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Home My WebLink AboutXC2023-0297 - PermitsaEWPoRr City of Newport Beach II IIII I I II I III II III II I II I I II II COMB Permit : XC2023-0297 Community Development Department- Building Division X C 2 9 2 3 9 2 9 7 " 100 Civic Center Drive, Newport Beach, CA 92650 Plan Check No: PC2023-1881 uS Permit Counter Phone: (949) 718-1888 Issued Date : 12/13/2023 newportbeachca.gov/civic Final Date: C9��F00.N�P 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 : 849 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR Description : COMM TI- "MENDOCINO FARMS" 2340 SF Owner: IRVINE COMPANY Contractor: PACIFIC CONTRACTING GRP INC Architect Address : 110 INNOVATION DRIVE Address : 1635 OHMS WAY, B Address IRVINE, CA 92617 COSTA MESA, CA 92627 Phone: (949)720-2000 Phone: (714)834-0911 Phone: Con State Lic : 947272 State Lic Lic Expire : 05/31/2024 Applicant: NOELIA SANTIAGO Bus Lic: BT30083212 Engineer Address : 5858 WILSHIRE BLVD. #200 Bus Lic Expire : 12/31/2024 Address LOS ANGELES, CA 90036 Phone: (949) 292-5786 Workers' Compensation Insurance Phone: Carrier: BENCHMARK INS CO Owner/Builder : Policy No : CST5024775 Designer Address : W. C. Expire: 12/31/2023 Address Phone: Phone Code Edition : 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : A-2 No of Units : 0 Bldg Height : No of Stories : 1 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY SPECIAL CONDITIONS: VALERIO NICCOLO 5858 WILSHIRE BLVD, #203 LOS ANGELES, CA 90036 (323)954-8996 x100 Construction Valuation: $500,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg: 2,340 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 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 cheokmarkfs) 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 thL applicant for the permit to file a signed statement that ho 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 licensure and the basis forthe 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do i_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Gustiness 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 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).. [l I 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 resldod for at least one year prior to completion of the improvements covered by this permit, I cannot legalt sell a structure that I have builtas an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Saction 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site;http://www.leginfo.ca,gov)calow.htmi. 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 or�,Chapter 9 (commencing With Section 7000) of Division 3 of the Business and Pr _. ssions Cod n ''ense is In full force and effect. License Class License.No �5/'Ty7, %a Dat !a-/3 87 Contractor Signaler' WORKERS' 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 TWO AND DOLLARS (3100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR dN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to seii-insure for workers' compensation.. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th Ds,ran nta of the work for which this permit is issued. Policy No. R. 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` compensation er2ca'r�riar and policy number are: &- riCELMgji Policy Number CS_ M_ Expiration Date 31-23 Name of Agent POST- j+.lsulZ.Anlc-c ep Phone # 3 10 3a. t- _SCoZ=e— I certify 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 Calffomia, and agre that, if I should become subject to the workers' o satlon provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. Signature of Applicant IN- ____ Cat / a - DECLARATION REGARDING ONSTRUCTIO ENDING AGENCY I 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 ode). Lender's Name Lender's Address By my signature below. I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and coup. ordinances and state laces relating to building construction. I authorize representatives of this city or coun1. to enter th d property for inspection purposes. _ ` -7 Signatura of Proparty artOwner or Authorized Agent Print Property Owner's or Authorized Agent's Nam �f�'-c'Date )Q ACTION DATE. BY D LARATIONOF MWILIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND Ai RULE 1403 PERMIT EXPIRED 1 SUBMITTED ASBESTOS N-)'I°ICATION TO PERMIT CANCELLED 0-PA P€&N7TEXTENDED —�—_ --A PEANUT FINAL w SEEST0$'6N7eIOTIFICA(IONISNOTAPPLICABLt TO CERTIFICATE OF PROPOSED DIE OCCUPANCY ISSUED ? SI NATURE.`Y OLITION d' "a N � \ pp N M c ca m � M N Y � N o 5; u V C E O O N G O Y t � u° v (U Q cz O W t N Y_ V yai r G U N U _ N � 00 Q ❑. � c u 'i.+ m m u c u i. O y o" Q V Y W u u v � N O V p y �❑N y O u i7#�1�, O�U v u w ti rA o d U .0 O V� 0..