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Home My WebLink AboutXC2022-1925 - PermitsrFWnr, _ City of Newport Beach 1 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 /... s Permit Counter Phone: (949) 644-3288 ' Inspection Requests Phone: (949) 644-3255 Gc�aNl" newportbeachca.gov/inspections -' Combination Type - ELEC MECH PLUM \Nnrtr raacc - Tenant Improvement COMB Permit : XC2O22-1925 Plan Check No : PC2022-2155 Issued Date : 10/12/2022 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 : 620 NEWPORT CENTER DR, 8TH FL Legal Desc : P BK 295 PG 33 PAR 1 PARCEL MAP 295-33 PAR 1 POR OF PAR Description : COMM TI 12,349 SF "LUGANO DIAMONDS" ADMIN OFFICES Owner: 620 NCD LLC Address : PO BOX 2450 NEWPORT BEACH, CA 92658 Phone: (949)720-2156 Applicant : HOLLY M GRAVES Address : 18 MULHOLLAND CT MISSION VIEJO, CA 92692 Phone : (949) 697-9401 Owner/Builder : Address : Phone Contractor: WEST BROADWAY BUILDING CO Address : 4590 MACARTHUR BLVD, STE 500 NEWPORT BEACH, CA 92660 Phone: (650)283-5329 Con State Lie : 1005485 Lie Expire : 10/31/2023 Bus Lie: BT30060127 Bus Lie Expire : 08/31/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9142275 W. C. Expire: 10/512023 Code Edition : 2019 Fire Sprinklers : Type of Construction : I -A Fire Hazard Zone Occupancy Groups : B No of Units: Bldg Height: No of Stories Building Setbacks : Flood Zone: X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: ROBERT'S WASTE TO HAUL DEBRIS Architect: ALGAZE NELSON Address: 6083 BRISTOL PKWY CULVER CITY, CA 90230 Phone : (213) 929-1400 State Lie : CO21090 Engineer: CORNEO 'QIZRPkE,%Lo .a it Address: 16501 SCIENTIFIC WAY,200 IRVINE, CA 92618 Phone: (949)594-0076 Designer: Address Phone: YES Construction Valuation : NO Added/New/Ti sq. ft. Bldg 0 Alteration sq. ft. Bldg: Added/New sq. ft. Garage: TOTAL sq. ft. Bldg: $679,195.00 12,349 0 12,349 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the check+nark(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. 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' 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 ($500). 71 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 mproved for the purpose of sale). 13 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). ❑ 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 for at least one year prior to Completion of the improvements covered by this permit, I cannot legal], soil a structure that I have built as an owner -builder if It has not been constructed in Its enliroty 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:OwvnY.leginfo.ca.govlcalow.html. 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 Professio �o , and my ice Be is In full force and effect. License Class License No Date O/ /2/22 Contractor Signature NORKERS' COMPENSATION DECLARATION 6, \ . YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS 1E100,0001, 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 fallowing declarations: ave 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 in rat mane of the work for which this pnrmlt is issued. Policy No. I h ve 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' compensaiior nsur• nce carrier and policy number are: Policy Number of Agent Date I certify that, in the dartermanee of the work for which this permit is issued. I slid[] not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agre t, if I should become subject to th w9 rkers' Dom ereahon provisions of Section 3700 of the Labor Code, I shall forthwith comply wdth those provisions. nature of Applicant R5M'L Date f��?�/2 `Z CLARATION REGA O NSTRUCT LENDING ?reby affirm under penalty of perjury Thai there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). )II Name Lender's Address my signature below. certify, to each of the following: I am the property owner or authorized to act on the property Owner's behalf. 1 have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or county�nter the above -identified Property for inspection purposes. /� /� �C nature of Property Owner or Authorized Aeeal � •� G! = z Print Prnrlarrir nwn.,r hr n, rthnrfsnd e,.anr� KI. v / a/ T,;, o( ACTION DATE OECLARKTION OF COMPLIANCE ` 1744 CODE OF FEDERAL FOR OFFICE USE ONLY \ i REGULATIONS PART 6l OF TITLE 40 AND AQMD Put I. 1403 PERMITEXPIRED_ ISUBMITT€D ASBESTOS N_OTi FICATION TO _ PERMITCANCELLED PERMIT EXTENDED r� QM0 PERMIT FINAL Cf -(1 -(} Ld. yBE5Tp5 NOi1FICA I ION 15 NOT APPLICABLE TO CERTIFICATE OF PR POSED DEMOLITION OCCUPANCYISSUED SICNATURAC