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Home My WebLink AboutX2021-3448 - PermitsCity of Newport Beach o�aEWPORT @ Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 G x Permit Counter Phone: (949) 644-3288 r+^� ,s Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections ` Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement COMB Permit : X2021-3448 Is1/21-2( Issued dDto os2o2 o 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 : 343 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 3 Description: COMM TI "NEIGHBORHOOD GOODS" 9169 SF Owner: IRVINE CO Contractor: SERVCO INC Architect: CATHERINE REBECCA JOHNSON Address : NEWPORT BEACH, CA 92658 Address : 18009 SKY PARK #E IRVINE, CA 92614 Address: 2718 W AVENUE 34 LOS ANGELES, CA 90066 Phone: Phone: (949)955-2300 Phone: Con State Lie : 937164 State Lie Applicant: SERVCO INC Lie Expire : 08/31/2023 Address : 18009 SKY PARK #E IRVINE, CA 92614 Bus Lie : BT30059160 Engineer : TUCHSCHER JAMES TC139- Phone : (949) 955-2300 Bus Lie Expire : 07/31/2022 Address : 5318 E. 2ND ST STE 5rorsLONG BEACH, CA 90803 Workers' Compensation Insurance Phone: (310) 613-9980 •- J, Owner/Builder ; Carrier: EVEREST+PREMIER+INSURANCE+COMPAN Y Address : Policy No : 7600021913211 Designer Phone: W. C. Expire: 10/20/2022 Address Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $600,60q.0a Type of Construction : III -A Fire Hazard Zone : No Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : M No of Units : 0 Alteration sq. ft. Bldg - Bldg Height: No of Stories : Added/New sq. ft. Garage: 0 Building Setbacks Flood Zone Use Zone : PROCESSED BY: X PC - North Newport Center SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby afflnn under penalty of perjury that Iam exempt from the Contractors State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item{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 to 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 'rofessions 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 of more than five hundred dollars ($500). 1, as owner of the property. Or my employees with wages as theirs pe compensation., will do ( ) all of or U Dorf! ons of the work, and the structure is not intended or offered far sale (Section 7044, lusiness 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 (hat the nprovements are not intended or offered for sale. 11, 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, 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 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 following reason' ly 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 cove€ed by this permit, I cannot legall) ell a structure that I have built as an owner -bulkier 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gov/calaw.fitmi, signature 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 of iv' ion 3 of the Business and Professlo C I ' se is in full f e end effect, License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$ 00,000). IN ADDITION TO THE '.DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury oneof the following declarations: 7 I have and -will msintam a certificate of consent to self -insure for workers' ef.ormance of fnb'w^urk for which this permit is issued. Policy No, compensation. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for andwill mah,tain 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: Policy Number Expiration Date of Agent Phone if I certify that, m the performance of 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 agree ea , it I should J un ir- subject 1wpjtka t mpensatlon pro Ions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. signature of Appll ant _ _ Date�UL IE,LARATION RECF. ING oENCV hereby affirm u der penalty of perjury that there a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enuar'.; Name _ _ Lender's Address '.j Tt signature betjw, 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 applicaticn and the information I have provided is correct. I agree to comply with all applicable city and county ces slate 1 authorize representatives of this city or county to tpr t 1t eye S to building construction. Ir Inspection purposes. vner's or Authorized Auent's Name Date ACTION DATE 4 BY DrC-tARATION OFieOM PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY - REGULATIONS PART Gl OFTITLE 40 AND AQMD RULE 1403 PERMrr EXPIRED PERMIT CANCELLED PERMITFINAL s'-2(, -e 51,. CERTIFICATE OF g OCCUPANCYISSUED t__I I SUBMITTED ASBESTOS NOTIFICATION TO All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained forthe T� — if, of the pool. C u