDINGS Contractor: UPRITE CONSTRUCTION
Address: 2211 MICHELSON DR STE 500
IRVINE, CA 92612
Phone: (909)837-7813
Con State Lic :
932018
Lic Expire :
06/30/2024
Bus Lic :
BT30062515
Bus Lic Expire :
D3/31/2024
Workers' Compensation Insurance
Carrier: HARTFORD ACCIDENT AND INDEMNITY
COMPANY
Policy No: 37WEAAJ3ZHY
W. C. Expire: 12/1/2023
Architect : DWYER SUSAN M
Address : 4770 CAMPUS DR NEWPORTBEACH, 'r;'�
92660
Phone: (949)851-3080
State Lic
Engineer:
Address
Phone:
Designer:
Address
Phone:
Code Edition :
2022
Fire Sprinklers :
YES
Construction Valuation :
$400,000.00
Type of Construction :
I -A
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups :
B
No of Units :
0
Alteration sq. ft. Bldg :
4,966
Bldg Height:
No of Stories :
9
Added/New sq. ft. Garage :
0
TOTAL sq. ft. :
0
Building Setbacks
Flood Zone :
X
Use Zone:
PC - Koll Center
PROCESSED BY:
SPECIAL CONDITIONS: HAULER: CALIFORNIA WASTE SERVICES
iA!Ce �r.%-r-0-*.-+,
d'k0Y� k7 J a ri
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 below by the checkmark(s) I have placed next to the applicable iter l
(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
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3.of the Business and
Professions 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
not more than five hundred dollars ($500).
111, 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,
'Business 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
Improvements 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 builtor
improved for the purpose of sale).
❑ 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
I,apply 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).
I-1 1 am exempt from licensure under the Contractors' State License Law for the following reason —
toy 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
:soli a structure that I have built as an owner -builder if it has not been constructed in its entirety by liconsod contractors. I understand that a copy of the. applicable law. Section 7044 ofthe Business and
;Professions Codeis available upon request when this application is submitted orat the following Web site:hltp:/iwww.leginfo.ca.gov)calaw.html.
Signature of Roperty Owner or Authorized Agent _ Date _
'LICENSED CONTRACTOR'S DECLARATION
I hereby affirm urder nenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) cf Div' ion 3 of the Business and Professions Code,(and my license is In full force
and .affect. LlcensE Class License No Date 05r1'e� Contractor Signature nWtlrt_/
WORKERS' COMPENSATION DECLARATION
WARNING. FAIL! -RE TO S4CURE WORKERSCOMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDrfION TO THE
!CPST OF COMPS YATIOq, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affin❑ cnd�r penalty of perjury one of the following declarations:
El I have and wilt 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 IN
,�x?crmance of the work for which this permit is issued. Policy No,
rave and w;q 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'
su:ance carrier ar.d policy number are:
Policy Number
of Agent
Date
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 to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Oat aQL2/Z 2-4
Ireby 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).
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 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 enjgr the above -identified property for inspection purposes. t (,\
signature of Propertyy Owner or Authorized Agent Print Property Owner's or Authorized Agent s Name
AC71ON DATE BY I D;CLARAT€ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULF, HUkoi 11
PERMIT EXPIRED
PERMITCANCELLED
PERMIPFINAL // i d'ASHESTOS NOTI FICA I' ION IS NOT APPLICABLE 10
CERPRC017E OF -� G i PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATUREv �N /
Date