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HomeMy WebLinkAboutX2022-0632 - PermitsO��EWPo�r City of Newport Beach e Community Development Department- Building Division F / 1"y 1 DO Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u S Inspection Requests Phone: (949) 644-3255 °+c�FoaN�P newportbeachca.gov/inspections Combination Type - ELEC Work Class - Other Ili iiiiiiiiiiii II COMB Permit : X2022-0632 Plan Check No : 0573-2022 Issued Date: 316 /2az3 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 Legal Desc : P BK295 PG 33 PAR 7 P.M. 295-33 PAR 7 AND FOR PAR 6 Description: COMM (2) NEW EV CHARGERS & RESTRIPING (12) PARKING SPACES Owner: IRVINE COMPANY Address : 560 NEWPORT CENTER DR Newport Beach, CA 92660 Phone Applicant: GRACE MANSI Address : 9850 IRVINE CENTER DR. IRVINE, CA 9261 B Phone : (949) 679-6880 Owner/Builder: Address : Phone: Contractor: CASCO CONTRACTORS INC Address : 9850 IRVINE CENTER DR IRVINE, CA 92618 Architect Address Phone : State Lic Engineer: GREGPURSLEY Address : 15231 LAGUNA CANYON R.D. 100 IRVINE, CA 92618 Workers' Compensation Insurance Phone : (949) 751-5800 Carrier: ZURICH+AMERICAN+INSURANCE+COMPAN Y Policy No : WC452503200 Designer : CASCO CONTRACTORS INC W. C. Expire: 1/1/2024 Address : 9850 IRVINE CENTER DR IRVINE, CA 92618 Phone : (949) 679-6880 Phone : (949) 679-6880 Con State Lic : 790706 Lic Expire : 01 /31 /2025 Bus Lic: BT30041027 Bus Lic Expire : 10/31/2023 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $97,000.00 Type of Construction : Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : 0 Bldg Height : No of Stories : 0 Added/New sq. ft. Garage: TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that i am exempt from the Contractors' Slate License Law for the reasons) 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 courtly 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 to the provisions of the Contractors' Slate 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 Neensum and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fore permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, 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 employeesor 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 buitt or Improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Sect'Ion 7044, Business and Professions Code: The Contractors' State License Law doe's not app€y to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Low). ❑ 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 forat least one year prior to completion of the improvements covered bythis permit, I cannot legall) sell a structure that I have built as an owrior-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 requestwhen this application is submitted or at the following Website:http:liwwv✓.leginfo.ca.gov/calaw,html. Signature of Property Owner or Authorized Agent ._..._..._���._ Date �,- LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisioon3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date �7 1�r70�C.J Contractor Signature WORKERS' COMPENSATION DECLARATION r , A'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000i. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 310E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the fallowing declarations: 1 1 haw, 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 Dr,normarce of tke v'ofk 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: ter ie ai Agent --- Policy Number Date certify that, in the per✓ormance 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 California, and age, f should become subjeo the workers' compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. OF I lure of Appllcanf., .., V//02.5 ireby a*flrm 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). ed,i 6 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. I agree to comply with all applicable city and county ordinances and slate taws relating to building construction. I authorize representatives of this city or county tt tt the above -identified ro e IBil purposes. p �q/ q✓7 stature of Property Owner or Authorized Aaolt<i7�Si�/��i. _ Prnoarty owner's or Authnri7ed Ar,eees ACTION DATE I BY j DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 4 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE f 1403 PERMITFXPIRED , ISUBMITrEDASBESTOS NOTIFICATION TO PERAOT EXTENDEDLIM D PER4117 FINAL._..... ASBESTOS NOIIEICA PION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEtAOLIJjOtt OCCUPANCY15SUED SIGNAT'Lta