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Home My WebLink AboutXC2023-0160 - Permitsre:W °, City of Newport Beach II IIIIII I IIIIIIIIIIIIIIIIII III IIIII IIIII�IIII II COMB Permit : XC2023-0160 Community Development Department- Building Division X C 2 0 2 3 0 1 6 0 a. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1134 r - n permit Counter Phone: (949) 718-1888 Issued Date : 08/2512023 newportbeachca.gov/civic Final Date: °"�i�.o,�N�P Combination Type-ELECMECH 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 RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS NO CONSTRUCTION Job Address : 587 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 1 Description : COMM TI "VERONICA BEARD" 1671 SF Owner: IRVINE CO Contractor: DAVID A NICE BUILDERS INC Architect : KENNETH K S PARK Address : 360 LEXINGTON AVE NEW YORK, NY Address : 111 INNOVATION Address : 4571 WARE CREEK ROAD IRVINE, CA 92618 WILLIAMSBURG, VA 23188, CA 10017 Phone : (714) 366-7205 Phone : (757) 566-3032 Phone: (212) 599-0044 Con State Lie : 709012 State Lie : CO26004 Lie Expire : 06/30/2025 Applicant: JULIET BAKER Bus Lie: BT30082294 Engineer Address : 26 WEST 17TH ST 7TH FLOOR NY 10011 Bus Lie Expire : 08/31/2024 Address �- NEW YORK, Phone: (646) 494-9068 Workers' Compensation Insurance Phone: Carrier: INLAND MARINE Owner/Builder: Policy No: UB6W4719492326G Designer Address : W. C. Expire : 7/1/2024 Address Phone: Phone Code Edition : Fire Sprinklers : NO Construction Valuation : $500,000.00 Type of Construction : II-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : M No of Units : 0 Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: TOTAL sq. ft. 0 Building Setbacks: Flood Zone : X " Use Zone : PC - North NewportCenter PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt born the Contractors' State License Law for the resson(s) 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, site,, 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 liconsed 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 licensors 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). ❑ 1, as owner of the property, or my 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, 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)_ ❑ 1, 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). ❑ I am exempt from licensors under the Contractors' State License Law for the following reason: ____ __,_____,.., __T_.___,,.__^_____T_, By my signature below I acknowledge that, except for my personal residence in which I must have resided forest least one year prior la completion of the improvements eavered by this permit, I cannot legal], Sol a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I 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 Brat the following Web site:http:liwww.leginfo.co.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9, (commencing with Secti Oo0 f Division 3 of the Business and Pr @ sions nd rf arise is In full force and effect. License Class License No Dat Z4—Z3 the Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE To SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ARA SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE NURORE THOUSAND DOLLARS ($100p00), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty, of perjury one of the following declarations: -� ,, 1 1 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 lh )Bfrormance 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 is of Agent _ Date JI certify that, in the performance of the work for which this permit is issued, I shall notemploy any person In 2my manner so as to become subject to the workers' Compensation laws of California, and iat if I should becom u tactd1heork ' compensation provisions o£ Section 3700 or the Labor Code, I shall forthwith comply with those provisions. gnature of Applicant Date 9 — ZS — Z3 m f hereby affirm under penalty of perjury that there is construction ctiion ending agency for the per Ameancof the work for which this permit Is issued (Section 3097, 1 it Code). y my signature below, i certify to each of Ilia 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. I agree to comply with all applicable city an county ord' ances and state laws relating to building construction. 1 1 authorize representatives of this city or c u ty to an tth/hr^ I e Rif property for inspection purposes. //r^ I / Q ignature of Property Owner or Authorized. Ag@ Y Print ProverN Owner's or Authorized Aaent's Nam WV2.P.L1 P(' 1 / III `C-7-5 ACTION DATE RYlJ_!_-_-i,- rCLAPATION 07 ZONIYLIANCE I%ITH CODE OF FEDERAL fOR OFFICE USE ONLY REGULATIONS PART 61 OF TITtf 40 AND AQI RULE 1403 PERMIT EXPIRED1 U ISURMITTEDL.SREST(jSNOTIFICATIONTO P€RMITEXTENDED I _ L1AOMD PERMIT fINA! "'. _ ...... .____.._....___.__— ___... NOI`1FIC 'IOY I'5 NOT PPUCAHL£ 'i'O CERTIFICATE Of I I P OSE EMOL I OCCUPANCY ISSUED si['NATu i