HomeMy WebLinkAboutX2022-0077 - Permits�EwPoRr City of Newport Beach IIIIIIII�IIIIIIIIIIIIIIIVIIIIIIIIIIIIIII II A Community Development Department- Building Division x 2 0 2 2 0 0 7, COMB Permit : X2022-0077
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0088-2022
Permit Counter Phone: (949) 718-1888 _ Issued Date : 06/01/2023
co- r newportbeachca.gov/civic ?��j t Inspection Area : 7
9��FORN� Combination Type - ELEC MECH PLUM
'Weuur''
Work Class -Tenant Improvement
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: 853 NEWPORT CENTER DR Legal Desc :
Description: COMM Ti 'SPEC SUITE 85; 5,625 SF HVAC ROOFTOP UNITS FOR ANCHORAGE ONLY
Owner: IRVINE CO
Address : 111 INNOVATION
IRVINE, CA 92618
Phone
Applicant: AMY BAGLEY
Address : 17800 MITCHELL NORTH
IRVINE, CA 92614
Phone: (714)299-5957
Owner/Builder :
Address :
Phone
Contractor: ALTACONTRACTING
Address : 369 E. BLAINE STREET
CORONA, CA 92879
Phone:
(714)380-9233
Con State Lie
: 742360
Lie Expire :
11/30/2023
Bus Lie:
BT01020983
Bus Lie Expire : 01/31/2024
Workers' Compensation Insurance
Carrier: CYPRESS INS. CO
Policy No: ALWC347983
W. C. Expire : 6/24/2023
Architect :
AMY BAGLEY
Address :
17800 MITCHELL NORTH IRVINE, CA
92614
Phone:
(714)299-5957
State Lie
Engineer: BISHOFF RYAN WILLIAM
Address: 3300 IRVINE AVE #245
NEWPORT BEACH, CA 92660
Phone: (949)862-8510
Designer
Address
Phone:
Code Edition : 2019
Fire Sprinklers :
YES
Construction Valuation :
$700,000.00
Type of Construction : III-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups : A-3
No of Units :
0
Alteration sq. ft. Bldg :
5,625
Bldg Height:
No of Stories :
1
Added/New sq. ft. Garage :
0
TOTAL sq. ft.
0
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY..
SPECIAL CONDITIONS: HAULER: CA WASTE SERVICES
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 applicableiterri
'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 be 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
°rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any. violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
iot more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_,) all of or L,) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' orpersonal effort, builds or improves the property, provided that the
mprovements 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 R was not built or
mproved for thepurpose 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 Contractors' State License Law does not
s 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).
1 am exempt from licensure under the Contractors' Stale 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 poor to completion of the Improvements covered by this permit, I cannot legally
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I undamiand 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 fallowing Website:http://www.laginfo.m.gov/calaw.htmi.
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 700) f Division 3of the Business and Professions C grit my license is in full force
and effect. License Class License. No Date 6 L 'L Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIM FINES UP TO ONE HUNDRED THOUSAND DOLLARS (St00,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION V00 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
13 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 th
performance of the Work for which this permit is issued. Policy No.,
dl have 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' compensatoor
insurance carder and policy number are:
Policy Number
Date
Is of Agent rnone e
certify that. in the performance 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 Califemia, and agre
If I should become subject to thq workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
of
Date
Ireby 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).
Ider's 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 compy win all applicable City and county ordinances and slate laws relating to building construction.
I authorize nepmsan.atives of this city or county to enter thja above-idemilled property for inspection purposes.
ACT'ON
PERWIT CANCEtt:ED
PER"i'TFxTENDED
PET1'r rfr,&
CE RTIFICAI E OF
OrCUPANryISSUED'
DATE By DECLARATION OF I REGULATIONS PART fi OFTITITLE 0 AND AQMD RULE CE WITH CODE OF AL I FOR OFFICE USE ONLY
1403
PROPOSED 0
SIGNATURE:
NOTIFICATION IS NOT APPLICABLE TO