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Home My WebLink AboutXC2022-2121 - Permits (3)City of Newport Beach F��WPoRr D Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ems. Permit Counter Phone: (949) 644-3288 C9��FORH`P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement X C 2 0 2 2 2 1 2 1II COMB Permit : XC2O22-2121 Plan Check No : PC2022-3204 Issued Date : D4/19/2023 Inspection Area : 1 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 Legal Desc : Contractor: PDC INC Address : 1010 S HATHAWAY ST UNIT C SANTA ANA, CA 92705 Phone: (714)664-0477 Con State Lic : 988559 Lic Expire : 11/30/2023 Bus Lic: BT30055261 Bus Lic Expire : 05/31/2023 Workers' Compensation Insurance Carrier: EVEREST PREMIER INSURANCE COMPANY Policy No: 7600020452211 W. C. Expire : 5/29/2023 Architect: WALTONJENNIFER Address : 18627 BROOKHURST ST #618 FOUNTAIN VALLEY, CA 92708 Phone: (949)851-3080 State Lic Engineer: Address Phone: P Designer Address Phone Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $220,000.00 Type of Construction : V-A Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : 1,884 Bldg Height: No of Stories : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks ; Flood Zone Use Zone : PROCESSED BY SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ,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 Iho permit to file a signed statement that he ar 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 ?rofessions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Any violation of Section 703L5 by any applicant for a permit subjects the applicant to a Civil penalty of -iot more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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 built or mproved for the purpose of Sale)- ❑ I, as owner of the property, am exclusively contracting with licensed Contractors t0 construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds of improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 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 legall! sell a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable taw, Section 7044 of the Business and Professions Code,, is available upon request when this application is submitted or at the following Web site:http:Yiw .leginfo.ca.govicalaw.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 7 )p f Diytrn 3 of the Business and Pr Ions Code, and my license is In and effect. License Class License No Date Ui(1a� T-3 Contractor Signaturei� — � WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CPAL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000I, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, I hereby affirm under penalty of perjury one of the following dectarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work (Or which this permit is issued. My workers' carrier and policy number are: Policy Number Date lame of Agent rnone a 3 certify that, inthe performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and rat, if I should become su (ecl to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / signature of Applicant __ Dat» 41 IECLARATION REGAR ING ON$TRUCTION 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 (Section 3097, Civil Cede). enders Name Lender's Address ly 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 6kunty ordinances and state laws relating to building construction. ,IGnof Ialure ze representatives of this city or county enter the above-1 of ed property for inspection purposes. Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name 0-kr- DLr, ll Gx-All Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS. PART 61 OF TITLE 40 AND AOMD RULE i 1403 0 1 SURM'TFD ASB-STOS NOTIFIcA.ION TO PERMIT EXPIRED PERMYf CANCELLED EPA .._._ ...__...� PERM7TfXTFNDED I- QM PERMIT FNJAL ��ee ASHES S JOTIFICAl IDN IS NOTAPPLICABLE TO CER iffICATE OF OCCUPANCYISSUED RO OSED CUl SIGNATURE: