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Home My WebLink AboutXC2023-0183 - PermitsD��EWPORT City of Newport Beach IIIIIII IIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2023-0183 d Community Development Department- Building Division X C 2 0 2 3 0 1 8 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1285 u = Permit Counter Phone: (949) 71 B-1888 Issued Date : 10/26/2023 ,a. newportbeachca.gov/civic Final Date: e,��F00.N�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: 22BO NEWPORT BLVD, 101 Legal Desc : N TR 16594 BLK LOT 1 UN HOLD LOT 1 OF TRACT 16594; HOLD PARC EL FOR CONDO Description : COMM TI 'RUMBLE" 2684 SF Owner: 2250 NEWPORT BOULEVARD 201 LLC Contractor : GENERAL BUILDERS INC Architect : DANIEL HEIFETZ Address : 413 HOWLAND CANAL Address : 11121 LANGLEY DRIVE Address : 22701 MARTHA W CINCINNA#I',''OH 45242 NEWPORT BEACH, CA 92661 LOS ALAMITOS, CA 90720 Phone : Phone : (562) 754-0190 Phone Con State Lie: 1078588 State Lie : C030912 Lie Expire : 07/31/2025 1'. @ 077� r7 Applicant : CAMERON CASTILLO Bus Lie: BT30081712 Engineer im 4..7 111,' r,i' Y Address : 1121 LANGLEY DR Bus Lie Expire : 05/31/2024 Address : • • " LOS ALAMITOS, CA 90720 Phone : (562) 754-0190 Workers' Compensation Insurance Phone Carrier: STATE COMP INS Owner/Builder: Policy No: 9310605 Designer:., ' Address : W. C. Expire: 1/1/2024 Address e : Phone Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $170,000.00 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 : Bldg Height : No of Stories : 3 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : AE, 8 FT; X Use Zone : MU-W2 - Mixed -Use Water PROCESSED BY: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby afllmi under penalty of perjury that I am exempt from the Contractors' Stale 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; Arty city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior torts issuance, also requires the applicant for he 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 Orofessions Code) or that tie or she is exempt from Ncensure and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant for a permit subjects the applicant to a olvil penalty of -ol more than five hundred dollars ($500). 1 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 not Intended or offered for sale (Section 7044, 31.19iness and professions Code: The Contmctors' 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 mprovements are not Intended or offered for sale. I f 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 mproved for the purpose of sale). 1, 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 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 Am exempt from licertsure under the Contractors' Stale License Law lot the following reason: By my signature below 1 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 ovmor-builder if it has not been Constructed in its entirety by lieensad contractors. I understand that a copy of the applicable law, Section 70" of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site;http:llwvnv.leginfo.ca.gov)calaw.html. Signature of Property Owner or Authorized Agent __,__ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm Uleer penalty of perjury that I am licensed under provisions of Chapter a (commencing with a ron 70 ) Of Division 3 of the tr s nd Profess) ns, p _Cade. and my license is In tali force and effect. LICe^.ee Class License No t O�Z.6./23 Contractor gnature, ✓JORKER£' COMPENSATION DECLARATION NARNINGI FA'L'J^17 TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (ti1DQ00D), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYA FEES. hereby affirm under penalty of perjury one of the following declarations: I have art w°f maintain a certificate of cocsent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IT parformancA of the work for which this permit is issued. Policy No. end %ri l 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 Date me of Agert Phone N. certify dhat. in the pe rmance of the work for which this permit is issuod. I shall not employ any person in any manner so as trbecome subject to the workers' b mper iion laws of California, and agrg t, if I shLuld 3 am subjjecct�to�the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .nature of Applic t ,_,_,_velr ✓ �. CLARATION RE ARDING CONSTRUCTION LENDING AGENCY .reby 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, it Code). ider's Name Lenders Address any signature below, I certify to each of the following: I am the property owner or authorized to act on the properly 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 stale laws relating to building construction. authorize representatives of this cif or my to enter the�ab�ove-identified property for inepectlon purposes. [nature of Property Owner or Authonz Agent �� / -__ —_ Pint Property Owner's or Authorized Agonl' ame 7� •C'° WI II rl/•nS Date o Zre Z. ACTION DATE. I BY DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AGDAD RULF. FOR OFFICE USE ONLY PtTM fXPIREDI LJ I SUBMITTED ASBESTOS NOTIFICATION TO PFAMIFCANCEt LfD PEAJYfi7 fXTfNDED OMD PCRMi76(fJA1 05 NO TINCAIION IS NOI APPLICABLE 10 CERTFFICATEOCCUPANCY OF ) 6'� �[r—/—� OS DEMOLITION OCCUPANCY ISSUED I .IY�j/t� SIGN