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Home My WebLink AboutXC2022-2003 - Permits"EWPoRT City of Newport Beach 0 @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 tea. Permit Counter Phone: (949) 644-3288 cgC�FppN�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - Work Class - Other X C 2 0 2 2 2 0 0 3II COMB Permit : XC2022-2003 Plan Check No : PC2022-2517 Issued Date : 1110212022 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: 435 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 2 PM 221-30 PAR 2 (LLA 09-0150477 PAR 2 P OR OF Description: COMM STOCKROOM SHELVING "DICK'S SPORTING GOODS" Owner: IRVINE COMPANY LLC Address : 111 INNOVATION DR IRVINE, CA 92617 Phone: (949)720-3100 Applicant: R F S CONSTRUCTION Address : 200 S ROGERS ST#301 WAXAHACHIE TX 75165, CA Phone : (212) 448-1677 Owner/Builder : Address : Phone: Contractor: R F S CONSTRUCTION Address : 200 S ROGERS ST#301 WAXAHACHIE TX 75165, CA Phone : (212) 448-1677 Can State Lic : 1022744 Lic Expire : 01/31/2023 Bus Lic: BT30078885 Bus Lic Expire : 05/31/2023 Workers' Compensation Insurance Carrier: FEDERATED MUTUAL INS CO Policy No: 1813101 W. C. Expire : 1/1/2023 Code Edition : 2019 Fire Sprinklers : YES Type of Construction : II -A Fire Hazard Zone : NO Occupancy Groups : M No of Units : 0 Bldg Height: No of Stories : 1 Building Setbacks Flood Zone : X Use Zone : PC S Newport Center PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: ENHAO ZHANG Address: 1815 WRIGHT AVE LAVENCE, CA 91750 Phone: (909)596-1351 Designer: Address : Phone: Construction Valuation : $26,000.00 Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg : -0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (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 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 Iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicantto a civil penalty of not more than five hundred dollars ($500). M 1, as owner of the property, or my employees withwages as their sole compensation, will do (_) all of or L) 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). n 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' Stale 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 logall} sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Avww,leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ �_� Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of P rj ry ghat I am licensed under provisions of Ckye..pker +tii�tit�ytglIn with Section 7000) f ' 's' 3y[tj� Business and Prof ss Ide nd-my license is in full force and effect. License Class (LLD / License No //VV �r ii ``y7 Date LQ�notractor SignatureWORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAENALT@S AND CIVIL PINES UP TO ONE HUNDRED T AN100,000), N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST', AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th pe ormance of the work for which this permit Is issued. Policy No. i ave 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' compensatiol Miru nca Car r a d policy�numJba Ca er !Z/1f-(.f7/i K-A a Policy Number /O 1310Expiration Date of Agent certify that, inthe performance of thefk for which this ermit is issued, I shall not. employ any person in any' manner so as to become subject to the workerscompensation laws of California, and ogre i, it I should be subjec hewocompensation rovisions Of Section 3700 of the Labor Code, shall forthwith comply with those provisions. D I(Z Z nature of Applicant -_.-. CLARATION REO O NG CC ST ON LENOIN AGENCY are rykaffirm under penalty of pe ury th - struction lending agency for the performance of 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 ilia following: i am the property owner or authorized to act on the property owner's behalf, I have read this application and the inform ve provided is correct. I agree to comply with all applicable ci.t�'!''a`,HmTBitI nance d state vs retail g to building construction. I authorize representatives of this city or County tD/n er the above-i enfd grope for inspection purposes. (� Data ilaamP of Prnnarty Owner or Authorized Aoentr� Print Pro➢erty Owner's or Authorized Aoents Name ,,,��%%% 111 it ti -l�- C_ /�/_ /_`�'✓ PERMIT EXPIRED PERMIT FINAt CERTIFICATE OF OCCUPANCY ISSUED DATE I BY jN-T L OF mimpto WBEWITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 51 OF TITLE 40 AND AQMD RULE 1-JASSES105 NOTIFICATION 15 NOT APPLICABLE PROPOSED DEMOLITION SIGNAT7RC: IftJ