HomeMy WebLinkAboutXC2023-0366 - PermitsCity of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2023-0366
'@ Community Development Department - Building Division X C 2 0 2 3 0 3 6 6
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I n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2247
�U Permit Counter Phone: (949) 718-1888 Issued Date : 1211912023
newportbeachca.gov/civic a w. v ""• e— _ Final Date:
Combination Type - + - n _ Permit Status: Issued
Work Class -Other - a 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: 221 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR
Description: COMM -DEMO AND REBUILD OF STOREFRONT (SAME OPENING)
Owner: IRVINE COMPANY
Address: 110 INNOVATION DRIVE
IRVINE, CA 92617
Phone:
(949)720-2000
Applicant:
CARRIE WRIGHT
Address :
17800 MITCHELL N
IRVINE, CA 92614
Phone :
(949) 683-3984
Owner/Builder
Address :
Contractor: SERVCO INC
Address: 18009 SKY PARK #E
IRVINE, CA 92614
Phone:
(949)955-2300
Con State Lic
: 937164
Lie Expire :
08/31/2025
Bus Lie:
BT30059160
Bus Lie Expire : 07/31/2024
Workers' Compensation Insurance
Carrier: INSURANCE COMPANY OF THE WEST
Policy No: WSA506802601
W. C. Expire : 10/20/2024
Architect :
AMY BAGLEY
Address :
17800 MITCHELL NORTH IRVINE, CA
92614
Phone:
(714)299-5957
State Lie:
C030804
Engineer:
Address
Phone:
Designer:
Address :
Phone: Phone
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation :
$80,000.00
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 :
150
Bldg Height :
No of Stories : 1
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks
Flood Zone :
X
Use Zone :
PC - North Newport Center
RZ
PROCESSED BY:
SPECIAL CONDITIONS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury RiM I am exempt from the Contractors' Slate License Lawlor the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
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
no permit to file a signed statement that he or she is licensed pursuant to [tic provisions of the Contractors' State LI03nSO Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Irofesslons Code) or that me or she is exempt from 9oensure 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
lot more than five hundred dollars ($50D}.
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or t_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
nprovemenls 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
reproved 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' State License Law does not
Ipply 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 lieensure under the Cootreruns' Slate License Law for the fallowing reason
iy my signature below l acknowledge that, except for my personal residence in which I must have residod for at least one year prior to completion of the improvements covered by this permit, I cannot legall,
,ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Iolessions Code., is available upon request when this application is submitted or at the following Web site: hUp:/iwwvN.teginfo.ca.gavlcalawfitril.
signature of Property Owneror Authorized AgentDate
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 770 0 'vision 3 Of the Business' and Pr sl g my sense is In full force
and effect. License Class License No Date I Contractor Signatu
YORICERS' COMPENSATION DECLARATION
YARNING; FAILURE TO SECURE WORKERSCOMPENSATION 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
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE "SOP CODE, INTEREST, AND ATTORNEWS FOES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 ofthe Labor Code, for in
�orfg;;Nnance of the work for which this permit is issued. Policy No.
have 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'
ranee carrier and policy number are:
na of Agent _
certify that, in the
. if 1 should bef.v
Policy Number
Date
of the 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
.-Noers' co nsatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of APPlica 7._._.._..._._..._.,—._,.,_ .._._..__.______...._ _____..__._,_,..� _ _�, Date____
CLARATION REGARDING 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, Civil Code).
leer's Name 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.
I have read this application and the information I have provided Is correct.
i agree to comply with all appbcablo city an�rdinances and state laws relating to building. construction.
I authorize -epresantatives of this city un GI 'e-identified property for inspection purposes.
(nature of Property Jwner or Authorized An Print Property Owner's or Authorized Aoent's Name4�
PER': A,T EXPIRED
F JW, T CANCFU ED
PER+v11T EXTENDED
PL N1%, IT'INAL
Bch iFFICATE OF
JCCLFL{,JCW ISSUE? i
REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE
1403
I SDBMITTF.I? ASBESTOS NOTIFICATION TO
51GNATUREr
15 NOTAPPUCABLE TO
FOR OFFICE USE ONLY