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HomeMy WebLinkAboutXC2022-1854 - PermitsCity of Newport Beach o��EWPoRT A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u fir. S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq</FepN�P newportbeachca.gov/inspections COMB Permit : XC2O22-1854 Plan Check No : oT:E20C2-1761 Combination onype Work Class : Other Issued Date: 07/13/2022 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: 650 NEWPORT CENTER DR Legal Desc : PARCEL MAP 196-13 PAR 2 FOR OF PAR AND PAR 3 FOR OF PAR AND ALL OF PAR 4 AN D PARCEL MAP 295-33 PAR 1 POR OF PAR Description: COMM LED LIGHTING UPGRADE ON DECK OF PARKING STRUCTURE Owner: IRVINE CO Address : NEWPORT BEACH, CA 92658 Contractor: P E M EVANS INC Address: 3621 SERPENTINE DRIVE LOS ALAMITOS, CA 90720 Phone: Phone: (562)493-1600 Con State Lic : 703752 Applicant: DAVID THOMPSON Lic Expire : 04/30/2023 Address : 11660 WESTERN AVE STANTON, CA 90680 Bus Lic: BT30075660 Phone: (626) 625-2429 Bus Lic Expire : 06/30/2022 Workers' Compensation Insurance Carrier: Policy No: W. C. Expire: Code Edition : Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : Y Occupancy Groups : U No of Units : 0 Bldg Height : No of Stories Building Setbacks Flood Zone: X Use Zone : PC - North Newport Center n Processed By: Public Works Approval Zoning Approval: Grading Approval: SPECIAL CONDITIONS: Plan Check By: Approval To Issue: Architect Address: Phone: - State Lic: Engineer : - Address Phone Designer: Address Phone: Construction Valuation : $23,000.00 Added/New sq. ft. Bldg : 0 Added/New sq, ft. Garage: 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable 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 the permit to file a signed statement that he or she is licensed pursuant o 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 Iicansure 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 not more than five hundred dollars ($500). 0 I, as owner of the property, or my employees with wages as their sole compensation., will do (-) all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 70", 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). 0 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and. Professions Code: The Contractors' State License Law deas not ap..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' Slate License Law). I all exempt from licensure under the Contracturs' Slate 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 poor to completion of the improvements covered by this permit, I cannot legaly 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, Sec *on 70144 of the Business and Professions Code, Is available upon request when this application Is submitted or at the following Web site:httpa/ww'w.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 700 ) of Divi ion 3 of the Business and Profess' n Code, nd m license is full force and effect. Licensu Class G I c� License No O 1 i -L— Date Contractor Signature ,WUrMERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOL S 15100,0001. IN ADDITION TO THE CIST CF COMPENS;TGN, DAMAGES AS PROVIDED FOR IN SECTION 3706. OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm mnder panalty of perjury one of the following declarations: I h a 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 th, per mance ul the work for which this permlt Is issued. Policy No. II pave 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 t once carrier and policy number are: e, _ _ Policy Number Expiration Date n of Agent Phone # amity tha':, in the Performance of t e w k for which thi rmit is issued, I shall not employ any person in any manner so asto become subject to the workers' compensation laws of Califomia, and agra� it I should become subject t the orker ' Cori ion pr ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. sture of Applicant Da Z LARATION REGA. I�ONST CTI N NCY hereby affirm under penalty of perjury that the a s a Construction lending agency for the performance of the work for which this permit is. issued (Section 3097, Civil Code). ander's Name Lender's Address _ y my signature below, I certify to each of the f owing; I am the property owner or authorized to ac on the prop rly owner's behalf. I have read this application and the information I have rO\ided Is corn I agree to comply with all applicable ciy and county or. ins and ate laws r ng to building ConstructionI authorize representatives oT this city or county to ante thove-i ntifled property r Inspection purposes. q1 lonalure of ProDei Owner or Authorized Agent Print Prouerty Owner's or Authorized Auent's tiarlN ACTION DATE BY DECLARATI OF COMPLIANCE WITH CODE OF PEDE. y ( REGULATIO PART 51 OF TITLE 40 AND AQMD RULE 1403 PE' MITEXP7RhDi LJ SU61VIITT D ASBESTOS NOTIFICATION TO PERMTCANC€LLED DEPA PERMITEXTENDED AOLI. MD PERMITFINAL. I-Z3`24 5(%'t11r65 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF D DEMOLIT ON OCCUPANCY ISSUED SIGNATURE: FOR OFFICE USE All required alarms, latchesgates and fences which serve as part of a poolJspa barrier, shall be in place prior to approval to fill pool/spa & shall remain In place & be maintained for the life of the pool.