HomeMy WebLinkAboutXC2023-0020 - Permits�yEWPOR City of Newport Beach II IIII I IIII IIII IIII III IIIIIIIIIIIIII II COMB Permit : XC2023-0020
4 T
6 Community Development Department -Building Division x C 2 0 2 3 0 0 2 0
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0188
Permit Counter Phone: (949) 644-3288 Issued Date : 02/23/2023
Inspection Requests Phone: (949) 644-3255 Inspection Area : 7
9c�coaN` newportbeachca.gov/inspections
Combination Type - ELEC MECH PLUM
Work Class - Tenant Improvement
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 : 690 NEWPORT CENTER DR Legal Desc : P BK 196 PG 13 PAR 2 PARCEL MAP 196-13 PAR 2 FOR OF PAR AND PAR 3 FOR
Description: COMM TI - LOBBY -LEVEL RESTAURANT (NAME TBD) 3864 SF
Owner: 690 HOTEL LLC
Address : 690 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone:
Applicant:
JASON VANAUKER
Address :
300 SPECTRUM CENTER, 500
IRVINE, CA 92618
Phone:
(949)574-8500
Owner/Builder
:
Address :
Phone :
Code Edition:
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone:
Use Zone:
PROCESSED BY'
Contractor:
DRIVER SPG
Architect:
Address :
219D TOWNCENTER PL, STE 100
Address
ANAHEIM, CA 92806
Phone:
(626)351-8800
Phone:
Con State Lic
: 960119
State Lie
Lie Expire :
02/28/2023
Bus Lic:
BT30044313
Engineer:
Bus Lie Expire : 08/31/2023
Address
Workers' Compensation Insurance
Phone:
Carrier: FEDERAL INSURANCE CO
Policy No:
54310335
Designer:
W. C. Expire :
10/31/2023
Address
Phone:
20221
\ Fire Sprinklers : YES
II -A Fire Hazard Zone : NO
No of Units : 0
o of Stories : 20
PP ®F1�T
SPECIAL CONDITIONS: ISSUE`R6QIOR TO HEALTH.q_EPT APPRCA<AL PER TONEE THAI
VILLEGAS GREGORY
300 SPECTRUM CENTER DR #500
IRVINE, CA 92606
(949)574-8500
Construction Valuation :
$624,000.00
Added/New/Ti sq. ft. Bldg :
0
Alteration sq. ft. Bldg :
3.864
Added/New sq. ft. Garage:
0
TOTAL sq. ft.:
0
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 item(s1
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
io 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
of more than five hundred dollars ($500).
11, 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 not intended or offered for sale (Section 7044,
usiness 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 built or
nproved for the purpose of sale).
1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code; The Contractors' Stale License Law does not
pply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
1 am exempt from licensors 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 prior to completion of the improvements covered by this. permit, I cannot legal)
oil a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. ) understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code., is available upon request when this application is submitted or at the following Web site:htip://www.leginfo.ca.gov/celaw:htmi.
signature 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 3of the Business and Profe is In full farce
V RKE License Class License No Date Contractor Signatu
PORKERS' COMPENSATION DECLARATION
tARNING: FAILURE TO SECURE WORKERS" COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA S ND CIVIL FINES UP TOONE HUNDRED TT4OUSANO DOLLARS (E100.,000), IN ADDrrION TO THE
'.OST 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:
I have and will maintain a certificate of consent to self•insure for workers' compensation, Issued by the Director W Industrial Relations as provided for by Section 3700 of the Labor Code, for th
for Lance of the work for which this permit is issued. Policy No_
eve 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' compensatiol
tsur in
carrier and policy number are:
Policy Number Expiration Date
of Agent
71 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 agre
Tat, if I should becomes bj�I, saticn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.kCli
lignature of Applicant,rDatZIECLARATIGN REG DITION LENDING AGENCY
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 QSection 3097, ode).
.enders Name Lenders Address
iy 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 1 have provided is correct.
I agree to comply will) all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county jo ente a ab e=de ' d properly for inspection purposes. ��
;kmature of Prooartv Owner or Authorized Aoanh / .�ve _ Print Property Owner's or Authorized Agent's N934J014N�_1-lffLY/[�.�_�SV/� Date C)2 •�3•Z
ACTION DATE BY `r'j'DEClOATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TETLE40AND AQMD RULE
1403
PERMIT EXPIRED I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
PER,b4T EXTENDED
LJAQmo
PERMIT FINAL
2-5 92
/ `��
G ASRESTgS NUTIFICR'rION IS N0T.IPN!ICRdtE 'U
CERTIFICATE OF
PROPOSED DEMOLITI ���
OCCUPANCY ISSUED
SIGNATURE IV J