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Home My WebLink AboutXC2023-0304 - PermitsCity of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit : XC2023-0304 Community Development Department- Building Division X C 2 0 2 3 9 3 0 4 Plan Check No : PC2023-1937 100 Civic Center Drive, Newport Beach, CA 92660 u�'. .a , Permit Counter Phone: (949) 718-1888 Issued Date : 10109f2023 y newportbeachca.gov/civic Final Date: 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 WORKiON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 1501 WESTCLIFF DR, 307 Legal Desc : N TR 4225 BLK LOT 8 TR 4225 LOT B POR OF LOT (PAR Description: COMM TI - "EDWARD JONES BRANCH REAL ESTATE" 1367 SF Owner: BRIAN MARTINI Address : 1600 DOVE ST STE480 NEWPORT BEACH, CA 92660 Phone: (949)720-8166 Applicant: BRIAN MARTINI Address : 1600 DOVE ST STE480 NEWPORT BEACH, CA 92660 Phone : (949) 720-8166 Owner/Builder : Address : Phone Contractor: G W CONSTRUCTION Address : 14063 VALLEY FORGE FONTANA, CA 92336 Phone : (909) 368-8343 Con State Lic : 999505 Lic Expire : 05/31/2024 Bus Lic: BT30081326 Bus Lic Expire : 04/30/2024 Workers' Compensation Insurance Carrier: FALLS LAKE Policy NO: FLA013405 W. C. Expire : 1/14/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : B No of Units : 0 3 Bldg Height: No of Stories : Building Setbacks: Flood Zone : X Use Zone : MU-DW - Mixed -Use DoverlWestcliff PROCESSED BY: _ _ SPECIAL CONDITIONS: 4 p., ®..-��a r� e Lic ineer: BICKELJAMES ress : 3600 BIRCH ST #120 NEWPORT BEACH, CA 92660 ne : (949) 757-0411 action Valuation : $61,000.00 Jew/TI sq. ft. Bldg : 0 m sq. ft. Bldg : 1,367 Jew sq. ft. Garage : 0 sq. ft. : 0 I hereby of rin 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 end 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 slatemont 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 no 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). Q I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 improved for the purpose of sale). Q I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState License Law does not appIV 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 exernpi from ucensure under The Contractors' State License Law for the following reason: By my signature 6olovr I acknowledge that, except for my personal residence in which I must have resided fora( least one year prior to completion of the improvements covered by this permit, I cannot legal) sell a structure that I have built as an owmor-builder 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 'JVeb sits:http://www,ieginfo.ca,and tit law.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 Seglittr Z40 Lnf 'vi on 3 gj the Business and Profe Ions a, d m Canso is In full force and effect. License Class License No ca=s O VZf Contractor: Signature-(� WORKERS' COMPENSATION DECLARATION NARNING: 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 1E100,000j, IN ADDITION TO THE COST 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: 1 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 Ifforytance of the work far 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 Expiration Date of Agent _ _.. oti _ certify that, in the performance o he k 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 t if I should become subject to w r ' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions- c �t nature of Applicant - lLr _ _m. __ Dets:. • �- / , zC V- ON y CIJtRATfREGARDING CONSTRUCTION LENDING AGENCY areby 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). idsr's Name _ _ V_ Lenders 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. 1 have read this application and the information I have pr ed is correct. I agree to comply with all applicable city and county or ' T Ices nd state laws relating to building construction. I authorize representatives of this city or county {O ent ee entified property for inspection purposes. A nature of Property Owner or Authonzed Ageiil . G � I Print Property Owner's or Authorized Aaents Name 71fl. ACTION DATE f BY 017CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RF [RATIONS PART 61 OF TITLE 40 AND AQNID RULE 1403 PERM T EXPIRED ' i pI >I DMITTFD ASBESTOS NOTIFICATION TO _._ _... .. .._. �I .____-..... ___ PERMIT CAMCELlEO L aEPA PERNYT EXTENDED QtQM D PCRMY7 FINAL / QASBESI OS NO7VFaCAIION IS N(Yi'APPUCABLE TO CERTIRCATE OF f PROPOSED DENIOUTEON OCCUPANCY ISSUED __ SIGNATURE.