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Home My WebLink AboutXC2023-0387 - PermitsP0R'' City of Newport Beach D p Community Development Department- Building Division :..;.,4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 U Y S newportbeachca.gov/civic C9G/F00.T��r Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement COMB Permit : XC2023-0387 Plan Check No : PC2023-2359 Issued Date : 01/0512024 Final Date: Permit Status: Issued 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: 450 NEWPORT CENTER DR, 5TH FL Legal Desc : P BK 61 PG 10 PAR 1 Description: COMM TI - RESTROOM UPGRADES 334 SF Owner: IRVINE COMPANY Address: 110 INNOVATION DRIVE IRVINE, CA 92617 Phone: (949)720-2000 Applicant : MARK YAM Address : 392 N LEMAY CT ORANGE, CA 92867 Phone: (626)757-2320 Owner/Builder : Address : Contractor: ADAMS GC CONSTRUCTION Address : 18 TECHNOLOGY, 113 IRVINE, CA 92618 Phone: (949)340-4056 Con State Lie : 1038888 Lie Expire : 05/31/2024 Bus Lie: BT30074063 Bus Lie Expire : 01/31/2024 Workers' Compensation Insurance Carrier: EXEMPT- NO EMPLOYEES Policy No : EXEMPT W. C. Expire: Architect: MORFORDPAUL Address : 4675 MACARTHUR CT #100 NEWPORT BEACH, CA 92660 Phone: (949) 863-9434 State Lie Engineer: Address Phone: Designer Address Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $50,000.00 Type of Construction : I -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : 334 Bldg Height: No of Stories : 6 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks : .. Flood Zone : X ' Use Zone : PC - NorthNewport Center BY: �3 PROCESSED SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby aff'Irm 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 applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construcL, alter, improve, demolish,. or repair any structure, prior to its issuance, also requires the applicant for the 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 Professions 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 not more than five hundred dollars ($500). I, as owner of the property, or my employees withwages as their sole compensation, will do U all of or L) portions of the work, and the structure is notintended or offered far 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. Ir, 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). ❑ 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 a ply 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 licensure under the Contractors' State License Law for the fallowing 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 legal) soil a structure that I have built as an owner -builder if It has not been constructed in its entirety by licensed contractors.) understand that a copy of this applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site;htip://www.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 7000) of Division of the Business and Profession Code andmy lice Is Is force and effect. License Class License No Date Contractor Signature �it /C WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SI00,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION OTOS OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEE$. I hereby affirm under penalty of perjury one of the following declarations: 111 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 Nc. ❑I 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' compensatio Insurance carrier and policy number are: Carrie Policy Number Expiration Date Na ant Phone it I c moist, in the performance of the work for which this permit is issued. shall not employ any person In any manner so as t0 become subject to the workers' compensation laws of California., and ogre that, tit should become subjecKTRUCTION wor s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Siynalure of Applicant Date DECLARATION REGARDING LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this penult is issued (Section 3097, Civil Code). Lender's Name Leiider's Address By 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 dppiication and the information I have provided Is correct. I agree to comply .i,th all applicable cryand county ordinances and state laws relating to building construction. I au,horize remeser tdLVes of this city or County nter t above niified property for inspection purposes. Signature of Property Owner cr Authorized A enl Print Property Owner's or Authorized Agent's Name Date A'TION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 3 REGULATIONS PART 5l OF TITLE 40 AND AQMD RULE _ 1403 PERMITEXPIRED iLJ I SUBMITTED ASRFSTOS NOTIFICATION TO PFAIrAITCANCEIL£D 1'rnr41T El7ENDFD P RMITFNAL 111(---Z-21 Z q / CAS OTIFICATIO'NISNOTAPPLICABLE 10 CVRTIFIrATE OF ; PROPOS'D DEMOLITIO GCCUPAItCV f5SU,:L SIGNATURE.