HomeMy WebLinkAboutXC2022-1902 - Permits�1jEWPORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillll II COMB Permit: XC2022-1902
o em Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2002
Permit Counter Phone: (949) 718-1888 Issued Date : 08/02/2023
.s. newportbeachca.gov/civic Final Date:
�gc�FoaN�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
Joh Address : 660 NEWPORT CENTER DR, 2ND
Legal Desc : P BK 295 PG 33 PAR 6 P.M. 295-33 PAR
6 POR OF PAR
FL(RESTROOM)
Description : COMM TI ACCESSIBLE RESTROOM 369 SF
Owner: IRVINE COMPANY LLC
Contractor: ESPLANADE BUILDERS INC
Architect : MORFORD PAUL
Address : 111 INNOVATION DR
Address : 23820 HAWTHORNE BLVD
Address : 4675 MACARTHUR CT #100 NEWPORT
IRVINE, CA 92617
TORRANCE, CA 90505
BEACH, CA 92660
Phone : (949) 720-3100
Phone : (310) 783-7664
Phone : (949) 863-9434
Con State Lie : 831964
State Lie
Lie Expire : 02/29/2024
Applicant : MARK YAM
Bus Lie : BT30045862
Engineer
Address : 392 N LEMAY CT
Bus Lie Expire : 01/31/2024
Address
ORANGE, CA 92867
Phone: (626) 757-2320
Workers' Compensation Insurance
Phone:
Carrier: ZURICH AMERICAN INS CO
Owner/Builder :
Policy No : WC38046700
Designer
Address :
W. C. Expire: 1/1/2024
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : YES
Construction Valuation : $180,000.00
Type of Construction : I -A
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : B
No of Units : 0
Alteration sq. ft. Bldg : 369
Bldg Height :
No of Stories : 16
Added/New sq. ft. Garage: 0
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' 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 Milo a signed statement that he 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 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState 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 licensure under the Contractors' State License Law for the following reason: _____.
By my signature, below I acknowledge [list, 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 legall,
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:http:JlwvAy.teginto.ca.govlcalaw,html,
Signature of Property Owner or Authorized Agent ,_____.....�,....�.._....._................_ ate
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of ivi ' n 3 of the Business and Proles Code and"Try tic n e ul Ica
and effect. License Class License No Date Contractor Signatore
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 HO NO DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,
-hTerebV affirm under penalty of perjury one of the following declarations:
..! have and will maintain a certificate of consent to self -insure lot workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
na rmanca 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
of Agent
Date
JI certify that, in the perform ce of the work for whit I permit is issued., I shall not. employ any parson in any manner so as to become subject to the workers' compensation laws of California, and ogre
iat if I should becom subie to the workers' comps I proviso) of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iignalure of APphcant _ _ __ � rf �J N-,q f-. -- --- Dal e
rECLARATtON REGA DI ONSTRUCTION LENOI G GENGY
hereby affirm under penalty per}ury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097 ivfl Code).
pndrir's Name Lender's Address
ly any signature below, I certify to each of the following:
I am the property owner or Authorized to sot on t property owner's behalf.
I have read this application and the tril lion h ve provided is orrect.
I agree to comply with all applicable city and co ordinances a skate laws relating to building. construction.
I authorize representatives of this city or co o enter the ACV -I-'I fe�iedproq�rty for inspection purposes.
ACTION
PERMIT EXPIRED
PERMITCANCELLEO
PERMIT EXTENDED
PE.R,NIT FINAL
CERTIFICATE OF
OCCUPANCYISSUEO
BATE. BY V
(!`�CL;ARATION OF REGLLATION5. PART 51POF TIT E 40 ANDCOMLICE WITH OAQMD RIDE OF IIERNt FOR OFFICE USE ONLY
I SURMITTED ASBESTOS NOTIFICATION TO
SIGNATURE:.
15 Non'