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HomeMy WebLinkAboutXC2023-0365 - PermitsagwpoRT City of Newport Beach �IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2023-0365 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2240 Permit Counter Phone: (949) 718-1888 Issued Date : 12/22/21123 .aw newportbeachca.gov/civic Final Date: C9�i coa+`" 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 : 680 NEWPORT CENTER DR, 3RD FL Legal Desc : P BK 295 PG 33 PAR 7 P.M. 295-33 PAR 7 AND POR PAR Description: COMM TI - N/S INTERIOR TI (LOBBY) 247 SF Owner: IRVINE COMPANY Address: 110 INNOVATION DRIVE IRVINE, CA 92617 Phone : (949) 720-2000 Applicant : MARK YAM Address : 392 N LEMAY CT ORANGE, CA 92867 Phone : (626) 757-2320 Owner/Builder: Address : Contractor: SNYDER LANGSTON LLC Architect Address : 17962 COWAN Address IRVINE, CA 92614 Phone : (949) 863-9200 Phone Con State Lie : 1019188 State Lie Lie Expire : 10/31/2024 Bus Lie : BT30080475 Engineer: Bus Lie Expire : 01/31/2024 Address Workers' Compensation Insurance Phone: Carrier: FEDERAL INS CO Policy No: 005430307906 Designer: W. C. Expire : 4/1/2024 Address MORFORD PAUL 4675 MACARTHUR CT #100 NEWPORT BEACH, CA 92660 (949)863-9434 Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $50,000.00 Type of Construction : III -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : 247 Bldg Height : No of Stories : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone Use Zone : PROCESSED BY: X PC - North Newport Center as SPECIAL CONDITIONS: i hereby affirm under penalty of perjury that tam exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicableitem(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 the applicant for the permit to file a signed statement that he or sheds licensed pursuant to the provisions of the Contractors' State License Lew (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 (5500). El I, as owner of the property, or my employees with wages as their sole compensation, Will do U all or or U portions of the work, and the structure is notintended 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 purposeof sale). © 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 ep..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' State License Law). I am exempt from licensure under the Contractors' 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 prior to completion of the improvements covered by this permit, I cannot Iegall, 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, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site; htfpJlw ,leginfo.ca..gov/calaw.fitmi. 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) of Division 3 of the Business and ProfesbiO s CU nd in Icons 1 s in full force and effect. License Class License No Date A�-22'27 Contractor Signature 1 Ir WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML PINES UP TO ONE HUNDRED THOUSAND DOLLARS (SIN,000t IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations asprovided for by Section 3700 of the Labor Code, for th performance of the work for which INS permit Is Issued, Policy No. have andwill 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' lance carrier and policy number are: Policy Number ne of Agent certify that, in the performance of the wor r which this , if I Should become sub e i the wor er mpe ID ialure of Applicant Date .ued, I shall not. employ any person in any manner so as to becomesubject to the workers' compensation laws of California, and of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. Date,_._., 12—2--L—Z3 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).. enders Name _ Lender's Address_ y my signature below. I certify to each of the following: I am the property owner or authorized to act on theproperty owner's behalf. I have read this application and the information i have provided is correct. I agree to comply with all applicable city and county ordinances state [aws failing to building construction. I authorize representatives of this city or county In eater the aboft,Irian' le prpporty for inspection purposes. 10 ACTIt iN PFPvlrE pmm PE"IT CANC_ LLED AC EXTENDED �rR.+nm FINAL 'P'RTIFICATE OF OCC'UPANCYISSUiD DATE JBY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RECthATIONS PART al OF TITLE 40 AND AOMD RULF. 1403 I SuamirrED ASBESTOS NOTIFICATION TO tK SIGNATURE; TO Name Date