HomeMy WebLinkAboutXC2024-0029 - Permits�E�w voRT City of Newport Beach IIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIII II COMB Permit : XC2024-0029
Community Development Department - Building Division x C 2 0 2 4 0 0 2 9
r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2247
Permit Counter Phone: (949) 718-1888 Issued Date : 01/24/2024
<.. newportbeachca.gov/civic Final Date:
Combination Type - Permit Status: Issued
Work Class - Tenant Improvement 9'> 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 POR OF PAR
Description: COMM REPLACE STRUCTURE SUPPORTING STOREFRONT "VINCE"
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 :
Phone
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: B
Bldg Height :
Building Setbacks
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY: r3:5
SPECIAL CONDITIONS: REV2024-0140
Contractor: SERVCO INC
Address : 18009 SKY PARK #E
IRVINE, CA 92614
Phone:
(949)955-2300
Con State Lie
: 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
Fire Sprinklers :
Fire Hazard Zone
No of Units :
No of Stories
Architect :
AMY BAGLEY
Address :
17800 MITCHELL NORTH IRVINE, CA
92614
Phone:
(714)299-5957
State Lie :
C030804
Engineer: SCHROEDER MARK
Address : 16969 VON KARMAN #240
IRVINE, CA 92606
Phone: (949)474-0502
Designer:
Address
Phone:
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg
0 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. :
$20,000.00
0
0
0
Z—
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that € am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ferrite)
Chun 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve,. demolish, or repair any structure, prior to its issuance., also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions Code) Or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($b00).
I, as owner of the property, or my employees with wages as their sole compensation,will do U all of or U portions of the work, and the structure is not intendedor offered for sale (Section 7044,
iness 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
rovements are not intendedor offered for sale. If, however, the building or improvement is sold withinone year of completion., the Owner -Builder will have the burden of proving that it was not built or
roved for the purpose Of sale).
I, 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
ly to an Owner of properly who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
IJ I am exempt from licensure under the Contractors' Slate License Law for he 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 in
sell a structure that 1 have built as an owner -builder it it has not been constructed in its entirely by licensed contractors. I understand that a copy of the app
Professions Code, is available upon requestwhen this application is submitted or at the following ''Pleb site:http://Www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owneror Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 vi ' of the Business and
and effect. License Class License No Date Contractor Signs
law, Section 7044 of the Business and
Date
farce
WORKERS' COMPENSATION DECLARATION ��—
NARNING: FAILURE TO SECURE WORKERS -COMPENSATION COVERAGE IS UNLAWFUL, AMC SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEE&
hereby affirm under penalty of perjury one of the following declarations:
n
L..1 I have and will maintain a certificate of consent to self- insure for workers' compensallon, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih
perfor a of the Work for which this permit is issued. Policy NO.
have and will maintain workers compensationinsurance,. as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol
Insurance carrier and policy number are:
Carder Policy Number Expiration Date
Name of Agent Phone #
71 certify that, in the i[ormance of the work for Which this permit is issued, i shall not employ any person in any manner s0 as to become subject to the workers' compensatio�lifornia, and afire
that, i( I should beco e slit -ubjec a we ens revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date ._
ncr, nonr,nu ocn w'onrern rnuar comer nreury
areby affirm under penalty of perjury that there is a construction lending agency for the performanceof the work for which this permit is issued (Section 3097, Civil Code).
ides s Name Lender's 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 j d is correct
I agrme to c7 pey e:all applicable city yto cps
I anti,orize reFresenahves of this city coup the a properi ornspecLonpurpoes.
ACTICP' ( DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND. AQMD RULE
1403
PERMIT EXPIRED l I SUBMITTED ASBESTOS NOTIFICATION TO
°FRMfTtANCELLED OEPA _
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