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Home My WebLink AboutXC2023-0084 - PermitsCity of Newport Beach ��gWPO�T Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 = Perrnit Counter Phone: (949) 644-3288 +r. Inspection Requests Phone: (949) 644-3255 CqG/F00.N\P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement COMB Permit: XC2023-0084 X C 2 0 2 3 0 0 8�� II Plan Check No : PC2023-0634 Issued Date : 03/30/2023 Inspection Area : 3 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: 20321 IRVINE AVE, F2 Legal Desc : P BK 269 PG 39 PAR 1 P M 269-39 PAR 1 POR OF PAR; HOLD PARCE L FOR Description: COMM DEMO PRIOR TOT] (E) OFFICE AND RESTROOM 250 SF "DR ECKERMANN OUTPATIENT CENTER" Owner: ECKERMANN & CO LLC Address : 20321 IRVINE AVE STEF2 NEWPORT BEACH, CA 92660 Phone : (818) 437-4699 Applicant: GLOBAL OCEAN AND LAND CONSTRUCTION Address: 23638 LYONS AVE, 437 NEWHALL, CA 91321 Phone : (818) 437-4699 Owner/Builder : Address : Phone Contractor : GLOBAL OCEAN AND LAND Architect CONSTRUCTION Address : 23638 LYONS AVE, 437 Address NEWHALL, CA 91321 Phone : (818) 437-4699 Phone Con State Lie : 495853 State Lic Lie Expire : 07/31/2024 Bus Lie: BT30081139 Engineer: Bus Lie Expire : 03/31/2024 Address Workers' Compensation Insurance Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No: CWC01081800 W. C. Expire: 8/22/2023 Phone : Designer: ZAGHIFARDAD Address: 20416 OXNARD ST WOODLAND HILLS, CA 91367 Phone : (818) 437-4699 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $5,000.00 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 : 250 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : A; X Use Zone : SP-7 - Santa Ana Heights Specific Plan PROCESSED BY: I " o SPECIAL CONDITIONS: A -FLOOD ZONE; LIQUEFACTION OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicableftem(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 is permit to file a signed statement that fie 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 rofessions Code) or that he or she is exempt from iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a Civil penalty of of more than Eve hundred dollars ($500).: 1 1, as owner of the property, or my employees with wages as their sole compensation, will do(_) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044, usiness 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 nprovements 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 nproved for the purpose of sale). 1 I, 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 poly to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I I am exempt from licensure under the Contractors' State License Law for the following reason: iy 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 legal]! all a structure that I have built as an o"Gr-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 'rofessions Code, is available Upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gov/calaw,html. lignature of Property Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f ON' ion 3of the Business and Professl ' s d ., al d r(y license is In full force no effect. Licensj CILss License. No Date 6 Contractor Signature VJF%KERS' CGMPEASATION DECLARATION IAPNING: FAILURE l O SEdvRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO' ONE HUNDRED THOU SI O LLARS ($100,000i, IN ADCRION TO THE PST nF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0709 OF THE LABOR conE, INTEREST, AND ATTORNEV'S FEES. hereby affirm under penalty of perjury one of the following declarations: -I I ;cave and wX mS,itam 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 erformance of the v,&, for which this permit is issued. Policy No. and will ,ruen,aln 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! re of Agent ced'fy that, in thn performance if I should become subject to Were of Applicant L Policy Number Date 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 California, and agre workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. Date_. 3f 3U/ 23 hereby affirm under pen �Ity of p¢kikry that there is a construction lending enders Name �� )( � ly my signature below, I certify lo`qch of the following: I am the property owner or authorized to act on the property owner's b I have read this application andthe information I have provided is Corr I agree to comply with all applicable city and county ordinances an t I authorize representatives of this city or county to enterthe ave de, for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Lender's Address. laws relating to building construction. ad property for inspection purposes. ACTION I DATE I BY 1 UlOORAL RFGLAOOTTlf 40 ANUAQpft RULE PERMITEXPIREO LJI SUBMITTED ASBESTOS NOTIFICATION 710 PERMITCANCELEED PERMIT EXTENDED � —ESTUS NUTIF PERNfIT FINAL I BCA'f1UN I'S NUT P LICABLE TO CERTiF[CATE OF I PROPOSED DEMOLITION OCCUPANCY 15SUED i SIGNATt1REe FOR OFFICE USE ONLY � eb6