HomeMy WebLinkAboutXC2023-0276 - Permits�EWPORT City of Newport Beach II II III IIIIIIIII IIII IIII II I I IIIII II COMB Permit : XC2023-0276
D`r O Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1789
u M s Permit Counter Phone: (949) 718-1888 Issued Date : 11/1312023
a.. newportbeachca.gov/civic Final Date:
Combination Type -ELEC MECH PLUM 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 : 1200 COAST HWY W
Description: COMM TI "PREMIER 7 AUTO WASH" 1382 SF
Owner: GOLDEN MARDIKIAN LLC
Address: 45 GOLETA POINT DR
CORONA DEL MAR, CA 92625
Phone: (949)910-1167
Applicant: Saunders+ Wlant Architects, Inc.
Address : 270 OAST HWY #200
NE �T BEACH, CA 92663
Phone : (949) 721-�/( Ai,
Owner/Builder:
Address : l.•
Phone: A, �o�'
Code Edition : ` 2022, �o��
Type of Construction : V-B ®q y(1
Occupancy Groups: B t�V
Bldg Height:
Building Setbacks :
Flood Zone : X
Use Zone : CG - Commercial General
PROCESSED BY:
SPECIAL CONDITIONS:
Legal Desc : N TR 1210 BILK LOT 39 TR 1210 LOT 39 ALL -SLY OF MW
Contractor: UNIVERSAL RENOVATION &
Architect:
Saunders + Wiant Architects, Inc.
CONSTRUCTION LLC
Address : 1338 S TOWNER STREET
Address :
2700 W COAST HWY #200 NEWPORT
SANTA ANA, CA 92707
BEACH, CA 92663
Phone: (024)987-4387
Phone:
(949)721-0730
Con State Lie : 870568
State Lie
Lie Expire : 08/31/2025
Bus Lie: BT30082993
Engineer:
Bus Lie Expire : 11/30/2024
Address
Workers' Compensation Insurance
Phone:
Carrier: ZURICH AMERICAN INSURANCE COMPANY
Policy No : WC169089301
Designer
W. C. Expire : 12/31/2023
Address
Phone:
Fire Sprinklers :
NO
Construction Valuation : $350,000.00
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg: 0
No of Units :
0
Alteration sq. ft. Bldg :
No of Stories :
1
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
I hereby affirm under penalty of perjury that I am exampt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item($)
'Section 7031,5, Business and Professions Code: Any city or county that requires a perrllt to construe€, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for
he permit to file a signed statement that lie or she is liconscd pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000)of Division 3 of the Business and
Orafesslons 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
ict more than five hundred dollars ($SODj.
1 I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 ContractorsState 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
mproved for the purpose of sale).
1 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
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).
1 am exempt from licensure under the Contractors' State License Law for the following 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, 1 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. ) 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:llwww,leginfo.ca,gov/calaw,btml,
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) Match 3 of the Business and Pr 'arfs• and my 6cense.i5lr ftsk orce
and effect. License Class License No Date Contractor Sgnatu a
NORKERS' COMPENSATION DECLARATION
NARNINO: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL 15100,0001, IN ADDITION TO TH'.
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
mran'darrier
a of the work for which this permit is issued. Policy No.
nd will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permitis Issued. My workers` Companies
r and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work f 4 rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agra
t, if I should becD sub' oompensatlor ornvc " of Section 3700 of the Labor Code, I shall forthwith comply with those provisions,
nature of Applica� I L
CLARATION Rk'%AR ',G CONSTR
Ireby affirm under penalty of perjury that there is a construcfion lending agency for the performance of the work for which this permit is issued (Section 3097, Oivil Code).
Ides s Name Lender's Address
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 I have provided is correct,
Witt)I agree to comply Witt)all applicable city a d County Drain as
and slate relating to building construction.
I authorize representatives of this city or c en Or
above•idntinspectlon purposes.
f Orr-,f yPrint PrnnOwner's or Authorized Aparis Name
Date Ll L
ACTION DATE. �tY I DECLARA" OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY
f REGULATIONS PART 61, OF TITLE 40 AND AONID RULE
1403
PERMIT EXPIRED 1 SO RMITTED ASBESTOS NOTIFICATION TO
PF.RAR1FCRh'CELCED ---'� MPA.,
PERMIT
FI AL C- V15TONUNOT APPLICABLE
OOCERTIFICA E PSOCCUPANCY ISSUED SIGNATU RF,: