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HomeMy WebLinkAboutXC2023-0077 - Permits�EW'oRr City of Newport Beach 04 ;° Community Development Department - Building Division F �y 100 Civic Center Drive, Newport Beach, CA 92660 U S Permit Counter Phone: (949) 718-1888 Cq��F00.T��p newportbeachca.gov/civic Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement X C 2 0 2 3 0 0 7 7� II COMB Permit: XC2023-0077 Plan Check No: PC2023-0565 Issued Date : 05/25/2023 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, 500/550 Legal Desc : P BK 173 PG 31 PAR 1 Description: COMM TI "FIDELITY NATIONAL" 11626 SF Owner: 4400 MACARTHUR 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 : HOLDINGS Contractor: UPRITE CONSTRUCTION Address : 2211 MICHELSON DR STE 500 IRVINE, CA 92612 Phone: (909)837-7813 Con State Lic : 932018 Lie Expire : 06/30/2024 Bus Lie : BT30062515 Bus Lie Expire : 03/31/2024 Workers' Compensation Insurance Carrier: HARTFORD ACCIDENT AND INDEMNITY COMPANY Policy No : 37WEAAJ3ZHY W. C. Expire : 12/1/2023 Architect Address Phone: State Lie Engineer: Address Phone: Designer: Address : Phone: Phone DWYER SUSAN M 4770 CAMPUS DR NEWPORT BEACH, CA 92660 (949)851-3080 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $750,000.00 Type of Construction : I -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 11,626' Occupancy Groups ; B No of Units: 0 Alteration sq. ft. Bldg : 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 BY:� PROCESSED SPECIAL CONDITIONS: HAULER: CALIFORNIA WASTE SERVICES - . 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 items) {Section 7031.5, Businessand 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 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 not more than five hundred dollars ($500). !, El I, 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 notintended 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 ormprovement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or .improved for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 0 I am exempt from licensure under the Contractors' State License Law for the following reason: By 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 sell a structure that I have built as an ownar-builder if it has not been censtructad in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and ,Professions Code, is available upon request when this application is submitted or at the following Web site:http:fiw .leginfo.ca.gov)calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION ! I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o Division 3 of the Business and Pro£essiggs Code, and my license is In full force land effect. License Class License No Date Contractor Signature r1LU jWORKERS' COMPENSATION DECLARATION (WARNING: 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 (6100,000), IN ADDITION TO THE I COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T03 of THE LABOR COOS, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: l have and will maintain a certificate of Dcnsent 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, 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 and policy number are: Policy Number of Agent Date UI Certify that, in the performance of the wcrk for which this permit is issued!., I shall not employ any person in any manner so as to become subject to the workers' compensation taws of California, and agree that, if I should become subject to he workers' compensation provisions of Section 3700 or the Labor Code, I shall forthwith comply with those provisions. Signature of ApplicantDate,_ DECLARATION REGARDING C RUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which this permit is issued. (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: 1 am the propeM,y v., ner or authorized to act on the property owner's behalf. I have read this Ep9li6ation and the information I have provided is correct. ' ::gnc to comphr bvirh all applicable city and comfy ordinances and state Yaws relating to building. construction. I authorize representatives of this city or county to enter he above -identified property for inspection purposes. Sit,nalure of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name M U Date 9 25 2 ACTION DATE Fly DE ARATIN OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY RFGULATIONS PART 810E TITLE 40 AND AQMD RULE 1403 MIT E" PMED I SUBMITTED ASBESTOS NOTIFICATION TO P Ri.OT E TEN0ED PFRMIT FINAL ' t ASBESTOS NO-TIFICATION IS NOT APPLICABLE TO URTfFl6 TE OF �w'�" - y'�I PROPOSED DEMOUTIO& OCCUPANCY 1550,111 i SIGNATURE: (MO