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Home My WebLink AboutXC2022-2135 - PermitsCity of Newport Beach o�aEWIPoRT Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u s Permit Counter Phone: (949) 644-3288 mow.. Inspection Requests Phone: (949) 644-3255 C9G/FORN`P newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement iiiiiiiiiiiiiiCOMB Permit : XC2O22-2135 Plan Check No : PC2022-3254 Issued Date : 04/26/2023 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: 213 NEWPORT CENTER DR Description: COMM TI "DITA EYEWEAR" 806 SF Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone: (949)720-3100 Applicant: SERVCO INC Address : 18009 SKY PARK #E IRVINE, CA 92614 Phone: (949) 955-2300 Owner/Builder : Address : Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR AND FOR PA R 1 OF P.M. Contractor: SERVCO INC Address : 18009 SKY PARK #E IRVINE, CA 92614 Phone: (949)955-2300 Con State Lie : 937164 Lie Expire : 08/31/2023 Bus Lie: BT30059160 Bus Lie Expire : 07/31/2023 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No: WSA506802600 W. C, Expire: 10/20/2023 Architect : DELLA MARNA LOREN JOSEPH Address : 13681 NEWPORT AVE STE 8-368 TUSTIN, CA 92780 Phone : (949) 851-1317 State Lie: " Engineer: , Address Phone: Designer: Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $125,000.00 Type of Construction : III -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : M,B No of Units : 0 Alteration sq. ft. Bldg : 806 Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION 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 Item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, slier, improve, dernolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that Ito 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 llcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant is a civil penalty of not more than five hundred dollars ($500). 0 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, 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). 71 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 doe's not apply 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). 0 1 am exempt from acensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my parsenal residence in Which I must have IDS! dod for at least one year prior to completion of the Improvements covered by this permit, I cannot leg all! sell a structure that I have built as an owner -builder if It has not been constructed in ?is onlirety, by licensed contractors, I understand that acopy 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:ltww .leginfo.ca.gov/calaw.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) pf Divi too 3 of the Business and Prole s e, a Cense is In full force and effect. License Class License No Date y�j & Contractor Signature IMORKERS' COMPLASATION DECLARATION NAQNING: FAILURE TO Sc,,URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO' ONE HUNDRED THOUSAND DOLLARS (6i00, 00), IN ADDITION TO THE CC Y_ nr CCVPENSA'101 , DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEE& hereby affirm under penalty of perjury one of the following declarations: I oAve and will ruaintain 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 wort ror which this permit is issued. Policy No. 61, ha r and will rnaints,n 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` compensatiot ncorance carrier a,,c: policy number are: >riar_ Policy Number Expiration Date NJ,MA of Agent Phone tf 'I certif9 that, in 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 agre h3` 11 should became subject to the workers' compensation provisions of Section 3700 of the Labor Code.; I shall forthwith comply With those provisions, Signature of App+kart _ _ _ Date_____ 7/2 6Z2 DECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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 Code). _ender's Name Lender's Address 3y 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 application and the information 1 have provided is r ct. C2 �O 4,v j] 1 agree to comply with all applicable city and county d" CBS tat vs relating to building construction, I authorize representatives of this city oil county to to a property for inspection purposes. Signature of Pro ert Owner or Authorized A ent D.C. A+,l �% Print Property Owner's or Authorized Agent's Name Date / ?6 ACTION DATE By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I ( I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LIAQMp ryryryry BBBBBB,,LLLELL PER;NiTFINAL $,jD ASat5705 NOTl FICA OT APn7E^Te0 CERTfffCATE OF PRO DEMOl17YOf OCCUPANCY155UED SIGNATURE: �-✓sv6 <