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Home My WebLink AboutXC2023-0138 - PermitsQ ��WPc"' City of Newport Beach 1111111111111111111111111111111111111111111111p111111111 jj COMB Permit : XC2023-0138 D g Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0978 Permit Counter Phone: (949) 718-1888 Issued Date : 11/06/2023 u .ems. newportbeachca.gov/civic Final Date: c"t�Fo nN�� Combination Type - ELEC Permit Status: Issued Work Class - Tenant Improvement 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 : 260 NEWPORT CENTER DR, 1ST & 3RD FL Legal Desc : P BK 36 PG 35 PAR 7 Description: COMM TI RECONFIGURE 1ST FL ENTRY DOOR AND 3RD FLOOR DOORS AT OFFICE AND CONFERENCE ROOMS. 200 SF Owner: T Y NEWPORT LLC Address : 260 NEWPORT CENTER DR #3 NEWPORT BEACH, CA 92660 Phone : Applicant: DENNIS LEE Address: 680 BREA CANYON ROAD SUITE 178 WALNUT, CA 91789 Phone: (909)598-0186 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone: PROCESSED BY: Contractor: PUB CONSTRUCTION INC Architect Address : 23545 PALOMINO DR, STE 104 Address POMONA, CA 91766 Phone: (949) 355-4152 Phone Can State Lic : 788668 State Lic Lic Expire : 12/31/2024 Bus Lic: BT30082938 Engineer: Bus Lic Expire : 11/30/2024 Address Workers' Compensation Insurance Phone: Carrier: INS CO OF THE WEST Policy No: WSD504471604 Designer: W. C. Expire: 12/7/2023 Address Phone: 2022 Fire Sprinklers : YES III -A Fire Hazard Zone : NO B No of Units : 0 No of Stories : 5 X OR - Office —Regional SPECIAL CONDIT IONS: DENNIS LEE 680 BREA CANYON ROAD SUITE 178 WALNUT, CA 91789 (909)598-0186 Construction Valuation : $16,800.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 200 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 OWNER -BUILDER DEC I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the re ason (s) indicated below by the checkmark (a) I have placed next to the applcable items) 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 No a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Lava (Chapter 9 (commencing With Section 7000) of Division 3 of the Business and 'nor essions Code) or that he or she is exempt from lieensure 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 I, as owner of the property, army employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not.. intended or offered for 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 that the nprovemenls are not intended or offered for sale. If, however, the building orimprovement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or npraved for the purpose of sale). I 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 pply 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). 3 f am exempt from licensure under the Contractors' State License Law for the fallowing reason: ty 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 legall) all a structure that I have built as an ownor-builder if it has not been constructed in its ontiroty 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:hltp:(iwmw.leginfo.ca.gov/calaw.htmi. tignature of Property Owner or Authorized Agent , Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f DIVISi 3 of the Business and Profes.::�1 o5i�',_ and my license is In full force nd effect. License Class License No Date L 3 Contract SignatureX a__��//z--r—r_- VORKERS' COMPENSATION (DECLARATION FARMING; 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 t6100,0001. IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEOTION 370E OF THE LABOR CODE, INTEREST, ANp ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 the ewprmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Expiration Date of Agent It certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agre tat, If I should become subject to the or s' co ensahcn provisions of section 3700 of the Labor Code, I shall forthwith comply With those provisions. 'signature of Applicant _�_ rPCI_ARATtgN RRGAR G NSTRUCTI N LENOtNG AGENCY _ t— hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit. is issued (Section 3097, Civil Cade). ardor's Name Lenders Address ly 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. r� I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to�e%,{'er t a(�rre-i ntified property for Inspection purposes. / iiari tore of Proceriv, Owner or Authorized Aaenl d- f�iX✓� �E Print ProoeM Owner's or Authorized .Agent's Name Date // //C3 ACTION I DATE By DECLARATIONOFCONIPLIANCEVNntli CODEOFFEDERAL FOROFFICE USE ONLY REGULATIONS PART 6.1 OF TITLE 40 ANDAgN10 RULE t 1403 PERMiTEXPIRED I 1 i UISUBMITTEOASBFSTOSNCTIFICATIONTO PERMIT EXTENDED ^ " PERM7TYtNA1 1-(l ZN BE6TOS NO15 NOT APPLICABLE TU CERTIFICATE Of R OSFMOLITI�� OCCUPANCY ISSUED SIGNATUR : i